Showing posts with label Tom Coburn. Show all posts
Showing posts with label Tom Coburn. Show all posts

Friday, October 3, 2008

Déjà vu? GOP obstructionism delays military suicide-prevention bill

Despite the steady rise in suicides among active-duty service members, congressional politics trumped an amendment to the recently passed Defense of Defense Reauthorization Bill that would have helped address this increasing problem.

Although Sen. Tom Harkin, D-Iowa, was pleased with some of the measures in the bill that will help military members and their families, he was disappointed that his suicide-prevention measure, along with a measure to fix a pay glitch that shortchanged National Guard troops, were casualties of partisan politics.

“While I am glad my colleagues in the Senate have passed this important legislation, I was disappointed to hear that two fundamental measures that I pushed for were needlessly blocked by one member of the minority party,” Harkin said in a statement. “My amendment to help prevent suicide among active-duty service members and an amendment I co-signed that would have fixed a pay glitch that shortchanged many National Guard troops both fell tonight because of Republican obstructionism.

“The Army has reported that, as of the end of August, 62 soldiers have committed suicide so far this year and another 31 deaths appear to be suicides,” Harkin said in a statement. “If this pace continues, that could mean the number of suicides in 2008 would eclipse the 115 suicides recorded in 2007. These startling statistics should serve as a wake-up call that suicide among soldiers and veterans is more than a problem, it is an emergency. My amendment would have created a comprehensive suicide prevention program including annual training for all service members, improved instruction for field medics and post deployment assistance.”

The suicide-prevention amendment introduced by Harkin was one of 101 eventually scrapped by the majority party in the Senate, who feared that an amendment introduced by Sen. Jim DeMint, R-S.C., might reframe the debate over the amendments to a debate over pork-barrel spending – something the Democrats want to avoid in election-year politics.

Another amendment co-sponsored by Harkin and left by the wayside would have retroactively reimbursed soldiers shortchanged during a bureaucratic lapse. “Currently, there are more than 600 Iowa National Guard service members who have not received their earned leave due to a delay between the announcement of a new leave program by the Department of Defense and the establishment of the program by the individual services,” Harkin said in a statement.

DeMint, employing an obstructionist tactic, introduced an amendment that would have would have given the Department of Defense authority to ignore up to $5 billion of earmarks found not in the bill, but buried in the bill's report.

This is not the first time that a suicide-prevention measure aimed at helping service members was caught in the partisan crossfire and nearly killed by GOP obstructionism.

Despite overwhelming bipartisan congressional support for the Joshua Omvig Suicide Prevention Act, which was introduced by Harkin in August 2007, the measure was held up by Sen. Tom Coburn, R-Okla., who put a hold on it. Coburn called the bill insulting to veterans and warned that its mandatory mental health screening could harm their future job options. “I’m going to continue to hold this bill until we work on the issues to guarantee freedoms of the veterans in terms of the tracking,” Coburn said on the Senate floor.

The obstructionist move drew the ire of Harkin, who was surprised by Coburn’s hold. “The Joshua Omvig Suicide Prevention Act has received intense scrutiny, including two hearings in the House and three in the Senate,” Harkin said on the Senate floor in September 2007. “The bill has been strongly endorsed by the American Legion, Veterans of Foreign Wars, the Disabled Veterans of America, and other veterans groups. So it is a travesty to have this bill held up, now, by a single Senator for reasons that are completely bogus.”

The Joshua Omvig Suicide Prevention bill was first introduced in the House by Rep. Leonard Boswell, D-Iowa, who named the bill after a soldier from his district in Grundy Center, Iowa, who took his own life after returning from Iraq. The bill directs the Department of Veterans Affairs to step up screening, counseling and other mental health services for returning war veterans by mandating this process. The House bill overwhelmingly passed in March 2007 by a vote of 423 to 0.

In the Senate, however, Coburn objected to the unanimous consent request, citing concerns that veterans’ access to purchasing guns may be hindered. Harkin refuted Coburn’s claim on the Senate floor: “And his principal reason for doing so is completely baseless,” Harkin said. “He speculates that if we have mandatory screening of all veterans for suicide risk, the resulting medical data might be used to deny a veteran the right to purchase handguns. No medical professional can refer an individual to the background check system that would limit access to firearms. This can only be done through the judicial system.”

Eventually, with the help of his colleague Sen. Chuck Grassley, R-Iowa, Harkin helped usher the bill through the Senate in late September 2007. Grassley took the leadership role on the Republican side and helped persuade Coburn to lift the hold, before it passed overwhelmingly in the Senate and was signed into law by President Bush shortly thereafter.

The fate of Harkin’s new suicide-prevention and the National Guard pay-glitch amendments remain uncertain at this point, although Harkin has vowed to keep fighting for these measures until they pass.

As he said in a recent statement: “The demise of these two common-sense amendments to the Defense Authorization Bill is unfortunate and unfair to the men and women who serve our country so courageously.”

Monday, April 28, 2008

Harkin Vows to Break VA’s Silence on Veterans’ Suicide Crisis

In light of the adage “Truth is the first casualty of war,” the U.S. Department of Veterans Affairs (VA) is under fire for allegedly covering up the suicide crisis among our nation’s veterans in November.

The veterans’ rights group, Veterans for Common Sense, filed a class-action suit against the VA, and a federal court in San Francisco began hearing the case last Monday. The case, backed by internal e-mails written by Dr. Ira Katz, the VA’s head of mental health, and procured by CBS News, alleges that the VA is deliberately concealing the risk of suicide among veterans.

“The system is in crisis and unfortunately the VA is in denial,” veterans' rights attorney Gordon Erspamer told CBS last Monday.

Congress took up the issue Thursday, when U.S. Sens. Tom Harkin, D-Iowa, and Russ Feingold, D-Wis., introduced a bill, the Veterans Suicide Study Act, which would require the VA to track veterans’ suicide rates annually and report its findings to Congress. Moreover, the bill would require the VA to report to Congress within 180 days the number of veterans who have died by suicide since Jan. 1, 1997.

“We are looking at a real crisis among our veterans and it is high time the VA recognizes it,” Harkin said in a statement. “Tracking the number of suicides among our veterans will help us to better understand the true depths of this crisis so we may ensure we are doing everything we can to address their mental health needs. It is shameful to lose those who have served our country to suicide simply because they do not have the support they need.”

Katz told CBS in November that “there is no epidemic in suicide in VA,” but changed his story a few months ago. In a letter written to his top media adviser, Katz wrote: "Our suicide prevention coordinators are identifying about 1,000 suicide attempts per month among veterans we see in our medical facilities."

However, an e-mail labeled “Not for the CBS News Interview Request” that was sent in November indicates Katz may have been trying to conceal the actual numbers.

The e-mail drew the ire of Rep. Bob Filner, D-Calif., who chairs the House Committee on Veterans Affairs, last week. "This is disgraceful. This is a crime against our nation, our nation's veterans," Filner told CBS News. "They do not want to come to grips with the reality, with the truth."

In an e-mail late Monday to CBS News, Katz wrote that the reason the numbers were not released was due to questions about the consistency and reliability of the findings -- and that there was no public cover-up involved.

Nonetheless, Katz has drawn attention from congressional members, some of whom are calling for Katz to step down, including members of the Senate Veterans Affairs Committee: Sens. Daniel Akaka of Hawaii and Patty Murray of Washington.

"Dr. Katz's irresponsible actions have been a disservice to our veterans, and it is time for him to go," Murray told the Washington Post. "The No. 1 priority of the VA should be caring for our veterans, not covering up the truth."

Moreover, the Washington Post reported that Akaka, the committee's chairman, said in a letter to the VA that Katz's "personal conduct and professional judgment" had been called into question by his response to veteran suicides. Veterans, and the VA itself, "would be best served by his immediate resignation," Akaka said.

In the meantime, Feingold, the bill’s coauthor, is concerned about the mental health of veterans returning from Iraq and Afghanistan. “The fact that the VA has no real data on the suicide rate among veterans shows how much needs to be done to address the mental health needs of veterans,” Feingold said in a statement. “With ongoing reports showing that service members are returning from combat with alarming rates of mental health problems, understanding and responding to these problems is critical to preventing deaths.”

The Veterans Suicide Study Act is a companion to the Joshua Omvig Suicide Prevention Act introduced in the House by Rep. Leonard Boswell, D-Iowa, and pushed through the Senate by Harkin, despite a procedural move by Sen. Tom Coburn, R-Okla., that temporarily stalled the bill.

Similar to the bill introduced last week, a component of the suicide prevention legislation was to put more pressure on the VA and hold it more accountable by implementing mandates and deadlines that would implement suicide-prevention programs in a timely fashion and expedite the process for returning veterans.

Boswell’s bill was designed to help address post-traumatic stress disorder (PTSD) among veterans by requiring mental health training for Veterans Affairs staff; a suicide prevention counselor at each VA medical facility; and mental-health screening and treatment for veterans who receive VA care. It also supports outreach and education for veterans and their families, peer support counseling and research into suicide prevention.

1 in 5 current vets suffer, study shows

Congressional pressure on the VA was prompted, in part, by a RAND Corporation study released April 17. The study indicates that nearly 20 percent of military service members who have returned from Iraq and Afghanistan -- 300,000 in all -- report symptoms of PTSD or major depression, yet only slightly more than half have sought treatment.

The RAND study also found that many service members said they do not seek treatment for psychological illnesses because they fear it will harm their careers. But even among those who do seek help for PTSD or major depression, only about half receive treatment that researchers consider "minimally adequate" for their illnesses.

In the first analysis of its kind, researchers estimate that PTSD and depression among returning service members will cost the nation as much as $6.2 billion in the two years following deployment — an amount that includes both direct medical care and costs for lost productivity and suicide. Investing in more high-quality treatment could save close to $2 billion within two years by substantially reducing those indirect costs, the 500-page study concludes.

"There is a major health crisis facing those men and women who have served our nation in Iraq and Afghanistan," Terri Tanielian, the project's co-leader and a researcher at RAND, said in a statement. "Unless they receive appropriate and effective care for these mental health conditions, there will be long-term consequences for them and for the nation. Unfortunately, we found there are many barriers preventing them from getting the high-quality treatment they need."

Service members report many reasons for not seeking treatment. Many are worried about the side effects of medication or believe that family and friends can provide more help than a mental health professional. Even more reported that they worried seeking care might damage their career or cause their peers to lose confidence in their abilities.

"We need to remove the institutional cultural barriers that discourage soldiers from seeking care," Tanielian said. "Just because someone is getting mental health care does not mean that they are not able to do their job. Seeking mental health treatment should be seen as a sign of strength and interest in getting better, not a weakness. People need to get help as early as possible, not only once their symptoms become severe and disabling."

Researchers concluded that a major national effort is needed to expand and improve the capacity of the mental health system to provide effective care to service members and veterans. The effort must include the military, veteran and civilian health care systems, and should focus on training more providers to use high-quality, evidence-based treatment methods and encouraging service members and veterans to seek needed care.

Since October 2001, about 1.6 million U.S. troops have deployed to the wars in Iraq and Afghanistan, with many exposed to prolonged periods of combat-related stress or traumatic events. Early evidence suggests that the psychological toll of the deployments may be disproportionately high compared with physical injuries.

Another side effect of treating PTSD is the costs associated with diagnosis and treatment. The RAND study estimates the societal costs of PTSD and major depression for two years after deployment range from about $6,000 to more than $25,000 per case. Depending whether the economic cost of suicide is included, the RAND study estimates the total society costs of the conditions for two years range from $4 billion to $6.2 billion.

Wednesday, October 24, 2007

After Long-Fought Battle, Veterans Suicide Prevention Bill Passes

For many combat veterans returning from war, the battle doesn’t end on the battlefield. It continues at home with the mental scars. As soldiers return from duty in Iraq and Afghanistan, many are ill-equipped to deal with emotional issues stemming from deployment, and sensing no other way out, they tragically take their own lives.

Congress, led by the tireless efforts of the Iowa delegation, has taken measures to reduce the high suicide rates among veterans. After a long-fought battle, the Joshua Omvig Veterans Suicide Prevention Act (H.R. 327) overcame its last congressional hurdle Tuesday when it passed in the House for the second time by a vote of 417-0.

Introduced by Rep. Leonard Boswell, D-3rd District, the bill directs the Department of Veterans Affairs to develop and implement a comprehensive program addressing suicide prevention. The bill is named after Joshua Omvig, from Grundy Center, Iowa, an Iraq War veteran who served in the Army Reserve and took his own life in December 2005 after an 11-month deployment.

“I’m very pleased that both chambers have passed H.R. 327, and it’s now ready to be signed by the President,” Boswell said in a press release. “A recent article in USA Today reported that the number of Iraq and Afghanistan war veterans seeking treatment for post-traumatic stress disorder (PTSD) from the VA has jumped almost 70 percent in the past year. The time to act is now.”

“I commend Joshua’s parents, Randy and Ellen Omvig, who have suffered this personal tragedy, but have helped endless veterans and their families,” Boswell added. “They have advocated for improving all mental health services at the VA and have assisted countless veterans navigate the VA system.”

Although suicide rates are difficult to confirm and accurately gauge, the VA inspector general in a report last May noted that Veterans Health Administration mental health officials estimate 1,000 suicides per year among veterans receiving care within VHA and as many as 5,000 per year among all living veterans.

"Unfortunately, suicide prevention has become a major part of our responsibility to both active duty and to our veterans," Bob Filner, D-Calif., chairman of the Veterans' Affairs Committee, told the Associated Press. "It's a terrible statistic," he said. "As many Vietnam veterans have now committed suicide as died in the original war. That's over 58,000."

The bill, authored by Rep. Leonard Boswell, D-Iowa, is designed to help address PTSD among veterans by requiring the Veterans Administration to develop and implement a comprehensive veterans suicide prevention program, provide 24-hour mental health care services to veterans, and requiring that a suicide prevention counselor be available at every VA facility.

“Post Traumatic Stress Disorder is the hidden combat wound. Veterans suffering from PTSD are often the last to know they have a problem,” Rep. Bruce Braley, D-1st District, said in a statement. “In the past, many veterans returning from war have suffered silently from this illness without the help and support they need.”

“Joshua Omvig’s experience puts a human face to PTSD. His death stands as a stark reminder of the impact PTSD can have on veterans and their families,” Braley added. “Passing the Omvig bill into law is so important because veterans coming home and suffering from PTSD deserve the screening, treatment and resources they need to ensure their long term mental health.”

The bipartisan bill unanimously passed in the House March 21 by a vote of 427-0 before moving on to the Senate, where it hit a procedural snag. Led by the efforts of Sen. Tom Harkin, D-Iowa, the bill was expected to overwhelmingly pass going into the August recess, until it hit a procedural road bump when Sen. Tom Coburn, R-Okla., put a hold on the bill, citing duplication and second amendment concerns, which Harkin said were “bogus.” Undeterred, Harkin kept fighting for the bill’s passage and solicited fellow Sen. Chuck Grassley, R-Iowa, to help persuade Coburn to lift the hold. Their bipartisan effort paid off, and the bill cleared the Senate hurdle Sept. 27.

Before the vote, Rep. Dave Loebsack, D-Iowa, delivered a speech on the House floor in support of the bill. “I rise today in strong support of the Joshua Omvig Suicide Prevention Act,” Loebsack said. “This bill was one of the first that I co-sponsored as a new Member of Congress. I did so because I believe that we have a moral obligation to care for those who have worn our country’s uniform. I urge the president to quickly sign it into law so that these vital mental health services can reach our nation’s veterans.”

Originally posted on "Iowa Independent"

Saturday, September 29, 2007

Harkin and Grassley Team Up to Push Joshua Omvig Veterans Suicide Bill Through Senate

After a long-fought battle, Sen. Tom Harkin, D-Iowa, helped push the Joshua Omvig Suicide Prevention Act of 2007 through the Senate late Thursday night. The heavily bipartisan bill had been obstructed for two months by Sen. Tom Coburn, R-Ok., who placed a hold on the bill for reasons Harkin called “bogus.” Harkin received help from Sen. Chuck Grassley, R-Iowa, who took the leadership role on the Republican side and helped persuade Coburn to lift the hold earlier in the day. The bill now returns to the House of Representatives, where Rep. Leonard Boswell, D-Iowa, the original author of the legislation, will lead the bill through the House, where it had previously passed by a vote count of 423-0.

“I am heartened to see that after many months of talking about preventing suicide among our veterans, Congress finally took action,” Harkin said. “The Omvig family’s patience and selfless determination in seeing this through so other soldiers and families are protected is truly commendable. This is a matter of honoring the memory of their son Josh. And it is a matter of honoring the service and sacrifice of all our men and women in uniform. It is shockingly evident that our veterans urgently need the screening and counseling that this bill would require.”

The Omvig Act directs the Department of Veterans Affairs (VA) to integrate mental health services into veterans’ primary care and to step up counseling and other mental health services for returning war veterans. It is named after Joshua Omvig, a soldier from Grundy Center Iowa who took his own life after returning from Iraq.

“Our veterans should not have to suffer alone. They may be reluctant to seek help, but they need to know that help is there,” Grassley said. “We also need to make sure that the support mechanisms are in place to help veterans when they do seek help.”

The VA estimates that more than 5,000 veterans take their lives each year. Suicide rates are 35 percent higher for Iraq veterans than for the general population. And the Department of Defense recently reported that the Army is now seeing the highest rate of suicide since the Vietnam War. A study in this July’s issue of “Journal of Epidemiology and Community Health” found that those who have been in combat are twice as likely to commit suicide as men who have not served in a war.

“The memories of combat haunt many of our men and women who have served. We must provide the resources and support to prevent the unnecessary deaths of the men and women who have put their lives on the line to defend our nation,” said Harkin. “I look forward to seeing the President sign this critical bill into law to ensure that programs are in place to meet the needs of veterans.”

Harkin’s efforts to get the Joshua Omvig bill passed received praise on the presidential campaign trail from New Mexico Gov. Bill Richardson. "Tom Harkin's leadership on this issue in the Senate was essential to its passage,” Richardson said in a press release statement. “I encourage the House of Representatives to follow the leadership of Congressman Boswell and pass this bill. Then, for our veterans' sake, hopefully President Bush will see the error of his ways and sign the bill into law."

Originally posted on "Iowa Independent"

Thursday, August 30, 2007

Hold Put on Harkin’s Veterans Suicide Prevention Act

The Joshua Omvig Veterans Suicide Prevention Act appeared to be on the fast track in Congress until Sen. Tom Coburn, R-Okla., put a hold on it because of 2nd Amendment concerns.

The House version introduced by Rep. Leonard Boswell, D-Iowa, unanimously passed in March, while the Senate was scheduled to vote on Iowa Democratic Sen. Tom Harkin’s companion bill upon returning from the August recess. Coburn said last week he is worried that veterans seeking treatment for Post Traumatic Stress Disorder (PTSD) and suicide-related symptoms will be “adjudicated as mentally defective,” which may prevent them from buying guns in the future. The bill was introduced by Boswell in honor of Joshua Omvig, a young man from Grundy Center who took his own life after returning home form an 11-month tour in Iraq.

Paul Rieckhoff, an Iraq war veteran and founder of the Iraq and Afghanistan Iraq Veterans of America, took issue with Coburn’s rationale. “Sen. Coburn’s claim that Joshua Omvig Veteran Suicide prevention bill really is just a red herring argument using veterans as political pawns in a struggle over gun control legislation,” said Rieckhoff.

“The real issue behind Coburn blocking the Omvig bill is that he hates new proposed gun control legislation (H.R. 2640) which was drafted in response to the Virginia Tech shooting,” Rieckhoff writes on his IAVA blog. “The new bill called NICS would compel government agencies to turn over any list they might have of people who have been 'adjudicated as mentally defective.' The gun lobby says that the background check measure ‘will deter veterans from seeking help and counseling if they think that being helped with something like post-traumatic stress disorder will disqualify them from owning guns.’ Current law already states that people who have been thus adjudicated can not receive gun permits.”

During the House's consideration of the bill, Boswell said, "With more and more veterans returning from tours of duty in Iraq and Afghanistan, new issues have arisen regarding veterans mental health care that have not received attention in the past."

"Some estimates have found that almost one thousand veterans receiving care from the Department of Veterans Affairs commit suicide each year, and one out of five suicides in the United States is a veteran,” Boswell said in a press release. “We must do better for our veterans, and I believe this legislation is a step in the right direction. A screening and tracking process might have provided Joshua with the counseling he needed," added Boswell. "But, the provisions in this bill will help other veterans, and that is very important."

H.R. 327 mandates the screening of all patients at the Department of Veterans Affairs medical facilities for suicide risk factors and the tracking of at-risk veterans. It requires that each VA medical center designate one suicide prevention counselor and for the VA to conduct outreach to veterans and their families on mental health issues. The bill also requires 24-hour availability of a mental health hotline for veterans.

In August, Harkin introduced his companion bill, which also takes a multifaceted approach. It emphasizes the importance of social support, readjustment services, and further research to prevent and treat suicide among our nation’s veterans. “The stress our service men and women endure in combat is enormous and can trigger severe mental health issues after they have returned home,” Harkin said in a press release. “We have a responsibility to treat both the physical injuries and the mental wounds our soldiers suffer.” Sen. Chuck Grassley, R-Iowa, is a co-sponsor of the bill.

“The same way swift triage care can save a soldier on the battlefield,” Harkin said in the statement, “accurate diagnosis and delivery of quality mental health care can do the same once the fighting ends. It’s time to provide new resources and eliminate the stigmatization about seeking help. We must focus on increasing programs in detection, prevention, and treatment of suicidal behavior among those who have dedicated their lives to keeping our nation secure.”

Until Coburn removes the hold, passage of the Omvig Bill remains uncertain and delays will have a lasting impact on veterans struggling with PTSD and thoughts of suicide.

Regarding the hold, Rieckhoff examines Coburn’s rationale on his IAVA blog:

Coburn’s office (via the gun lobby) is purposefully combining two unrelated issues to score political points. The facts are that to be “ADJUDICATED” as mentally defective a person must be “a danger to himself or others” “as a result of marked subnormal intelligence, or mental illness, incompetency, condition, or disease” as determined by “by a court, board, commission, or other lawful authority.” (27 CFR 478.11)

The key word is “adjudicated.” Even if the VA determines that a veteran has high suicide risk factors (screening for these factors is a provision of the Omvig bill) or even PTSD, they must specifically determine that the veteran is danger to himself. That determination could only happen when the veteran applies for benefits and the VA “adjudicates” their claim. The VA would have to make a specific finding that as part of the veteran’s disability rating that they ARE a danger to themselves, not that they MIGHT be a danger.

The Omvig bill only deals with screening for risk factors. The House version does contain a provision that requires the VA to track those with high risk factors, but neither mentions anything about adjudication. If someone has started receiving counseling for PTSD then they are already being screened for suicidal risk factors and the Omvig bill does not affect the adjudication of the veterans PTSD claim in ANY way.