Casualties of the Budget Wars

IN his 1997 book “Dereliction of Duty,” Col. H. R. McMaster wrote that “the ‘five silent men’ on the Joint Chiefs made possible the way the United States went to war in Vietnam.” So it is today with the war in Iraq. Regrettably, the silence of our top officers has had a huge impact not just on the battlefield but also on how we have brought our injured warriors home from it. These planning failures led to the situation at Walter Reed Army Medical Center recently reported by The Washington Post, which resulted in the firings of the hospital’s commander and the secretary of the Army.

The sad truth is that The Post’s reports weren’t entirely new: Mark Benjamin, of United Press International and the Web magazine Salon, and Steve Robinson, the director of veterans affairs at Veterans for America, have been reporting on the disgraceful treatment of our war wounded since 2003. More important, the Walter Reed scandal is simply the tip of the iceberg: President Bush, former Defense Secretary Donald Rumsfeld and Congress all pointedly failed to provide the money and resources for our returned troops wherever they are, both the obviously wounded and those who may seem healthy but are suffering mentally and physically from their service.

Soldiers have long joked: “If you are really sick or injured, Army medical care is O.K. But if you are hurting only a little, especially if it isn’t visible, you’re in big trouble.” The American soldier still receives the best trauma care in the world, especially at Walter Reed. The problem there has been with deplorable outpatient care management. The military health system is seriously undermanned and underfinanced for the number of casualties coming home. Also, there has been little preparation for identifying and treating post-traumatic stress injuries.

Last year, because of spending in Iraq, the Army had a $530 million shortfall in its budget for posts at home and abroad. This forced the Army’s vice chief of staff, Richard Cody, to tighten belts that were already at the last notch.

http://www.nytimes.com/2007/03/06/opinion/06eaton.html