What supporting the troops looks like in Bush’s America

I remember, several years ago, seeing “Born on the Fourth of July,” and watching Tom Cruise’s character, who had been seriously wounded in Vietnam, come back to the U.S., only to get stuck and mistreated in a rat-infested veterans hospital. Cruise was disgusted. “This place is a fu**in’ slum!” he’d say.

The movie was fiction, but those surroundings really existed for far too many veterans of the war in Vietnam. Fortunately, that was a generation ago. We’re supposed to have learned valuable lessons from that conflict and its aftermath, and there’s no way the United States could tolerate such shoddy treatment of its wounded combat veterans again.

Except we are, it’s happening right now, and it’s nothing short of a national disgrace.

Behind the door of Army Spec. Jeremy Duncan’s room, part of the wall is torn and hangs in the air, weighted down with black mold. When the wounded combat engineer stands in his shower and looks up, he can see the bathtub on the floor above through a rotted hole. The entire building, constructed between the world wars, often smells like greasy carry-out. Signs of neglect are everywhere: mouse droppings, belly-up cockroaches, stained carpets, cheap mattresses.

This is the world of Building 18, not the kind of place where Duncan expected to recover when he was evacuated to Walter Reed Army Medical Center from Iraq last February with a broken neck and a shredded left ear, nearly dead from blood loss. But the old lodge, just outside the gates of the hospital and five miles up the road from the White House, has housed hundreds of maimed soldiers recuperating from injuries suffered in the wars in Iraq and Afghanistan.

The common perception of Walter Reed is of a surgical hospital that shines as the crown jewel of military medicine. But 5 1/2 years of sustained combat have transformed the venerable 113-acre institution into something else entirely — a holding ground for physically and psychologically damaged outpatients. Almost 700 of them — the majority soldiers, with some Marines — have been released from hospital beds but still need treatment or are awaiting bureaucratic decisions before being discharged or returned to active duty.

They suffer from brain injuries, severed arms and legs, organ and back damage, and various degrees of post-traumatic stress. Their legions have grown so exponentially — they outnumber hospital patients at Walter Reed 17 to 1 — that they take up every available bed on post and spill into dozens of nearby hotels and apartments leased by the Army. The average stay is 10 months, but some have been stuck there for as long as two years.

Reading about the conditions in which these heroes are living is heartbreaking.

The Washington Post’s Dana Priest and Anne Hull spent more than four months visiting the outpatient world without the knowledge or permission of Walter Reed officials. What they found should shock the country.

While the hospital is a place of scrubbed-down order and daily miracles, with medical advances saving more soldiers than ever, the outpatients in the Other Walter Reed encounter a messy bureaucratic battlefield nearly as chaotic as the real battlefields they faced overseas.

On the worst days, soldiers say they feel like they are living a chapter of “Catch-22.” The wounded manage other wounded. Soldiers dealing with psychological disorders of their own have been put in charge of others at risk of suicide.

Disengaged clerks, unqualified platoon sergeants and overworked case managers fumble with simple needs: feeding soldiers’ families who are close to poverty, replacing a uniform ripped off by medics in the desert sand or helping a brain-damaged soldier remember his next appointment.

“We’ve done our duty. We fought the war. We came home wounded. Fine. But whoever the people are back here who are supposed to give us the easy transition should be doing it,” said Marine Sgt. Ryan Groves, 26, an amputee who lived at Walter Reed for 16 months. “We don’t know what to do. The people who are supposed to know don’t have the answers.”

The problem is not the medical care, per se, which is widely considered excellent. The problem is with what the patients experience afterwards, as outpatients. The troops are promised good care in return for their sacrifices, but as the Post found, many are given mouse traps for their infested living quarters.

“I’ve been close to mortars. I’ve held my own pretty good,” said Spec. George Romero, 25, who came back from Iraq with a psychological disorder. “But here . . . I think it has affected my ability to get over it . . . dealing with potential threats every day.” Romero added, “I hate it. There are cockroaches. The elevator doesn’t work. The garage door doesn’t work. Sometimes there’s no heat, no water. . . . I told my platoon sergeant I want to leave. I told the town hall meeting. I talked to the doctors and medical staff. They just said you kind of got to get used to the outside world. . . . My platoon sergeant said, ‘Suck it up!’ ”

Think about this: the United States sent these young people into an unnecessary war without the equipment they needed to keep them safe. Once injured, the United States sticks them in disgusting environments so they can “recover.” This is how we honor their service and thank them for a job well done.

The president, during his last visit to Walter Reed in December, said, “We owe them all we can give them. Not only for when they’re in harm’s way, but when they come home to help them adjust if they have wounds, or help them adjust after their time in service.”

His words would be laughable if it weren’t so painful.

Our friends on the other side of the aisle like to talk a lot about “supporting the troops.” They say draft-dodgers like Bush and Cheney are trustworthy because they care about those who serve, while Democrats don’t really support the troops, because they don’t blindly support their misguided mission.

The next time some GOP hack even uses the phrase “support the troops,” remember this article. In fact, send him or her a copy and ask why the administration allows this to continue.

Please find time today to read the whole thing.

It isn’t just the living conditions – which are bad enough – it’s also the incredible difficulty of just getting where they need to go and getting the services they need. Wlater Reed is a 130 acre campus, and you have guys in wheelchairs trying to make their way from one building to another, often having to detour because they can’t get the chairs into the most convenient entrances. It’s paperwork snafus that turn them away from what they thought were scheduled apppointments. It’s the failure to even replace a uniform or provide proper clothing to people who arrived at Walter Reed with nothing but a hospital gown.

“Supporting the troops” is a phrase that cannot be used with any legitimacy until every person serving in the theater of operations has the proper equipment, and the proper training; it also has to encompass the providing of proper post-war services and accommodations. Until then, this isn’t “supporting the troops,” it’s supporting a failed policy.

  • The movie was fiction
    No, actually it was a bio-pic of Ron Kovic. Not that one should get their facts and history from movies;>

  • A tangent, if I may…

    Almost 700 of them — the majority soldiers, with some Marines…

    I know it’s important to Marines that they be held distinct from Army soldiers, but if you think about it, it’s strange that this institutional tradition has been internalized by writers. “Soldier” is no longer a generic term, but a specific affiliation which by definition excludes Marines (which are always capitalized).

    The thing that distinguishes soldiers, Marines, and paratroopers from each other is, basically, their mode of reaching a battle. Once on the battlefield, though, their jobs are essentially identical.

  • And now my real comment. Anytime some right wing thug starts spouting off about “supporting the troops” or claiming the left “spits on vetrans” they need to be reminded who runs the vetrans hospitals and who cuts vetrans benefits.

    The ghastly evil men responsible for this shouldn’t be allowed to sleep at night.

  • The phrase “Support the troops” really irks me. Only an insane person wouldn’t “support the troops” (so insane I have trouble even imagining, though obviously the fevered brows in the GOP have no such trouble). What I hate about the GOP’s usurpation of the phrase “support our troops” is that, just like their flag-waving, it’s mere “holier than thou” posturing. As this sad story demonstrates, we clearly do not support our troops, anymore than those who ostentatiously proclaim themselves “pro life” give a damn the real lives of unfortunate people. Anymore than than we care for the old people I observed this weekend living out out their days in what we euphemistically label a “rest home”. All our country wants is to put all such people out of sight and out of mind. It’s disgusting.

  • Of course, tax cuts and war profits for Bush’s base of rich dipshits is so much more important.

    I see these support the troops magnets up here in Cannuckistan and it makes me want to punch out the drivers (mostly on SUVs, natch) when I see them because I suspect they are also the same assholes who constantly bitch about high taxes.

    It’s like they assume soldiers and their equipment are paid for by the magical mystical war fairy.

  • This is even sadder when I consider the quality of care I am receiving at the Los Angeles VA hospital for prostate cancer. Clean, well-lit, with a staff that acts like they’re actually glad to see me and happy to give me service. Whell chair accessible everywhere. Veterans Organizations there as advocates for us. The other week when I was there, I met a young vet missing his left leg below the knee, right leg just above the knee and right arm at the elbow – the victim of an IED 3 years ago. He was telling me this place was like heaven in comparison to what he’d experienced over 18 months as an outpatient at Walter Reed getting his prostheses and rehabilitation.

    During Vietnam, it was the active duty hospitals that were like this one and the VA hospitals that were like WR outpatient “services.”

    This is just another one of Bush’s crimes against humanity.

  • If there is one common denominator to define Republicans, it has to be hypocrisy. They are so blatant about it, it is mind boggling. Digby really did a
    a number on them yesterday. Read ”Do as I Say, Not As I Said.” at http://digbysblog.blogspot.com/

  • Damn it, these people put their lives on the line and they are treated like shit. I don’t know how widespread this type of treatement is, but it still bugs me.

    I don’t want to be all partisan about this, but there are way too many Republicans who don’t want to pay for medical care for veterans. Of course there are Republican veterans who understand how important it is, but sometimes that conflicts with their demands for “less government” or reducing spending on people. They can spend billions on military technology, but cringe when they need to spend money on human beings.

    I know it’s expensive, but it doesn’t matter. You don’t tell someone to fight for a country and risk death and then pretend they don’t exist after all the “fun” is over.

  • Ed Stephan: “Only an insane person wouldn’t “support the troops” (so insane I have trouble even imagining…”

    I can imagine pacifists so pure that they despise anyone who voluntarily joins a war machine. Such pacifists would favor no benefit, aid, or honor for those who fight, because they view such fighting as inherently immoral. Being pacifists, of course, their only active resistance would be putting a flower into a gun barrel — which you might still consider insane. Different strokes.

  • Walter Reed Army Medical Center has always been a train wreck and continues to be a train wreck. There are many inherent problems there that have nothing to do with who is the president.

    Remember, Walter Reed is located in a ghetto, has a high civilian employee turnover, and is the last place anyone in the active duty Army wants to be assigned. The location and civil workforce discourage Red Cross volunteers. There is nothing that a Clinton/Obama administration could do to improve the workforce at Walter Reed or make complying with numerous federal regulations easier.

    Walter Reed Medical Center also suffers because the physical evaluation board is not part of the hospital. The hold up are the servicemembers in medical hold waiting for a disability determination. Also, during an Army reorganization a couple of years ago, the Walter Reed commander lost control of the barracks and guest houses when the Installation management Agency was created.

    The problems of Walter Reed have much more to say about how the government functions at its lowest level than it does about the highest level of adminstration.

    Why would anyone expect a government hospital in DC to function any better than the public schools function in DC?

  • Walter Reed is slated to close, if I recall correctly, and the campus itself has not been maintained as it should have been. And while the medical care received there is excellent, even the outpatient care, it is the bureaucracy that makes it all go to hell.

    There are a lot of excellent medical centers located in urban areas – Johns Hopkins for example, where the care is world-class, and the University of MD Medical Center, where the first Shock Trauma center was established, are both located in some of the worst areas of Baltimore; the emergency rooms there in the middle of the night there are a horror show. So, location is not the issue. And the fact that it is D.C is not the issue, either, as the District is not responsible for the operation or staffing.

    The problem is funding for military medical centers, for infrastructure and veterans’ care, things which the Republican administration seems to think it can cut with no consequences. If you’re going to undertake a war, for God’s sake, you have to have the equipment and training and personnel on the one end, and you have to have the services for them when they return; this administration went into war with neither. They need to be held accountable for that, and if they won’t do it “voluntarily,” we need to force them.

  • Anne,

    The comparison is not a very good one because Johns Hopkins does not have many low level clerks doing things like payroll, travel vouchers, and other non-medical pay for their patients. Also, Johns-Hopkins does not have hundreds of outpatients that it has to worry about feeding and housing in the middle of a ghetto. In addition, Johns-Hopkins does not have to comply with civil regulations, minority set aside cotracting rules, and all of the other federal regulations.

    Walter Reed has for years had the reputation of an assignment to be avoided because the problems cannot be solved. Anyone in the Army who wants to get promoted avoid Walter Reed. Walter Reed has been a train wreck under both Democratic and Republican administrations.

    And yes, all inner city hospitals have huge staffing issues. It is one of the reasons there is such a huge nursing shortage. Middle class nurses do not want to work in inner city hospitals.

    And the DC schools example is a good one because Walter Reed is hiring its clerks and adminstrators from the same population that the DC schools hires its adminstrators.

  • superdestroyer, I do not mean to excuse what is happening at Walter Reed, but if you think Hopkins is staffed with clerks and aides and what-not that are marginally any higher caliber than what Walter Reed is dealing with, I think you might be surprised. Inner-city hospitals also rely on the surrounding areas for staff – and what surrounds Hopkins isn’t pretty. And I hate to tell you this, but Baltimore schools are not in much better shape than DC, and a lot of their problems can be traced to administration.

    The important thing to remember is that when this administration was plotting the invasion of Iraq, it did so knowing that it had neither the equipment nor personnel nor support services for a long engagement, and it did nothing in the months leading up to war to improve any of those things. In the four years since the engagement, it has also done nothing to improve the supplies or services. So, while Walter Reed may already have had problems in place, this administration has done nothing to ameliorate those conditions or prepare for the onslaught of the injured. And one can make the argument that if the military had been properly equipped, maybe the numbers who need a Walter Reed would not be as large as they have turned out to be – and which show no signs of decreasing.

  • This article in particular seems to lend support to society reflecting art in that it reads like a nightmarish Vonnegutesque story setting. I guest to understand Bush’s patriotic world, all should be reading both Vonnegut and Heller.

    President Bush has as much credibility and moral worth on the subject of his Iraq war as a discarded cigarette butt lying on the dirty curb of a mean street.

    My heart goes out to our fine men and women who have suffered from this president’s folly. -Kevo

  • Let me tell you a little about Building 18 (and the area facing the main gates of WR).

    Building 18 was at one time a nice shiny new hotel for people visiting relatives in WR. During the early 80’s it became a whore house as the neighborhood along Georgia Avenue began to decay. Now it appears they kicked out the whores and moved in the soldiers without bothering to change the matresses. Georgia Avenue in front of WR is a high crime area and people tend to ignore the suggested speed limit (to put it mildly) I can’t believe they let injured soldiers walk around untended. The jackals have got to know there are a lot of sick guys with meds or money on them. To the north of WR there is more of the same no-go area. To the south, middle/middle upper class neighborhood (where yours truly grew up). And at the back there is the “Gold Coast” along 16th Street. Upper class neighborhood though a lot of it is Rock Creek Park. That is the prettiest part of the base but those gates have been locked for ages.

    I wish the reporters had done a bit more about the neighborhood right outside the main gates but maybe they were afraid to go out there. I guess the description of the hotel lets people know the US supports injured troops by plunking them in the middle of an area where the perfectly healthy and alert would have trouble surviving.

  • Where is the Democratic office holder who is going to adopt this as his or her pet issue and run screaming with it? Tax breaks for the rich while we let our soldiers rot?

    I dunno, seems like a no-brainer to me.

  • Walter Reed has become a nightmare because it has been allowed to become a nightmare. It was allowed to fall into decay because “common sense” dictated that there was no longer a viable need for it.

    But then again, “common sense” had nothing to do with this four-year-old war in Iraq—now did it?

    Most of the buildings on the WR campus can be rehabbed, if the project employs MAXIMUM EFFORT. A few of them—including the black-mold infested Building 18—deserve the wrecking ball. HUD refuses to house Section 8 low-income recipients in buildings that are in far better shape than WR-18 because they are demed substandard, so why are those wounded in the line of serving their country destined to such hygenically-perverse treatment?

    It’s a simple choice for this administration—fix it up, tear it down—or get the hell outta town….

  • When my son lost most of his left hand while serving in the Navy, I had some Republican “neighbors” who snidely commented on how long it took to “rehabilitate” him, how much it must be costing the taxpayers for his eleven surgeries and lengthy hospital stays for the osteomyelitis (bone infection) he got during the surgeries, and on and on. All the while they were out golfing, running around in their gas-guzzling SUV’s and pontificating on the war and what a bunch of pussies all us bleeding-heart liberals were. Didn’t see any of them sending their kids off to fight. I got the impression that they, like the Repugs in power, thought of those in the military merely as “units” – boots on the ground – cannon fodder that wasn’t supposed to complain, cost us any money, or get out of doing their job because of some pussy injury.

    Now my son is dead. None of them were at the funeral. They probably would have objected to the officers conducting the funeral – why aren’t they over in Iraq? Wasting taxpayer bucks on a funeral!

    Fuck them. My answer was, “let me blow off your hand with this half-stick of dynamite here, and see if you go on golfing.”

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