Mr. Chairman, I have an amendment at the desk. Mr. Chairman, I rise to offer and withdraw an amendment on this particular bill. The amendment has to do with the Secretary of Veterans Affairs, calling upon them to increase the number of…
Mr. Chairman, I have an amendment at the desk.
Mr. Chairman, I rise to offer and withdraw an amendment on this particular bill.
The amendment has to do with the Secretary of Veterans Affairs, calling upon them to increase the number of medical centers specializing in posttraumatic stress disorder in underserved urban areas, which shall include using the services of existing health care entities pursuant to the authority in section 1703.
This particular amendment has to do with ensuring the cooperation with existing health care institutions used by the Secretary pursuant to subsection (a).
I would like to see these facilities located in an area defined as a HUBZone and as well in an area that covers rural areas. I would like to see, according to my amendment, that these facilities would be located within a State that has sustained more than 5 percent of the total casualties suffered by the United States Armed Forces in Operation Enduring Freedom and Operation Iraqi Freedom.
I am very pleased that, under the leadership of Chairman Edwards, longstanding leadership, that the legislation that we have before us includes more dollars for mental health and substance abuse, and as well some $3.8 billion, and also it includes $200 million to address the question of fee-based services in the Veterans' Affairs medical system. It also has additional money, $5 billion, for medical facilities and $165 million for extended care.
My amendment was to recognize the plain facts of combat, as we have seen more and more soldiers coming back from Iraq and Afghanistan wounded not only physically but mentally. Most of these soldiers have seen--94 percent of the soldiers in Iraq have reported receiving small arms fire, 86 percent of soldiers in Iraq reported knowing someone who was seriously injured. Some similar numbers we are finding in Afghanistan because we have seen an increased amount of combat in Afghanistan.
And so, Mr. Chairman, my concern is to ensure that we have the right kind of facilities for our soldiers that are returning. So I offer this amendment because I thought it was very important to include hospitals like Riverside General Hospital, the only historically black hospital I believe remaining in the United States, founded and organized by a World War II veteran, or family of a World War II soldier.
I would hope that as we move toward the conference, since this amendment is now being withdrawn as I conclude my remarks, I am hoping that we will be able to work with the committee and ensure that we have the opportunity to make this work.
I'd like to yield to the chairman, if I could. I'd like to yield to the gentleman about the amendment that I have that has to do with providing post-traumatic stress disorder facilities in collaboration with existing facilities.
I think this is a good amendment. I am offering and withdrawing it in cooperation with the committee. I won't go down to 1600 Pennsylvania and work with the White House, but I would like to work with this committee and this chairman, and thank him for his leadership, as well as Chairman Filner, who has been more than powerful, if you will, on the issues of veterans.
This has to do with putting these facilities in historically underserved areas and, as I indicated to you, Riverside Hospital has an initial grant. We are having some difficulty in making sure they get their moneys from the last time. But I think we need more of these facilities.
I yield to the gentleman.
If I could reclaim my time and say that the underpinnings of this amendment has to do with existing satellite facilities such as Riverside Hospital that could be in collaboration. I would be very grateful if I could work with the chairman and full committee, and I want to acknowledge the chairman of the full committee in looking at that as we go into conference, as to whether or not we can at least ensure that those facilities will be looked at.
Thank you very much.
Mr. Chairman, I rise to speak in 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 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. 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. 6599, the ``Veterans Affairs and Military Construction Appropriations Act for Fiscal Year of 2009.'' 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 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 2009, H.R. 6599, will go a 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 more than 29,000 brave men and women who have been wounded in Iraq and Afghanistan, help is on the way. And the over 4,000 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 IED, 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 the 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 a flashback may lose touch with reality and believe that the traumatic incident is happening all over again.
Mr. Chairman, the fact of 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. 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 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 ``[t]he 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 ask again, Mr. Chairman, unanimous consent at this time to withdraw the amendment, but keeping in mind that veterans and returning soldiers need service and they need to have the kind of service for PTSD. And I hope that we will be able to accomplish that.