If the gentleman would yield and answer how it would raise the cost to veterans and explain how it would, that would be helpful. According to whom? Well, I am sure the pharmaceutical industry would tell you that because they have a lot to…
If the gentleman would yield and answer how it would raise the cost to veterans and explain how it would, that would be helpful.
According to whom?
Well, I am sure the pharmaceutical industry would tell you that because they have a lot to lose by expanding it.
Madam Chair, I want to acknowledge Chairman Skelton and Ranking Member Hunter for their good work on this bill.
This authorization has very strong provisions on mental health, a number of them addressing the stigma issues regarding mental health, identifying the reintegration needs of our Reservists. Our Reservists make up nearly half of those fighting on behalf of the war on terror.
Mental health nurse practitioners: It establishes a nurse practitioner graduate education program in the Uniformed Services University of Health Sciences program that includes psychiatric mental health practices.
It has mental health counselors who can now be reimbursed by TRICARE for services provided to our troops and their families. These counselors are cost-effective and ready to serve the families of our servicemembers as well as our servicemembers themselves.
Also, we have the Mental Health Initiative that will coordinate the Department of Defense's research and development programs and provide opportunities for researchers to better improve identification and diagnosis of mental health problems.
Finally, we have the Psychological Kevlar, which will help us begin to prevent the post-traumatic stress disorder problems that we are seeing many of our soldiers come back from Iraq suffering from. It is important that we include in our basic training, before our soldiers go abroad, not only physical resiliency and training but mental resiliency and training, so that they are as prepared to defend themselves mentally as they are physically before it is too late, before they suffer the terrible psychological wounds that yield them so disabled in many respects after the war, when it is too late.
Finally, Madam Chairman, this bill includes provisions that will take account of measuring the quality and satisfaction of our military men and women in our military hospitals. We cannot wait for more of the kinds of Walter Reed anecdotal stories to rise to the surface before we begin to measure the quality and satisfaction in our military hospitals, and I am pleased to see this amendment adopted in the bill.
The authorization has very strong mental health provisions that will help address the stigma our troops confront in seeking mental health care, increase the number of mental health professionals to serve the mental health needs of our troops and their families, and advance research developed from the nation's academic and medical base to better improve DoD's mental health research and treatment programs.
Addressing stigma issues among reservists: The Secretary of Defense will establish a working group to identify the reintegration needs of our reservists. The working group will examine different programs operated by different services, States, and commands to help reservists. From there, it can identify best practices and develop plans to incorporate these practices across the military.
Mental health nurse practitioners: The establishment of a nurse practitioner graduate education program at the Uniformed Services University of Health Sciences. The program's specialties would include psychiatric mental health practice.
Mental health counselors: Mental health counselors can now be reimbursed by TRICARE for services provided to our troops and their families. The counselors are a cost-effective force ready to serve and help our service-members and their families.
Military mental health initiative: This initiative would coordinate the Department of Defense's mental health research and development programs and provide an opportunity for researchers to better improve the identification diagnosis, and treatment of mental health issues.
This plan will help incorporate evidence-based preventive and early intervention strategies into pre-deployment training, combat theater operations, and post-deployment service to strengthen our warfighters' psychological resiliency.
Introducing our soldiers to mental health care only after they have been exposed to combat is far too late. We need to familiarize our soldiers and their families with how to recognize and deal with the symptoms of combat stress and trauma--and the benefits of mental health care--from early on in their military career.
Our soldiers are trained from the moment they enter basic training or boot camp on how to physically protect themselves from harm.
We need to ensure that they are just as well trained in protecting themselves psychologically as well.
Madam Chair, when speaking about mental health, we should be speaking about it in terms of a positive. That is what makes us stronger. I think when the gentleman says that when we speak about mental health, we want to be careful so as not to make people feel like they are victims, looks at it in a negative way.
Frankly, I am proud that at John F. Kennedy Special Warfare Center at Fort Bragg the Green Berets have insisted that they have psychiatrists on call 24 hours, 7 days a week, not because they are the weakest branch of the military, but because they are the strongest and they want to remain the strongest. And they know that if they are to remain the strongest, they don't want to be thinking about anything else in their mind when they use their sharpshooter and they are called to duty for this country, where they are going to parachute in and use their technical expertise they have been trained to do. They know that they want to be able to do that job sufficiently, and that is why they have had this important mental health allowed for them, and that is why I think it is so important to have these facilities available for them.
Madam Chairman, I thank the gentleman from Missouri and the gentleman from California.
My amendment simply requires the Department of Defense to examine a process by which they would further add for the collection of data by which our servicemembers could rely on an apples-to-apples comparison of our military health care system, so that they could get a proper evaluation of the status of our health care system, so that we could avoid the kinds of anecdotal stories that we found out through the Walter Reed scandal.
We shouldn't be finding this out through stories. We ought to be able to find this out through the garnering of data. And this is one of the ways that we seek to do so. By garnering this information just like we would through our regular health care system, we should do so through our military health care system, and that is what this amendment would do.
I support the gentleman's amendment, and I would just point out if this country has learned anything from the last 6 years, it has learned that there must be checks and balances in our government.
We have a war that has been proclaimed based upon lies. We have had a war that has been proclaimed based upon faulty intelligence. And we have had a war that has been proclaimed upon intelligence that has been manufactured. Now we have a public that has repeatedly felt that it has been lied to, and that they want to be heard by their Congress. All we are asking in this amendment is that their Congress have a chance to voice their own through the Representative's opinion before a Commander in Chief throws this country back into another war headlong without the American people having a voice in it.
Mr. Chairman, I think this amendment ought to be called the ``George W. Bush Amendment,'' because if it were any other President, I don't think we would have to worry about this. But this President has so undermined the confidence of the institution of the Presidency, it has brought this amendment to the floor; because I think this President has so jeopardized the confidence in the Presidency of the United States that the people, after the experience of this President, have become so distrustful that this President is going to drag them into another war under unwarranted circumstances that they would support an amendment like the one of the gentleman from New Jersey. And that is why I would call it the ``George W. Bush Amendment,'' for no other reason than it is because of George W. Bush that this amendment seems to be necessary.