[Emily Schwarz Greco of Foreign Policy In
Focus was the editor of this article]
The Bureau of the Census has issued a lengthy
summary
of “facts” about the nation’s 23.7 million
veterans in time for Veteran’s Day. Considering that there
are two significant ongoing armed conflicts involving U.S. forces,
I expected that there would be some “facts” dealing
with Iraq and Afghanistan.
Nothing was disaggregated. Well, nearly nothing.
Where detail was provided, it rarely was framed by war as opposed
to education, age or ethnicity.
One statistic I did expect was the number of
troops “wounded in hostile engagements” who had
been discharged from service and transferred to veterans’
medical care. (According to the Pentagon, total U.S. wounded
from enemy action in Iraq is 28,327 and in Afghanistan 1,708.)
But this also was not there even though that number —
along with projections for future years – has to exist
within the Veterans Administration (VA) so its staff can prepare
their annual budget request.
Medical Care
Thinking these two items might be linked, I re-read
the notice looking for spending just on veterans’ medical
care. Dead last was total spending by the VA in 2006 and a breakout
between medical and non-medical spending for that year.
As a veteran who uses the military medical system,
I could not help but wonder if the placement of this information
was nothing more than happenstance, a fading echo of the recently
revealed mishandling of war wounded and not a harbinger of the
how the wounded from Iraq and Afghanistan will be regarded in
the priorities of future administrations.
Actually, the census report raised more questions
than it answered. Looking through the Bush administration’s
proposed Fiscal Year 2008 Budget submission turned up the following:
- In 2006, the Bush administration’s
budget request for the Veterans Health Administration (VHA)
was still less than half ($31.3 billion) the total request
($75.7 billion) for the Department of Veterans Affairs.
- In 2007, the VHA’s budget request actually
dropped from about 43% of the total Veterans Administration
proposed budget to 40%. Congress added $1.8 billion in the
2007 supplemental.
- The White House however, does not seem able
to fathom the long-term medical costs of the Iraq War and
its Afghanistan operations. Although it appears that VHA will
be funded at $37.2 billion for 2008, the administration projects
a 2% drop in funding for 2009 and a repeat of this lower level
in 2010. That’s just incomprehensible given that the
wars are not likely to be over by then.
Supporting the Troops
The public comprehends the principle that if
the nation sends its youth to war, it owes those young men and
women the best medical care regardless of cost should they be
wounded. This distinction is a variation of the classic “support
the troops – support the war” dichotomy that scares
and scars politicians. In an age of 15-second sound bites, all
that need be said is “Senator (or Representative) X voted
against funding our troops in the field,” letting the
silence of the syllogistic “therefore” be completed
by the voter: that in refusing to vote for the military’s
budget request the congressional incumbent doesn’t care
about either the dead or the living.
Regardless of the precipitating event, once the
armed forces are “on the ground,” the president
of the United States is in the enviable position to blackmail
Congress into providing funds for the troops fighting for “God,
country, and the American way.” It doesn’t seem
to make any difference which party controls Congress or occupies
the White House. The worst political sin is to be susceptible
to the charge of “not supporting the troops.”
Ironically, even when the wars they wage are
as widely unpopular as today’s operations in Iraq and
Afghanistan, presidents can blackmail the American people the
same way – and they get away with it for the same reason:
no one wants to be accused of not standing up for the troops
or appear to be unwilling to give them the best of everything.
This stems from the belief that the United States is always
justified in going to war, that God is on “our side”
(or at the very least, is not on the “other” side).
The Warriors
In accepting the demise of the conscript army
and the emergence of the modern military professional, the American
public assigned the responsibility for military defense to a
class of people – the Warriors – and in typical
fashion, turned their attention elsewhere. This left as the
main advocates for post-military service benefits (other than
the formal institutions of government) the traditional veterans’
advocacy organizations such as the Veterans of Foreign Wars
(VFW), AMVETS, and the American Legion.
In peacetime, this façade of a “caring”
nation could be maintained with little more than the ritual
appearance by the “commander-in-chief” (and in election
years by candidates for president) at veterans’ conventions
and the odd extra half-billion or billion dollars in additional
spending that was never enough to catch up with needed improvements
in the military and veterans health systems.
Under pressure from two wars, the “center”
could not sustain itself or conceal the dichotomy between excellent
medicine and paralyzing administrative requirements.
Walter Reed Effect
Then came what could be termed the “Walter
Reed effect”: the “fall-out” from investigative
reporting by The Washington Post of substandard living
arrangements for seriously wounded soldiers, of insufficient
numbers of trained case workers for the number of wounded, and
the expectation of hospital administrative staff that the wounded
could traverse a very convoluted medical bureaucracy without
substantial help. All this, together with the seeming indifference
of general officers and administrative personnel toward those
with psychological trauma or more evident brain injuries, rekindled
empathy for the war-wounded among large segments of the U.S.
public.
Initially, this renewed concern for the warriors
and the question of why their care was so remiss did not cross
into questioning the war itself, perhaps because one could,
in the early days, talk war without having to talk veterans.
And when veterans were mentioned, the traditional veterans groups
stepped forward, as they had in the past, and generally supported
the president’s policy.
It would not be too long, however, before voices
of returned soldiers, wounded or not, and of the survivors of
those killed in Iraq and Afghanistan were raised in protest
– first singly and then collectively in new groups such
as Iraq Veterans Against the War, Veterans Against the Iraq
War, and even among the veterans of the Vietnam War.
As the extent of the deficiencies became clearer,
as more and more members of Congress visited hospitals and saw
first-hand the extensive physical and mental injuries, as they
learned of the extensive treatments that would have to last
a lifetime, they at last began to fathom the woeful under funding
of veteran’s health and rehabilitation costs.
The apparent callousness of top Army officials
to the status quo did not sit well with the public. This perception
of official indifference acted as a catalyst to re-engage the
American public on the issue of why these wars with their ever-increasing
casualties hadn’t ended.
Vets Find Their Voices
Veterans of the fighting in Iraq and Afghanistan
began to find their voice-in-opposition and to take on the issue
of inadequate care for the wounded. And since the wounded remain
distinctive personalities, because they are not hidden away
from society, they cannot be treated as an undifferentiated
class – like those who are killed and usually become,
other than for their loved ones who remain, more of a statistic
than a memory.
Indeed, today’s wounded (and today’s
3,858 dead in Iraq and 459 in Afghanistan) present the public
with an opportunity to start to end the fighting, the dying,
and the maiming that seem to be endemic in the “social
contract” of modern nation states. How? By bringing face-to-face
those who serve with those who first asked them to serve, sent
them to “care” for (that is, to fight for) the nation,
and in so doing created a moral and even a legal reciprocal
obligations to care for the wounded who “cared”
for the nation when asked.
While this approach might seem to leave a huge
gap through which to drive a tank army, it would strip away
the sterile masks that protect those who make war from those
who “do” war – at the maker’s behest
and in the name of the “people” who often have absolutely
no say in the decision for war.
It’s different today than during the Vietnam
War, when even wounded veterans were sometimes reviled and taunted
as “baby-killers.” Vietnam may have been the tipping
point, for that was the first U.S. television war. The horrendous
wounds from Iraq and Afghanistan have moved the public beyond
the halfway point of transitioning from a warrior mentality
and myth to a culture and outlook that celebrate peace.
The challenge is how to keep together the need
for adequate appropriations to care for the wounded for as long
as necessary with the realization that those who need long-term
care once were able-bodied men and women. Still to be traversed
is the gap between the recognition of the cost of caring for
the wounded and caring about – that is, rejecting –
the reasons why politicians opt for war in the first instance.
Meanwhile, the number of mercenaries (politely
termed “security contractors” in the mainstream
media and political debate) just in Iraq is reportedly
between 20,000 and 30,000. That’s more than some countries
have in their whole armed forces.
So now there is another consideration: will the
public, and the Congress, in rebelling against the cost of paying
for war and the war-wounded, opt for a fully mercenary force
to wage our wars?
That was what Rome did. History records the outcome.
This article was originally published by
Foreign Policy In Focus (FPIF), a project of the Institute for
Policy Studies (IPS). Copyright © 2007, Institute for Policy
Studies.
Dan Smith is a military affairs analyst for
Foreign Policy In Focus (www.fpif.org),
a retired U.S. Army colonel, and a senior fellow on military
affairs at the Friends Committee on National Legislation (fcnl.org).
His blog is The
Quakers' Colonel. Click
here to contact Col. Smith.