Showing posts with label VA. Show all posts
Showing posts with label VA. Show all posts

Wednesday, August 6, 2014

The Hero Debate

There’s always been semantic disagreement in the military. Many are uncomfortable with being thanked for their service or referred to as heroes. I traditionally haven’t minded—not that I consider myself a hero; working with special operations at Hurlburt Field, FL, I encountered many more deserving of that title. But I always appreciated the acknowledgement, despite its frequent lack of context, that I had volunteered as a part of something greater than myself. I gave speakers the benefit of the doubt and assumed their words were coming from a genuine place.

Recently, however, I’ve started questioning the terminology. As I witness the disconnect between those with military connections and those without. As the media glorifies combat “heroes” and condemns the “monsters” created by PTSD. As the government oozes pride in its service men and women but bumbles through attempts to follow praise with adequate support.


I’ve started to wonder, when people say “thank you for your service,” what do they mean? Do they know what they’re thanking me for? For accepting an ROTC scholarship (and the ensuing four-year contract) at 18? For working my butt off while my butt was safely in a desk chair at my FL base? For deploying? For some small contributions that maybe made a smidgeon of a positive impact on the war effort, on the lives of the Afghan people, on the lives of my fellow servicemembers? For following orders, even though I didn’t always agree? For suffering?

Is there a hierarchy of thankfulness: the KIA and WIA who made tangible sacrifices at the top, those who didn’t deploy near the bottom, and me in some murky middle ground? Are most who issue the sentiment even aware of the myriad experiences to which they’re potentially referring? The complexities of each individual experience cannot be dismissed with a trite phrase.

(For a much more in depth analysis than I could possibly provide, read David Finkel’s incredible, heart-wrenching book Thank You for Your Service.)

“Hero” is another term that’s thrown around so often it loses meaning. In summer 2012, I wrote a blog post about what I considered the mislabeling of Olympic athletes as heroes, comparing them with military members. I didn’t realize at the time, but I was essentially advocating my own form of heroic hierarchy. While I do agree that “hero” has a place in discourse, we must be aware of its implications.

A recent Salon.com op-ed by author and military sister Cara Hoffman presents a unique and compelling argument.

Hero, she writes: “sounds like praise, but it can be dangerously dismissive. The problem is that “hero” refers to a character, a protagonist, something in fiction, not to a person, and using this word can hurt the very people it’s meant to laud. While meant to create a sense of honor, it can also buy silence, prevent discourse and benefit those in power more than those navigating the new terrain of home after combat. If you are a hero, part of your character is stoic sacrifice, silence. This makes it difficult for others to see you as flawed, human, vulnerable or exploited. And it makes it even more difficult for you to reach out when you need help.

The military is a machismo suck-it-up-and-deal-with-it culture—I’ve written about my guilt in seeking mental health care because I didn’t feel I’d earned it, merely coming from that murky middle f the thankfulness pyramid. The possibility that the hero label perpetuates those ideas within the military culture makes sense.

Hoffman discusses the effects on the general public, too:

 “Whole communities deal with the complicated effects of homecoming. With the end of military operations, we’re all feeling the weight of return, and that weight will not be lightened by “using words like “hero” as a consolation prize to gloss over the very human cost of war.”
High-five, bro! I now declare you at hero status! Good luck with VA healthcare...

“‘Heroes’ protect us from the knowledge they gained down-range,” Hoffman continues. “And the expectation is they will continue to sacrifice their humanity, even when they return home, so we don’t have to learn about their experiences.”
I thanked that soldier and called him a hero. My duty as an informed, engaged member of the public is complete. Self high-five!

I’m being snarky and simplistic, but the point is, it’s easy to issue thanks or label someone a hero. Easy, but not meaningful like we sometimes trick ourselves into believing and certainly not a replacement for inquiry and genuine engagement.

More from Hoffman: “We like to think we can have no idea ‘what goes on over there’ or ‘what kinds of risks people are taking.’ That we can’t imagine ‘the horrors they’ve seen.’ This is part of elevating soldiers to mythic status — seeing their experiences as outside of human existence, as things we can’t consider. But we actually can know, we can imagine their lives — very easily — by listening and by opening our eyes. By letting people who are returning take off the masks society insists they wear. By being a strong enough, rational enough nation to stop slapping heroic cowboy-and-Indian narratives over the sad and extremely common reality of violent conflict.”

Anyone who’s read my writing knows I’m in agreement. I stress the importance of listening to veterans, reading military writing, and viewing other forms of military art (watch Sebastian Junger’s documentaries Restrepo and Korengal). But I also believe it’s a two-way street. In order for the public to listen, read, view, veterans must speak, write, create. It’s just as easy for a veteran to think, “you don’t know what it’s like,” or “you can’t possibly understand how I feel.” It’s just as easy for a veteran to—intentionally or not—build him or herself up to that mythic status and shut others out to the possibility to learning. Yes, we bear some of the responsibility, too.

So where does that leave us, semantically? You see someone in a military uniform walking through the airport, what do you say? I personally would appreciate an attempt at (a non-political) conversation: What is/was your military job? Oh, public affairs, what does that entail? Where have you served? Ask questions that show interest and give the servicemember a chance to respond to the degree to which he or she is comfortable.


But that’s just me…I’m curious to hear your thoughts. Veterans, how, if at all, would you like to be approached? Has anyone had a particularly engaging encounter?

Friday, November 8, 2013

Mesothelioma, Veterans & the Affordable Care Act

I was recently contacted by someone at the Mesothelioma Cancer Alliance and asked to share some important information. I’d heard of mesothelioma; when I browse the community bulletin boards at the VA there are usually flyers advertising support groups or research studies for afflicted patients. Because I am not an afflicted patient, my interest has never moved beyond curiosity.

It turns out mesothelioma is a rare but aggressive cancer affecting the lining of the lungs or abdomen. The cancer is caused primarily by asbestos exposure, and because veterans who served between the WWII and Vietnam era were at risk for increased exposure, more than one third of all mesothelioma patients are veterans. Family members and colleagues of those directly exposed have also been infected due to secondary exposure.
Mesothelioma.com
The disease can lie dormant for decades, so many veterans are just now being diagnosed. The VA is struggling to play catch-up and provide sufficient care.

More healthcare changes are on the horizon with the implementation of the Affordable Healthcare Act. How do these changes impact veterans battling cancers like mesothelioma? Mesothelioma.com reports:

“The Veterans’ Administration says that if you are enrolled in the veteran’s healthcare program; the Civilian Health and Medical program (CHAMPVA); or the spina bifida health care program, you are square with the ACA. The new law will not change your benefits or out-of-pocket costs.

Further, you don’t have to sign up or enroll in any other program. Go ahead and use your benefits just as you have in the past. If you are combining VA benefits with Medicare or other insurance, you can continue to do that, too.

In fact, some VA hospitals and clinics are trying to get the word out to all uninsured veterans — sign up for VA benefits! If you do, you won’t have to pay a penalty for being uninsured, and you won’t have to deal with the glitchy federal insurance website. If you think you might be eligible for VA benefits, you can go to the VA Health Benefits Explorer page and find out for sure.”


Read more about Veterans & Mesothelioma 

See the VA Public Health Asbestos Exposure page for information on associated health problems and disability and health care eligibility.

Wednesday, October 10, 2012

Lessons in bureaucracy...and sweet, sweet VICTORY!

One big lesson I learned in the military is that nothing is ever as easy as it should be. Getting paid, taking leave, submitting a briefing for a meeting—everything was drowned in extra layers of bureaucracy. My Army instructors at pre-deployment training were fond of saying, “It’s not the right way, but it’s a way.”

Thus, another big lesson I learned was perseverance. I needed to get paid, take leave and submit briefings for meetings, so I waded through the red tape until I could.

Sometimes it sucked. (Extra administrative stress is exactly what you need when preparing for war). But you know what I’ve learned since leaving the military and entering the “real world”? Sometimes that sucks too.

Sometimes a process like waiving school health insurance because you get comprehensive coverage through the VA hospital is not as simple as filling out the waiver form, showing your VA ID, having a VA representative call the school, or even providing examples of legislation that identify VA coverage as fulfilling the state insurance requirement.

And sometimes it would be easier to give up.

But then, two weeks, two in-person visits, two identical forms, and three phone calls later you receive a response like this that makes it all worthwhile: 
Dear Lauren,  
After reviewing the Veteran's Administration Health Care Program in reference to State requirements of comparable coverage, we have determined that although your program does not meet each individual requirement, you are provided with access to the necessary coverages, and the Health Care Program covers the costs of the requirements which aren't included (specifically emergency care). I have processed your waiver request for the Emerson Health Insurance and Health Services Fee and the charges have been removed from your account.  
I want to thank you for taking the time to send us the information you did regarding the Health Care Program. In order to make our policies clear for future Veteran's with this coverage, we will be revising our website to include the VA Health Care Program under acceptable comparable coverage for waivers.
The VA is a strange entity that straddles the line between the military and the real world. Therefore, it comes with a certain amount of built-in confusion—a knowledge gap, as with so many military issues, on the civilian side, and a perpetual inability for the government to keep up with the need to educate. Caught in the fray are the veterans, left to struggle through frustration and ignorance in order to use their earned benefits.

Until the government effectively takes control (lots of rolls of red tape away, I'm sure), I guess the task of bridging the gap is left to grassroots educators, like me.

So here’s my advice: persevere. Do your research, and throw it in their face (tactfully, of course). Kick and scream (tactfully) until you get what you’re entitled to. Eventually, you’ll get it. And you just might make it easier for those who follow.


For any MA vets struggling with insurance waiver issues (Hi! Thanks for reading!), here’s some helpful legislation:

When filling out MA State Taxes, there is an option to select U.S. Military (including TRICARE and VA coverage) to satisfy the requirement for minimal credible healthcare coverage.  


14. What is required for a student to obtain a waiver from the SHP plan for alternative coverage?
The student must submit a waiver application to the school and certify, in writing, that he or she has alternative coverage, the name of the entity offering the plan, the policy number or member identification number, the name of the subscriber or primary enrollee and the relationship of that person to the student, and a statement that the coverage is comparable to the coverage required under a SHP. The waiver request must be on a form supplied by the institution, and may be submitted electronically.

15. What is considered "comparable coverage" necessary to obtain a waiver from the SHP?
The health plan must provide reasonably comprehensive coverage of health services, including preventive and primary care, emergency services, surgical services hospitalization benefit, ambulatory patient services, and mental health services; and be reasonably accessible to the student in the area where the student attends school.

According to the Mass Student Health Insurance legislation Section 3.05, waivers can be given to students with MassHealth coverage. VA coverage is acceptable for the MassHealth waiver, and qualifies veterans under state and now federal legislation as comprehensively covered 

UMass, the state's university, declares that veterans are eligible for health insurance waivers (See Waiver Eligibility).


And good luck.

Saturday, May 12, 2012

Sweet! Tom Hanks has my back


I. AM. SO. EXCITED. And not because I just went to SeaWorld and got to pet a dolphin. (But that was pretty cool.) I’m excited because there is FINALLY a high-profile movement to encourage veteran support and civilian education on unique veterans’ issues.

By high-profile, I mean names like Tom Hanks, Bradley Cooper, Alec Baldwin, and Sarah Jessica Parker. Remember that “6” pin Mr. Hanks was sporting at this year’s Oscars? Me either, but he had one. Now a whole slew of celebrities are following suit.

The pin stands for “Got Your 6,” a military phrase that means, “I’ve got your back, and you have mine.” The Got Your 6 campaign is a joint effort between the entertainment industry, government entities, and non-profit groups like the USO, the Pat Tillman Foundation, and Iraq and Afghanistan Veterans of America (whose tagline is, fittingly, “We’ve got your back”).

Got Your 6 focuses on six pillars of veteran reintegration into the civilian world: jobs, education, health, housing, family, and leadership. Beyond providing direct assistance to veterans in these realms, which the campaign does through partnerships with other organizations, Got Your 6 aims to “change the conversation in our country regarding veterans and military families” – to connect civilians and make them comfortable with military culture, and to ultimately guide people in understanding how to show respect and appreciation to veterans (gotyour6.org).

A simple equation, with profound implications: Conversation à Connection  à Comfort  à Appreciation.

The ultimate goal, as model/actress Brooklyn Decker stressed, is action. The "campaign is about more than just awareness, it's about actions and results," she said. 

With the smallest military in this nation’s history, there is a dangerous divide between the military and civilian communities. Like I addressed in my last entry, this chasm breeds misunderstanding and misinterpretation. Neither side can make progress if we’re operating in separate bubbles. We can only move forward together, we can only come together through mutual understanding, and mutual understanding can only be achieved through education and open communication. 

That’s what Got Your 6 is seeking to activate. You’ll see it, hear it, soon. Everywhere.

Part of me feels frustrated that celebrity endorsement is needed to garner the attention this longstanding issue deserves. The fact that veterans risk their lives to serve America should inherently warrant the reciprocal support of the American people – especially because this is an all-volunteer military that has borne the burden of the longest sustained conflict this country has ever faced. But I understand the influence Hollywood has and the leverage their participation provides, and I appreciate the efforts of the entertainment industry, which is often at the opposite end of the spectrum from anything military-related.

The bottom line is, we need help, and we need it now. 

Got Your 6 was officially launched Thursday, in the wake of April 2012, a month when the Army reported 27 suspected suicides; and on the heels of the May 7 decision by a California federal appeals court, in a 10-1 vote, to dismiss a case filed by veterans’ rights groups demanding better mental health care from the Department of Veterans Affairs.

Yes, it’s about damn time someone takes action.

So thanks, Mr. Hanks. I’ve got your back, too.

LEARN MORE:

Watch the Got Your 6 PSA
Check out their website
Follow them on Twitter @GotYourSix
Stay tuned for details on “Got Your 6 Day” on 6/6/12

Got Your 6 is so cool that I’ve added it to my links bar over here à