Mr. Chairman, I offer an amendment. Mr. Chairman, let me offer my appreciation to the full Committee on Appropriations, both the chairman and ranking member, and to this subcommittee. I've seen…
Mr. Chairman, I offer an amendment.
Mr. Chairman, let me offer my appreciation to the full Committee on Appropriations, both the chairman and ranking member, and to this subcommittee. I've seen enormous commitment to bipartisanship between Mr. Edwards and, of course, Mr. Wicker. But my good colleague and friend from Texas has outdone himself, and this particular veterans appropriation, the Military Construction Veterans Affairs appropriation, signifies nothing but joy for Americans and veterans all across this country.
Might I just cite the fact that this bill moves above the President's budget in medical services, making it $28.9 billion; moves above the President's request on homeless vets, $130 million; moves above the President's request on medical facilities, $4.1 billion; and moves above it on extended care facilities, $165 million.
Many of us have risen to the floor today to talk about post-traumatic stress. I just wanted to remind my colleagues of the kind of horror and nightmare that many of our soldiers and returning soldiers and veterans live with, suffering from PTSD. It is simply to acknowledge the fact that over and over again you relive the tragedy of the experience, whether it's small arms fire, whether it's IEDs, whether it's seeing your comrade fall in battle in front of you, whether it's seeing his body implode, you know that you're reliving it, and the number one basis of PTSD is military and combat exposure.
Just for the record, let me acknowledge that 94 percent of the soldiers in Iraq reported receiving small arms fire; 86 percent of soldiers in Iraq reported knowing someone who was seriously injured or killed. This is a major issue and it is a major part of the lives of our soldiers.
Mr. Chairman, my amendment simply was to do this: It was to provide more medical centers in places like rural areas or small cities to be able to be utilized for PTSD. I know Chairman Edwards knows this issue because it was his leadership that generated the change of the Waco veterans hospital into a mental health facility. I want that to continue to stand, and I want to thank him for the increased dollars he's put in for PTSD.
But, Mr. Chairman, I have a veterans advisory committee that's indicated that we need centers around the Nation, smaller centers maybe in small hospitals, that would respond to veterans and returning soldiers, maybe even to the extent of reimbursing them by being in those particular centers.
Let me close by simply saying that this bill is comprehensive. I look forward to working with the chairman on more permanent housing for the disabled, as we work toward more PTSD facilities, even though we have a great amount of resources here, more adjusted housing, if you will, for those who are coming back so they're not living alone.
I want to take special privilege to acknowledge the DeGeorge in my community for my homeless vets, a facility for homeless vets, DeGeorge at Union Station and U.S. Vets. All of them confront veterans and returning soldiers with PTSD. If we expand these facilities so that rural and small cities and even inner city areas, which is what my amendment is focused on, everybody would have the opportunity to be able to access help with PTSD.
I would ask my colleagues to consider as we move toward conference to be able to work on this issue in an expanded way.
Mr. Chairman, I rise to speak in strong support of the bill and in favor of my amendment. I also rise to express my sincere appreciation to Mr. Edwards, the chairman of the Appropriations I subcommittee on Veterans Affairs and Military Construction, and the Chairman of the Veterans Affairs Committee, Mr. Filner, for all they have done and continue to do to make real President Lincoln's admonition that ``we care for him who has borne the battle, and for his widow and orphan.''
In particular, I wish to commend Chairman Edwards, for the leadership, commitment, and foresight he has demonstrated on the issue of PTSD and the overall mental health of our nation's veterans. On February 28, 2007, he announced that $3 million has been made available for the Waco VA PTSD program in 2006 which is now available so that researchers at Fort Hood, Texas A&M, Baylor, the Temple VA, and the Waco VA hospital work towards realizing their goal of making the Waco VA, in conjunction with Ft. Hood and the Temple VA, a world-class PTSD and mental health care research center.
Like Mr. Edwards and Mr. Filner, I am committed to improving the lives of thousands of veterans who have risked their lives for our nation, and I believe my amendment plays a crucial role in ensuring that veterans suffering from PTSD receive the medical treatment they desperately need.
Mr. Chairman, thank you for this opportunity to explain my amendment to H.R. 2642, the Veterans Affairs and Military Construction Appropriations Act for Fiscal Year of 2008. As a Member of Congress from Texas, a state which has sustained more casualties in the ongoing conflicts in Afghanistan and Iraq than all but one other, I am pleased to offer this amendment. This amendment is intended to address the urgent need for more post-traumatic stress disorder (PTSD) treatment and counseling facilities servicing veterans living in some of the more distressed areas of our country.
Mr. Chairman, according to Webster's, dignity is ``the quality or condition of being esteemed, honored or worthy.'' We can never do enough to honor our wounded veterans. Studies have shown that 30 percent of troops deployed to Iraq suffer from depression, anxiety, or post-traumatic stress disorder (PTSD). However, when wounded troops return home the treatment they receive is more befitting a second class citizen than a hero. This is a shame and a great stain on our nation.
How these problems could be overlooked or neglected by this Administration is unfathomable. The very leaders that these brave young men and women rely on let them down. The message that incidents like Walter Reed Medical Center sends to our troops is that we do not care enough. But that is not the message we wish to send. The Veterans Administration and Military Construction Appropriations Act of 2008, H.R. 2642, will go long away toward correcting this misapprehension. All members of the House are indebted to our colleague, Mr. Edwards of Texas, for his masterful leadership in shepherding this landmark legislation to the House floor. For the 25,380, 2,401 from Texas, brave men and women who have been wounded in Iraq and Afghanistan, help is on the way. And the 3,519, 298 from Texas, heroes who have given the last full measure of devotion will always be in our hearts and prayers.
Mr. Chairman, my amendment requires the Secretary of Veterans Affairs to increase the number of medical facilities specializing in post- traumatic stress disorder located in underserved urban areas. Access to post-traumatic stress disorder treatment is especially important since veterans living in such areas are less likely to be diagnosed and treated for post-traumatic stress disorder.
Mr. Chairman, PTSD is one of the most prevalent and devastating psychological wounds suffered by the brave men and women fighting in far off lands to defend the values and freedom we hold dear.
For those of us whose daily existence is not lived in harm's way, it is difficult to imagine the horrific images that American servicemen and women deployed in Iraq, Afghanistan, and other theaters of war see on a daily basis. In an instant a suicide bomber, an lED, or an insurgent can obliterate your best friend and right in front of your face. Yet, you are trained and expected to continue on with the mission, and you do, even though you may not even have reached your 20th birthday.
But there always comes a reckoning. And it usually comes after stress and trauma of battle is over and you are alone with your thoughts and memories. And the horror of those desperate and dangerous encounters with the enemy and your own mortality come flooding back.
PTSD was first brought to public attention in relation to war veterans, but it can result from a variety of traumatic incidents, such as mugging, rape, torture, being kidnapped or held captive, child abuse, car accidents, train wrecks, plane crashes, bombings, or natural disasters such as floods or earthquakes.
People with PTSD may startle easily, become emotionally numb, especially in relation to people with whom they used to be close, lose interest in things they used to enjoy, have trouble feeling affectionate, be irritable, become more aggressive, or even become violent. They avoid situations that remind them of the original incident, and anniversaries of the incident are often very difficult. PTSD symptoms seem to be worse if the event that triggered them was deliberately initiated by another person, as in a mugging or a kidnapping. Most people with PTSD repeatedly relive the trauma in their thoughts during the day and in nightmares when they sleep. These are called flashbacks. Flashbacks may consist of images, sounds, smells, or feelings, and are often triggered by ordinary occurrences, such as a door slamming or a car backfiring on the street. A person having q flashback may lose touch with reality and believe that the traumatic incident is happening all over again.
Mr. Chairman, the matter is that most veterans with PTSD also have other psychiatric disorders, which are a consequence of PTSD. These veterans have co-occurring disorders, which include depression, alcohol and/or drug abuse problems, panic, and/or other anxiety disorders.
The current conflicts in Afghanistan and Iraq are the most continuous combat operations since Vietnam. Only one comprehensive study has examined the mental health impact of the wars in Afghanistan and Iraq, and that was performed by Charles W. Hoge, MD. This study looked at the experience of soldiers in the war zone and symptoms of psychological distress. Soldiers in Iraq are at risk for being killed or wounded themselves, are likely to have witnessed the suffering of others, and may have participated in killing or wounding others as part of combat operations. All of these activities have a demonstrated association with the development of PTSD. Hoge's study indicated that 94 percent of soldiers in Iraq reported receiving small-arms fire. In addition, 86 percent of soldiers in Iraq reported knowing someone who was seriously injured or killed, 68 percent reported seeing dead or seriously injured Americans, and 51 percent reported handling or uncovering human remains. The majority, 77 percent, of soldiers deployed to Iraq reported shooting or directing fire at the enemy, 48 percent reported being responsible for the death of an enemy combatant, and 28 percent reported being responsible for the death of a noncombatant.
My amendment recognizes that these soldiers are first and foremost, human. They carry their experiences with them. Ask a Vietnam Veteran about the frequency of nightmares they experience, and one will realize that serving in the Armed Forces leaves a lasting impression, whether good or bad. My amendment ensures that no soldier is left behind. By directing the Secretary of Veterans Affairs to increase the number of medical facilities specializing in PTSD that are located in underserved urban areas, and conducting a concurrent study on increasing access to PTSD treatment at these facilities those soldiers will never feel forgotten or taken for granted. These soldiers can be certain that Members of Congress will ensure that they receive the necessary treatment to guarantee that their adjustment back into society is a successful one.
As the war in Iraq continues to drag on, and with our country continuing to send military personnel to Afghanistan, the military has been overwhelmed with returning soldiers suffering from mental health problems. Earlier this month, Col. Elspeth Ritchie, psychiatry consultant to the Army surgeon general, stated ``as the war has gone on, PTSD and other psychological effects of war have increased. The number of mental health workers that was adequate for a peacetime military is not adequate for a nation that's been at war.''
Mr. Chairman, according to surveys conducted of troops in Iraq, 15-20 percent of Army soldiers have demonstrated signs of post-traumatic stress. Symptoms of this serious disorder include nightmares, flashbacks, emotional detachment, dissociation, insomnia, loss of appetite, memory loss, clinical depression, and anxiety. One year after returning from combat, approximately 35 percent of soldiers are seeking some kind of mental health treatment. Among soldiers still stationed in Iraq and Afghanistan, many incidents of abuse, including killings and rapes by U.S. soldiers, have been attributed to ethics lapses caused by the strain of combat.
Mr. Chairman, last Thursday, the Department of Defense released a report that stated ``current efforts fall significantly short'' in providing help for troops. Further, this report found that the psychological health needs of America's military service members, their families and their survivors pose a daunting and growing challenge to the Department of Defense.
I urge adoption of my amendment. And I thank the Chairman for his fine work in bringing this exceptional legislation to the House floor where it should receive an overwhelmingly favorable vote.
I yield to the gentleman from Texas.
Mr. Chairman, I thank the distinguished gentleman, and I ask unanimous consent to withdraw my amendment.