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Iraqi Freedom Review GLOBAL WAR on TERROR operations enduring freedom/ GWGW OT GLOBAL WAR ON TERROR iraqi freedom review www.va.gov/Environagents/ Information for Veterans Who Served in Iraq and Afghanistan and Their Families Vol. 5, No. 2 June 2008 PEAKE TAKES ACTIONS TO SUPPORT FIVE YEARS OF VA HEALTH CARE NEW COMBAT VETERANS FOR COMBAT VETERANS Peake: Honoring Commitment Dr. James B. Peake, Secretary of Veterans Affairs (VA), has emphasized outreach to to Newest Combat Veterans new veterans as a focus during the current Military veterans who served in combat conflicts since assuming office. VA’s recent since November 11, 1998, including veterans efforts include appointment of a panel of of Iraq and Afghanistan, are now eligible national suicide experts with the goal of for enhanced enrollment opportunities that reducing veteran suicides. This follows the provide cost-free medical care from the establishment of a VA suicide hotline in Department of Veterans Affairs (VA) for 2007 in order to ensure veterans with mental Dr. James B. Peake conditions potentially related to service in health crises have immediate access to trained Secretary of Veterans Affairs the theater of combat operations for a 5-year coordinators twenty-four hours a day. More post-discharge period. This measure increases a 2-year recently, VA announced that it is contacting nearly 570,000 limit that has been in effect for nearly a decade. recent combat veterans to ensure they know about VA medical services and other benefits. In addition, Secretary “By their service and their sacrifice, America’s newest Peake will continue the program of sending letters to all combat veterans have earned this special eligibility period who have been released from active duty and are eligible for VA’s world-class health care,” said Secretary of Veterans for VA benefits (including those who continue to serve in Affairs Dr. James B. Peake. (Continued on page 2) the Reserves or National Guard). Included in the letter from Secretary Peake is a statement regarding enhanced ALSO IN THIS ISSUE eligibility for combat veterans and contact information for IOM Report on PTSD Released ..............................................2 those seeking additional information. What You Don’t Know Can Hurt You; How the VA Picks Up Secretary Peake stressed his commitment to easing the on Hidden Conditions ..............................................................3 transition of our current generation of returning, combat VA Needs More Volunteer Drivers...........................................4 experienced men and women and of “the opportunity to look to the future of this newest generation of combat Federal Student Aid’s Office of the Ombudsman....................4 veterans returning from Iraq and Afghanistan – getting it FAFSA Facts right for them and for their families.” “We will reach out and Application Deadlines touch every veteran of Operation Enduring Freedom and What’s New?............................................................................5 Operation Iraqi Freedom to let them know we are here for One-Stop Career Centers them,” said Dr. Peake. Transition Assistance Program for Veterans (TAP) HireVetsFirst: DOL’s Transition Program “VA is committed to getting these veterans the help they SBA’s Patriot Express Loans need and deserve.” Secretary Peake continued, “You need to VA Home Loan Guaranty know that I believe deeply in the mission; and that I believe Education Benefits for Returning Operation Enduring in you. I know quite a number of you already. I’ve seen the Freedom / Operation Iraqi Freedom (OEF/OIF) Veterans ethic, the caring, the compassion, and the technical skills.” How to Apply for Disability Compensation from VA.................5 Dr. Peake, a combat veteran of the Vietnam War and New Disability Compensation Rates for 2008 former Army Surgeon General, was sworn in by President About the OEF/OIF/GWOT Review.........................................6 George W. Bush as the Nation’s sixth Secretary of Where to Get Help and Additional Information........................7 Veterans Affairs. (Continued on page 2) Address Changes ....................................................................7 Department of Veterans Affairs (Peake Sworn in as VA Secretary, page 1) “Dr. Peake takes office at a critical moment in the history Copayments currently range from $8 for a 30-day supply of this Department,” said President Bush. “Our Nation is at of prescription medicine to $1,024 for the first 90 days war – and many new veterans are leaving the battlefield and of inpatient care each year. For additional information, entering the VA system. This system provides our veterans please call toll-free 1-877-222-VETS (8387) or visit us with the finest care.” online at www.va.gov/healtheligibility. A native of St. Louis and graduate of the U.S. Military IOM REPORT ON PTSD RELEASED Academy at West Point, Peake attended medical school after serving in Vietnam, where he earned the Silver Star Military service in a war zone may and Purple Heart. have an increased chance of developing post-traumatic stress disorder (PTSD), Peake, who retired in 2004 as a three-star general, is a board- other anxiety disorders, and depression, certified thoracic surgeon. His commands included the according to Gulf War and Health: Volume U.S. Army Medical Command, headquartered at Ft. Sam 6. Physiologic, Psychologic, and Psychosocial Houston, TX; Madigan Army Medical Center in Tacoma, Effects of Deployment-Related Stress, a report from t h e WA; the 44th Medical Brigade at Fort Bragg, NC; and the Institute of Medicine. Serving in a war also increases the 18th Medical Command in Seoul, South Korea. chances of alcohol abuse, accidental death, and suicide As Secretary of Veterans Affairs, Peake assumes within the first few years after leaving the war zone, and leadership of the second largest Cabinet department, with marital and family conflict, including domestic violence, about 250,000 employees and a budget last year exceeding said the committee that wrote the report. The new report $82 billion. was requested by the Department of Veterans Affairs, which asked for a comprehensive analysis of the scientific and medical evidence that connect deployment-related stress and (Five Years of VA Health Care, page 1) long-term health problems, with a special focus on veterans of the 1991 Gulf War. The report documented a wide range The 5-year post-discharge period has no effect upon of Gulf War stressors, including Scud missile and artillery veterans with medical conditions VA determines attack; contact with enemy prisoners of war or dead animals; are related to their military service. Veterans may direct combat duty; seeing someone killed or wounded; worry apply at any time after their discharges from the about chemical weapon attacks; separation from family; military — even decades later — for medical care for sexual assault; having a combat related injury; and the length service-connected health problems. of deployment. The new provision, part of the National Defense The report indicates that chronic pain; chronic fatigue Authorization Act of 2008 signed by President Bush on syndrome; drug abuse; fibromyalgia; gastrointestinal symptoms; January 28, 2008, applies to care in a VA hospital, outpatient incarceration; skin diseases; and unexplained illnesses also may clinic or nursing home. It also extends the application be associated with the stresses of being in a war, but the evidence period for VA dental benefits for veterans who were not to support these links is weaker. For other health problems provided necessary dental care prior to their discharges and adverse effects reviewed, the scientific data are lacking — previously limited to 90 days after discharge for most or contradictory; the IOM committee could not decide if links veterans — to 180 days. between these ailments and deployment-related stress exist. Combat veterans who were discharged between Although the report cannot offer definitive answers about November 11, 1998 and January 16, 2003, and who never the connections between many health problems and the enrolled in VA’s health care system, may apply for this stressors of war, it is clear that veterans who were deployed enhanced enrollment opportunity through January 27, 2011. to war zones self-report more medical conditions and poorer This 5-year post-discharge period is also open to health than veterans who were not deployed. Those who activated Reservists and members of the National Guard were deployed and have PTSD, in particular, tend to report if they served in a theater of combat operations after more symptoms and poorer health, the committee found. November 11, 1998, and were discharged under other than PTSD often occurs together with other anxiety disorders, dishonorable conditions. depression, and substance abuse; severity is associated with increased combat exposure. Veterans who take advantage of this 5-year post-discharge period will continue to receive care after five years, A problem for obtaining better evidence that would although certain veterans may have to pay copayments give answers relates to pre- and post-deployment health for medical problems unrelated to their military service. screenings of physical, mental, and emotional status. The www.va.gov/Environagents/ 2 Committee said that the Department of Defense (DoD) deployment — such as marital counseling or therapy for should conduct comprehensive, standardized evaluations psychiatric or other disorders — and help DoD and VA of service members’ medical conditions, psychiatric choose
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