Mr. Chairman, I have an amendment at the desk. Mr. Chairman, earlier this morning, in fact just a few minutes ago, I spoke on the tribute that Americans will give to their fallen this coming Monday,…
Mr. Chairman, I have an amendment at the desk.
Mr. Chairman, earlier this morning, in fact just a few minutes ago, I spoke on the tribute that Americans will give to their fallen this coming Monday, sadly so, but with joy and appreciation for the bravery of those who sacrificed their lives and their families.
Today I rise with an amendment supported by my colleague and a member of the Armed Services Committee, Mr. Johnson, to ask support for an amendment that can bring all us together, the designation of a national day of honor to celebrate the members of the Armed Services who will be returning from deployment in Iraq and Afghanistan and other combat areas. This national day of honor would recognize the enormous sacrifice and invaluable service that those phenomenal men and women have undertaken to protect our freedom and share the gift of democracy in other parts of the world.
How many of us have stopped to say ``thank you'' to a soldier walking alone in an airport, maybe having made a travel of millions of miles, thousands upon thousands of miles, to find himself or herself in their rural hamlet or urban center coming home. They have come home over the years, and they have come home not seeking glory or appreciation. That's our men and women. The men and women of the United States military and intelligence community who helped bring Osama bin Laden didn't ask for applause and appreciation.
My amendment will give all Americans, no matter what your political views, religion, ethnicity, gender or background, the chance to be able to say ``thank you.'' It is reminiscent of times that some of us did not live through. I am reminded of the pictures that I saw of those celebrating in the streets during World War II.
My uncle served in World War II. My grandmother sent her sons to war. She watched them one by one, and proudly so. As an immigrant American, she was glad to be able to send them to fight our battles.
Now, as we make our decisions to bring our troops home, to be able to provide them the opportunity of economic enhancement such as jobs and
education, let's have a day where all of us will be able to be in the streets, if you will, to simply say ``thank you;'' and job well done!
So I ask my colleagues to join me to say ``thank you'' to one of the most diverse exhibitions of American bravery and courage, and that is the United States military. As you can see, here they are, without fanfare, fighting for us in the midst of battle. And all I want to do is say ``thank you.''
Mr. Chair, I rise today offering my amendment No. 111 to H.R. 1540, ``National Defense Authorization Act For Fiscal Year 2011,'' which Hank Johnson the gentleman from Georgia has joined me in offering as a Cosponsor. I thank Representative Johnson for his support. My amendment will designate a National Day of Honor to celebrate members of the Armed Services who are returning from deployment in Iraq, Afghanistan, and other combat areas. This National Day of Honor would recognize the enormous sacrifice and invaluable service that these phenomenal men and women have undertaken to protect our freedoms and share the gift of democracy to other parts of the world.
My amendment provides an opportunity for all Americans, regardless of political views, religion, ethnicity, gender, or background to come together, and to recognize and honor our nation's heroes. I believe the paramount and overwhelming conclusion is that our freedom is intertwined with the sacrifices of our Veterans, whose devotion to our way of life is unparalleled. I am privileged to honor their sacrifices and the role they play in our nation.
We are in the midst of ongoing conflict and warfare. We must show continued support of our troops and increase their moral. What better way to demonstrate our support than by celebrating their return from deployment with a National Day of Honor. Though we may be divided by our positions on the war in Iraq, Afghanistan and other combat areas, we stand together to support our veterans.
Currently, there are close to 100,000 troops serving in Afghanistan. And even in the aftermath of the death of Osama bin Laden, troops remain in Afghanistan to protect against retaliatory attacks and to help rebuild the country.
As of April 2011, close to 46,000 American troops are serving in Iraq. At the height of the Iraqi dispute, close to 170,000 U.S. troops were stationed in Iraq. These courageous men and women are mothers and fathers, husbands and wives, yet they have risked their lives and left their families to fight for what they believe in which is freedom, equality, and all the like principles that America stands on. The courage and sacrifice of the men and women are certainly well deserving of celebration. Their service is an extraordinary act of patriotism for which we should all be thankful.
Our nation has a proud legacy of appreciation and commitment to the men and women who have worn the uniform in defense of this country. We must be united in seeing that every soldier, sailor, airman, and marine is welcomed back with all the care and compassion this grateful nation can bestow.
The military represents America's diversity. A National Day of Honor will celebrate men and women of all races and backgrounds. There are 2.4 million African American, 1.1 million Hispanic, 320,000 Asian American and Pacific Islanders and 169,000 American Indians and Alaska Natives who are honored veterans of our nation's military. Nearly 266,00 African Americans, 157,000 Hispanic Americans, 44,000 Asian Americans and Pacific Islanders, and more than 18,5000 American Indians and Alaska Natives have served are nation in Iraq and Afghanistan.
A National Day of Honor will welcome home the diverse group of soldiers upon their return from deployments. Currently there are more than 44,500 African Americans, 31,000 Hispanic Americans, 10,000 Asian Americans and Pacific Islanders, nearly 4,000 American Indians and Alaska Natives deployed in Iraq and Afghanistan. When they return home they will find waiting for them a universal welcome and celebration of their service.
A designated National Day of Honor will bring Americans together to celebrate those who have returned from serving our country around the world in the name of freedom and democracy. The debt that we owe to them is immeasurable. Their sacrifices and those of their families are freedom's foundation. Without the brave efforts of all the soldiers, sailors, airmen, marines and Coast Guardsmen and their families, our country would not live so freely.
As we continue to be engaged in hostilities in Iraq and Afghanistan, our young men and women will pay the ultimate price while wearing the uniform of our nation. Let us honor the memory of the 4,400 Americans who have died in Iraq and more than 1,300 who have died in Afghanistan. We also honor the sacrifices of our wounded: nearly 32,000 U.S. troops in Iraq and 9,000 in Afghanistan. And we must not forget all the lives lost on battle fields as our troops stood to support our democracy. Remember the average age of the 58,148 men and women who gave their lives in Vietnam was 23 years old.
As we remember their patriotic sacrifices, we must renew our commitment to keep our promises to the nation's 3 million troops. A National Day of Honor is the perfect medium to welcome home troops.
I represent a district that is home to one of the largest populations of military servicemembers and their families in the nation. There are over 200,000 veterans of military service who live and work in Houston; more than 13,000 are veterans from Iraq and Afghanistan. They should return home to banners and to a community that recognizes their service after years of combat.
In the words of President John F. Kennedy, ``As we express our gratitude, we must never forget that the highest appreciation is not to utter words, but to live by them.'' It is not simply enough to sing the praises of our nation's great veterans; I firmly believe that we must demonstrate by our actions how proud we are of our American heroes.
There are 23 million veterans in the United States. Currently, more than 1,626,000 veterans are living in Texas and more than 32,000 veterans live and work in my Congressional district alone.
It is my hope that by having a National Day of Honor we will take the time to show appreciation to those who have answered the call to duty upon their return home. As the great British leader Winston Churchill famously stated, ``Never in the field of human conflict was so much owed by so many to so few.''
I firmly believe that we should celebrate our veterans after every conflict, and I remain committed to both meeting the needs of veterans of previous wars, and to provide a fitting welcome home to those who are now serving. Veterans have kept their promise to serve our nation; they have willingly risked their lives to protect the country we all love. We must now ensure that we keep our promises to our veterans.
We promise to leave no soldier or veteran behind. Politics and partisanship should never be a factor in our support for American veterans or troops. On the battlefield, the military pledges to leave no soldier behind. As a nation, let it be our pledge that when they return home, we leave no veteran behind. Celebrate their return home with a National Day of Honor. This day and every day, let us honor their service with actions that fulfill our commitment to our troops, their families, and our veterans--and that are worthy of our grateful nation.
Our nation is founded on the principles, laid out in the Declaration of Independence, that ``all men are created equal,'' ``that they are endowed by their Creator with certain unalienable Rights,'' and ``that among these are Life, Liberty, and the pursuit of Happiness.'' At various points in our history as a nation, we have found need to send our sons and daughters, our most precious resources, overseas to fight in defense of these great principles. At times when the need is greatest, America's soldiers have always stepped up to protect our nation.
And so, today, I hope we will all take time from our daily lives to reflect upon the sacrifices made by those who serve in our armed forces, and to resolve together that we will provide returning veterans with the welcome, services, care, and compassion that they deserve. We should celebrate throughout the country to the sacrifices made by our men and women returning from their deployment to Iraq, Afghanistan, and other combat areas. Let us all remember that one of the things that makes our nation truly great are the young men and women willing to fight to defend it, to defend us, and to defend our way of life.
I reserve the balance of my time.
I thank the chairman very much for his kind words.
Mr. Chairman, I am delighted to yield 1 minute to the ranking member, the gentleman from Washington (Mr. Smith).
Mr. Chairman, let me first of all thank the chairman of the full committee and the ranking member of the full committee. Although this is not an amendment that pertains only to my district, I want you to know that I represent a district that is home to one of the largest populations of military servicemembers and their families in the Nation. There are over 200,000 veterans of military service who live and work in Houston; more than 13,000 are veterans from the Iraq and Afghanistan wars. They should return home to banners and to communities that recognize their service after years of combat. I might say that the State of Texas, along with all of the States, claim to have their wonderful share of our men and women of the United States military.
Mr. Chairman, I offer this amendment so the children of America can likewise be with us as they wave their flags and welcome our men and women home.
As President John F. Kennedy said: As we express our gratitude, we must never forget that the highest appreciation is not to utter words, but to live by them.
Let us live and act on our gratitude, and celebrate on this national day of honor the men and women who have served us so gallantly and bravely. I ask my colleagues to join me and Mr. Johnson in support of this amendment, to honor our returning troops by a national expression of thank you, again, for a job well done.
I yield back the balance of my time.
Mr. Chairman, I demand a recorded vote.
I thank the ranking member. I rise to support the en bloc amendments and to add my understanding and support for the McGovern-Jones and a number of other Members' amendments.
Let me first make it clear that this is a bipartisan amendment, and there was a great deal of collaboration and sensitivity to formulating a structure that would be respectful of the men and women who serve us today. But I rise to support this amendment because I can clearly see the human and financial costs which have been so high--$10 billion a month, which in this climate where we are addressing franchise terrorism, where individuals can rise up and do harm to the United States at any time, it is time now to plan a time frame for accelerated transition for our troops to come home from Afghanistan, to find a political solution with diplomacy, to be able to deal with al Qaeda in a manner that will allow----
This amendment does not stop the reassessing of how al Qaeda is now functioning with its titular head, its inspirational head no longer, and whether or not the remaining members of al Qaeda will seep and spread into other places where we have to address this question, and, of course, the amendment does not limit existing authority on ongoing al Qaeda efforts by sharing intelligence or changing military
strategy, tactics or operations on the ground in Afghanistan. This amendment helps to bring our troops home. Remember Pakistan, how we have to work with them and try to help the Pakistan people, we need to focus broadly to help secure the homeland.
This is an important amendment. I support the en bloc amendment, and I support the McGovern amendment. Let us find a way to bring our troops home.
I rise to support the en bloc amendments and particularly my amendment dealing with post-traumatic stress disorder.
My amendment sends a clear and resounding message that we take all wounds endured by our veterans seriously. Although their wounds may be invisible, we recognize that they should be properly treated. One of the best ways to increase the treatment of post-traumatic stress disorder is to access treatment and to increase treatment in a number of local and community medical facilities.
I want to thank the chairman and the ranking member for accepting this amendment and for recognizing the enormous burden that has come about through PTSD.
According to the Defense Medical Epidemiology Database, the number of hospitalizations and outpatient visits in which PTSD was a primary diagnosis between 2000 and 2009 was 5,307 hospitalizations and 578,120 outpatient visits.
I also rise today in honor of my friend and late colleague, Congressman John Murtha, who worked with me to establish an outsourcing clinic in the Houston area at the Riverside Hospital. What a difference it makes. If proper medical care is given, about 40 percent to 60 percent of people who develop PTSD can get better care.
How many of us can even talk about this experience short of our Members who have experienced combat who are here in the United States Congress? The average American who has not does not know the trauma of experiencing danger every day in protecting themselves and their comrades.
They come home. They deserve not only our celebration of their return but to be treated so that they can go on with their lives. Since October 2004, approximately 1.64 million U.S. troops have been deployed for the OEF and OIF in Afghanistan and Iraq. Let's say to our soldiers: You are deserving of our care.
Let us provide more access to care for post-traumatic stress disorder. I appreciate your support for this en bloc amendment.
Mr. Chair, I rise today in support of my amendment #112 to H.R. 1540, ``National Defense Authorization Act For Fiscal Year 2011,'' as it will send a clear message on the importance of increasing access to treatment for those suffering from post traumatic stress disorder (PTSD). 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 state, I am pleased to offer this amendment.
My amendment is intended to address the urgent need for access to post traumatic stress disorder (PTSD) treatment and counseling facilities servicing veterans. This includes veterans living in some of the more distressed areas of our country.
We must encourage the establishment of innovative public-private partnerships for the treatment and research of PTSD in teaching hospitals across the country by placing a focus on the importance of caring for those who live with post traumatic stress disorder.
We can never do enough to honor our wounded veterans. The Congressional Research Service puts the number of troops deployed since 2000 suffering from post traumatic stress disorder (PTSD) at nearly 67,000.
Post traumatic stress disorder 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. This country has the necessary resources to provide Veterans and members of the Armed Forces with world class care.
I represent a district that is home to one of the largest populations of military service members and their families in the nation. There are over 200,000 veterans of military service who live and work in Houston; more than 13,000 are veterans from the Iraq and Afghanistan. For the brave men and women who have been wounded in combat, help is on the way.
Mr. Chair, my amendment sends the clear and resounding message that we take all wounds endured by our veterans seriously. Although a soldier's wounds are invisible to the naked eye; they are still wounds that should be properly treated. One of the best ways to increase access to treatment is 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.
In Houston the Veterans Affairs Medical Center (VAMC) is the primary point of care for most returning veterans. It serves over 6,000 veterans in the area. 90% of those served at the VAMC are men, and 21% have been diagnosed with some form of depression or PTSD. We need to include community based health care providers to reach veterans living in underserved urban areas. The treatment of PTSD should be community based.
As a senior member of the Judiciary and the Homeland Security Committees, I agree with President Obama and the Administration in reaffirming our commitment to supporting our veterans and military warriors. The $1,000,000 Department of Defense (DOD) awarded grant recognized the importance of expanded efforts in diverse communities around the country, as the government seals its promise to ensure our Military Personnel and Veterans have the best medical care available.
It has been a long fought battle, as I have worked tirelessly with the late John Murtha, Chairman of the Subcommittee on Defense, of the House Appropriations Committee and Senior Leaders from DOD for more than four years to secure $1,000,000 in federal funding in the 2010 Defense Appropriations Bill for Riverside General Hospital. These funds provided facilities and services to treat Post Traumatic Stress Disorders (PTSD) for National Guardsmen, Reservists and Veterans discharged and/or on leave.
These funds represented a major step towards providing expanded resources in the heart of the city of Houston for those suffering from Post Traumatic Stress Disorders.
The DOD awarded grant recognized the importance of expanded efforts in diverse communities around the country, as the government seals its promise to ensure our veterans and warriors in uniform have the best medical care available.
These funds provided trained experienced physicians, nurses, therapists and other healthcare professionals the necessary services to treat Post Traumatic Stress Disorders for Military Personnel and Veterans discharged and/or on leave of duty. In addition, Riverside General Hospital is now able to provide psychiatric, medical emergency medical inpatient, and outpatient services.
There are currently close to 200,000 military and civilian personnel in the state of Texas, many living in the Houston area. Riverside General Hospital, located in the 18th Congressional District, is the only hospital in Texas privately owned by African-Americans.
Riverside General Hospital was founded due to the heroic efforts of veterans in the First World War. Riverside General Hospital, formerly the Houston Negro Hospital, was erected in 1926 in memory of Lieutenant John Halm Cullinan, US. Army. Riverside General Hospital is the only private African-American-owned hospital in the state of Texas that is contracted to provide inpatient psychiatric and inpatient detoxification services to TRICARE beneficiaries.
post traumatic stress disorder
I have always been a supporter of the men and women in the military, visiting every combat zone, including Bosnia, Kosovo, Albania, with numerous visits to Afghanistan and Iraq. After interacting with our deployed warriors, I began to understand the actual devastation caused by PTSD, which fueled my passion to help create a facility to help and provide care for those military members and veterans affected.
There have been several reports of Military Personnel to include National Guardsman, Reservists and Veterans suffering from PTSD-like symptoms for well over 100 years. Some examples are veterans of the US Civil War, who suffered emotional problems and were said to be afflicted with ``soldier's heart'' or ``Da Costa's Syndrome''; veterans of World War I was diagnosed as ``shell Shocked''; and veterans of World War II were classified with ``battle fatigue'' or ``combat fatigue''. Other terms used to describe military-related mood disturbances include ``nostalgia'', ``not yet diagnosed nervousness'', ``irritable heart'', ``effort syndrome'', ``war neurosis'' and ``operational exhaustion''.
War veterans are the most publicly-recognized victims of PTSD; long- term psychiatric illness was formally observed in World War I and the syndrome entered public consciousness after the Vietnam War.
treating the ``invisible wounds of war''
According to the Defense Medical Epidemiology Database, the number of hospitalizations and outpatient visits in which PTSD was the primary diagnosis between 2000 and 2009 were:
5,307 Hospitalizations
578,120 outpatient visits
Military Personnel and Veterans with PTSD have lived through traumatic events, causing many of them to fear for their lives, bear witness to horrible things, and feel helpless and hopeless. PTSD symptoms usually start soon after the traumatic event, but they may not appear until months or years later. If provided proper medical care, about half (40% to 60%) of people who develop PTSD get better at some time.
Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments--many involving prolonged exposure to combat- related stress over multiple rotations--may be disproportionately high compared with the physical injuries of combat.
In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a President's Commission have been convened to examine the care of the war wounded and make recommendations. Many recent reports have referred to PTSD as the signature wound of the Afghanistan and Iraq conflicts. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. PTSD impacts not only the service member as the aftershock of this invisible wound victimizes the families as well feel.
The Army says that for the first time the rate of suicide in the military exceeded that of the general population last year--20.2 per 100,000 people in the military, compared with the civilian rate of 19.5 per 100,000. (The Centers for Disease Control say the overall civilian suicide rate was 11 per 100,000 for 2005--the most recent year available--but the Army adjusts the figure to reflect the military's younger and much more heavily male demographics.) The Army's suicide rate was 12.7 per 100,000 in 2005, 15.3 in 2006 and 16.8 in 2007.
Although veterans who served in combat are most frequently afflicted by PTSD, events such as the Fort Hood shooting highlight the physical and psychological dangers facing military personnel in all roles.
Consequently, I believe it is extremely vital to extend to our civilian personnel the same benefits and support that we give to our active duty military. Civilians and military members on Fort Hood have equal responsibility to protect our nation and, as such, it is morally imperative that we work to honor these civilians by providing them with equal support in the aftermath of such traumatic incidents.
As our nation continues to fight injustices at home and abroad, we must remain committed to caring for those who give life and limb, so that we can enjoy our daily freedoms.
According to a National Vietnam Veterans Readjustment Study there are differences among Hispanic, African American, and White Vietnam Theater Veterans in terms of readjustment after military service. Both Hispanic and African American male Vietnam theater Veterans had higher rates of PTSD than Whites. Rates of current PTSD in the 1990 study were 28% among Hispanics, 21% among African Americans, and 14% among Whites.
African Americans had greater exposure to war stresses and had more predisposing factors than Whites, which appeared to account for their higher rate of PTSD. After controlling for these factors, the differences in PTSD rates between Whites and African Americans largely disappeared. On the other hand, the difference in rates of PTSD between Hispanics and Whites remained even after controlling for the fact that Hispanics had greater exposure to war stresses. African Americans and Hispanics often live in communities that do not have adequate access to health care services. I again stress that veterans who live in underserved areas should have adequate access to services.
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 TIED, 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 . . . you do this for your country.
Mr. Chair, according to surveys conducted of troops in Iraq, 15-20% 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% 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.
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 a flashback may lose touch with reality and believe that the traumatic incident is happening all over again.
The current conflicts in Afghanistan and Iraq are the most continuous combat operations since Vietnam. 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. One study published in the American Journal of Medicine indicated that 94% of soldiers in Iraq reported receiving small-arms fire. In addition, 86% of soldiers in Iraq reported knowing someone who was seriously injured or killed, 68% reported seeing dead or seriously injured Americans, and 51% reported handling or uncovering human remains. The majority, 77%, of soldiers deployed to Iraq reported shooting or directing fire at the enemy, 48% reported being responsible for the death of an enemy combatant, and 28% reported being responsible for the death of a noncombatant. (Hoge et al., 2004).
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 have faced. At the height of the insurgency, the Congressional Research Service places the number of attacks against American and coalition forces at 1,400 per day. The Armed Forces reports over, 4,000 troops have died and tens of thousands have been wounded in Operations Enduring Freedom and Iraqi Freedom. According to the Department of Defense (DOD), 36,471 military personnel were medically evacuated from Iraq between 2003 and 2007 alone.
My amendment recognizes that these soldiers are first and foremost, human. They carry their experiences with them. In order to increase access we must first 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 and that 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.
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 post traumatic stress disorder receive the medical treatment they desperately need.