Thursday, October 11, 2018

Your veterans healthcare news roundup VeteransPolicy

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VA Sec. Wilkie’s first report to Congress

The implementation of the VA Mission Act has begun. In his first official report to Congress, VA Secretary Robert Wilkie discussed progress at the agency. From Military Times:

But developing the rule — a process expected to take months — will require carefully balancing issues of health care flexibility with concerns over privatizing much of the VA’s core mission.

“Wilkie on several occasions, including Wednesday, has said he is opposed to privatizing the department. Democrats in both chambers have said they fear the new standards, if written too broadly, could do just that.”

More from the hearing: Stars and Stripes: VA Secretary Denies Connection to Mar-a-Lago crowd


Mission Act rules to outsource veterans care in development:

Veterans Service Organizations and Dan Caldwell from the Koch group Concerned Veterans for America weigh in on the Mission Act’s implementation in Stars and Stripes:

The [VA Mission Act] gives the VA secretary broad authority to create rules for when veterans can go into the private sector. In early October, the VA is supposed to report to Congress about its progress creating those rules.

“It’s going to be very revealing,” Caldwell said. “I anticipate a really intense bureaucratic battle between that October deadline and June 2019, the deadline to roll out the actual program.”

Leaders with the VFW and American Legion said they would provide their input to Wilkie about the new program.

“Secretary Wilkie has let us know that he will be asking for our input throughout this while process,” Nuntavong said. “I truly believe he’s going to uphold those promises.”


VHPI has submitted its recommendations to assess community provider health care quality standards on Regulations.gov. Read our report here.
 

Editorial: Cost is not a sufficient reason for denying benefits to Blue Water Vietnam veterans

“It was an argument used in 2002 to take benefits away from these Blue Water Vietnam veterans, and it’s been deployed again to stop an effort to restore those benefits. In June, the U.S. House approved legislation, 382-0, to restore Agent Orange benefits and medical care to offshore veterans. But it has since stalled in the Senate Committee on Veterans’ Affairs.”

“The concern is cost. There are about 90,000 offshore veterans lacking access to these benefits. Providing them would cost the VA $6.7 billion over 10 years, but House legislation offered an offset: increased fees on VA home loans. The VA has said this is unfair to the overall veteran population, but denying meaningful health benefits to deserving veterans seems far more unfair.” Read the full editorial at MySanAntonio.com.


VA releases report on veteran suicide data from 2005-2016

From the VA’s News Release on the report:
  • Overall, the fact remains that on average about 20 current or former service members die each day, six have been in VA health care and 14 were not.
  • Rates of suicide were highest among younger Veterans (ages 18-34) and lowest among older Veterans (ages 55 and older). However, because the older Veteran population is the largest, this group accounted for 58.1 percent of Veteran suicide deaths in 2016.
  • The rate of suicide among 18-34-year-old Veterans continues to increase.
  • The use of firearms as a method of suicide remains high. The percentage of suicide deaths that involved firearms was 67.0 percent in 2015 and 69.4 percent in 2016.
Response to the report:
“This problem is not just a VA problem. It’s a problem for our entire country with very real and serious implications for the future of our military,” said Joe Chenelly, AMVETS National Executive Director in a
breakdown of the report in Newsweek.


Burn Pits bill becomes law

via a press release from Rep. Elizabeth Esty’s office:

Esty’s bill also called for additional funding for the [Airborne Hazards Center of Excellence (AHCE)] to develop a concentration in burn pit study and research. The minibus will provide an additional $5 million specifically for burn pits research, in addition to what was already allocated to the AHCE. With the additional monies, the AHCE will prioritize understanding the post deployment health for veterans exposed to airborne hazards and open bum pits.

The VA will also be directed to provide an assessment of the process for informing veterans through VA and community care providers about the Airborne Hazards and Open Burn Pit Registry and their eligibility for registering.


Cerner Project for IT Health records continues

From HealthcareITNews:

[VA Secretary Robert] Wilkie stressed that the VA’s Office of Electronic Health Record Modernization and DoD will be “joined at the hip” throughout the project and supported VA OEHRM Director John Windom’s leadership as point-person between the VA and DoD.

“Engaging front-line staff and clinicians is a fundamental aspect in ensuring we meet the program’s goals, and we have begun work with the leadership teams in place in the Pacific Northwest,” Wilkie said.

“OEHRM has established clinical councils from the field that will develop national workflows and serve as change agents at the local level,” he continued. “The work at the IOC sites will help VA identify efficiencies to optimize the schedule, hone governance, refine configurations and standardize processes for future locations.”


Veterans-only wing opens in Texas county jail

From KWTX.com:

Military vets make up about eight percent of prison and jail populations In the U.S., according to the Bureau of Justice Statistics.

Armstrong says they plan to combat those numbers by reducing recidivism in their veteran inmate population.

"The ‘end-game’ here is to help the veterans with being a better person, and hopefully they don't come back to jail,” said Armstrong.

The idea came to Armstrong during a jail conference three or four years ago when a friend of his at the Montgomery County Jail told him about a program they had to help veterans.

"There's services out there that are available for the veterans and tying them into those services and getting them back into the community, it just sounded wonderful,” he said.


VA expands program that places overdose drug next to defibrillators

From NPR:

Pam Bellino, patient safety manager for the Boston VA, read that incident report back in December 2015 with alarm. "That was the tipping point for us to say, 'We need to get this naloxone immediately available, without locking it up,' " she says.

The easiest way to do it quickly, Bellino reasoned, would be to add the drug to automated external defibrillator cabinets already in place. Those metal boxes on the walls of VA cafeterias, gyms, warehouses, clinic waiting rooms and some rehab housing were installed to hold equipment for a fast response to heart attacks.

Now the Veterans Administration, building on a project started in Boston, is moving to add naloxone kits to the AED cabinets in its buildings across the country, an initiative that could become a model for other health care organizations.

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Troops: Immigrant detention camps are illegal. Don't collaborate!


Courage to Resist
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Message to the troops: Do not collaborate with the immigrant detention camps

With your help, we’ll spend one penny per military service member--$20,000--on a strategic outreach campaign.  Our stretch goal is two cents.
This summer, what might have been the defining low point of previous administrations, was simply the outrage of the moment: A plan to have the military host massive concentration camps of upward of 200,000 immigrant detainees across the United States, as we reported to you in July.
stop separating families
On the Texas border at Tornillo Port of Entry, a tent city that first detained a couple hundred children a few months ago will hold nearly 4,000 kids by the end of the year.
Few people actually join the military to travel to distant lands to kill people. Fewer still join to help run concentration camps. Under both US and international law, military personnel have a moral and legal obligation to refuse to comply with any order that involves collaboration with these camps, but unfortunately few are aware of this fact.
That’s why we need your help. Together, we’re going to launch a strategically targeted communications campaign to reach service members across the country with this message:
  • These camps are illegal and immoral.
  • You have a responsibility to refuse and expose these orders.
  • Direct military resistance is powerful.
D O N A T E
to support resistance
oct 2018 newsletter
  • US military ordered to host massive immigrant concentration camps
  • Army Capt. Brittany DeBarros tweets truth
  • Shutting down recruiting center; Hoisting peace flag
  • Presidio 27 “mutiny” 50th anniversary events
  • Whistleblower Reality Winner update--“So unfair” says Trump
COURAGE TO RESIST ~ SUPPORT THE TROOPS WHO REFUSE TO FIGHT!
484 Lake Park Ave #41, Oakland, California 94610 ~ 510-488-3559
www.couragetoresist.org ~ facebook.com/couragetoresist

Published on Sunday, September 30, 2018 by Common Dreams Nuclear Abolition: The Road from Armageddon to Transformation The nuclear abolition movement must link up with the many other social forces fighting for a better world. by David Krieger

https://www.commondreams.org/views/2018/09/30/nuclear-abolition-road-armageddon-transformation
Published on
 by

Nuclear Abolition: The Road from Armageddon to Transformation

The nuclear abolition movement must link up with the many other social forces fighting for a better world.
A flag at an anti-nuclear demonstration in Melbourne, Australia, in 2013. (Photo: MAPW Australia/Flickr/cc)

Nuclear weapons, unique in their power and capacity for destruction, pose an existential threat to humanity. Although the peril of living at the precipice of nuclear devastation is clear, progress toward nuclear abolition has been slow and uneven. Although the nearly 15,000 nuclear weapons that exist today across nine nuclear-armed countries (United States, Russia, United Kingdom, France, China, Israel, India, Pakistan, and North Korea) is far below the Cold War zenith of 70,000, it is still enough to destroy civilization several times over. The sunlight-blocking dust generated by the detonation of, say, 300 thermonuclear weapons in a war between the US and Russia could trigger a new Ice Age, dropping global temperatures to the lowest levels in 18,000 years, and leaving civilization utterly destroyed.
"If we want to break new ground, and achieve a livable world, then something needs to change."
The history of the nuclear age reveals just how resistant nuclear-armed nations have been to real accountability, fueling a vicious cycle of ignorance, apathy, and fatigue. Only a global, systemic movement can bring the global, systemic change required. For that to be a possibility, the nuclear abolition movement must link up with the many other social forces fighting for a better world.

A (Very) Brief History of the Nuclear Age

How did the world come to build and maintain, to the tune of more than $100 billion each year, such civilization-destroying weapons of mass destruction? The story begins with the creation of the first nuclear weapons in the secret US Manhattan Engineering Project during World War II, sparked by ultimately unfounded fears that Germany was well on its way to developing an atomic bomb. In August of 1945, the US took the fateful step of being the first (and, to date, only) country to use a nuclear weapon in war, bombing the Japanese cities of Hiroshima and Nagasaki and killing well over 100,000 individuals by the year’s end.
The omnicidal threat of nuclear warfare shaped the ensuing Cold War between the United States and the Soviet Union, the two hegemons of the postwar order. Nuclear testing and arms spending escalated in the ensuing decade, but the world experienced a wake-up call in the Cuban Missile Crisis in 1962. This thirteen-day incident brought the US and Soviet Union to the brink of a third world war and made clear the importance of taking some steps to keep the arms race in check.
Since then, an alphabet soup of treaties has dominated the global landscape. The Partial Test Ban Treaty (PTBT) of 1963 prohibited nuclear testing in the atmosphere, outer space, and under water. The 1968 Treaty on the Non-Proliferation of Nuclear Weapons (NPT) aimed not only to prevent the proliferation of nuclear weapons to additional countries but also, importantly, to provide for the disarmament of then existing nuclear states (namely, the US, USSR, UK, France, and China). The 1972 Anti-Ballistic Missile (ABM) Treaty between the US and Soviet Union set limits on the number of sites that could be protected with missile defense systems (the deployment of ABM systems had exacerbated the arms race as countries sought to build even more powerful weapons to overcome them).
The post-Cold War era has offered a mixed landscape on nuclear disarmament. In 2002, the US unilaterally withdrew from the ABM Treaty, and soon began deploying missile defense installations in Eastern Europe near the Russian border, exacerbating tensions. But, in a sign of progress, a series of Strategic Arms Reduction Treaties (START) have substantially reduced US and Russian arsenals. As of 2018, each country is limited to the deployment of 1,550 strategic nuclear weapons, still far more than enough to destroy most humans and other complex forms of life on the planet.
The non-nuclear countries of the world are clearly behind the cause of the disarmament. In July 2017, the United Nations adopted the Treaty on the Prohibition of Nuclear Weapons (TPNW), the result of a partnership between the International Campaign to Abolish Nuclear Weapons (ICAN), a coalition of civil society organizations, and most non-nuclear weapon states. They joined forces to assert that nuclear war would be a dead end for humanity, with a total ban on nuclear weapons the only way out. But the nuclear states have vowed never to sign it, giving it moral but no practical force.
If we want to break new ground, and achieve a livable world, then something needs to change.

Whither the Disarmament Movement?

The nuclear disarmament movement reached its apex in the early 1980s, when the arms race looked bleakest. In 1982, more than a million people took to the streets in New York to demand that the number of nuclear weapons be frozen and further deployment cease. Perhaps the protest was so large because it asked for so little: a freeze, rather than deep reductions. Still, the movement succeeded in spreading public awareness and concern about the dangers. Once the Cold War ended, though, interest in nuclear disarmament issues rapidly faded.
"We must use our imaginations to envision the horror of nuclear catastrophe, but it is very difficult to sustain such fear in the public mind year after year, decade after decade, in the absence of nuclear war."
Various factors have contributed to this decline in enthusiasm. First and foremost is ignorance. The awesome destructiveness of nuclear weapons lacks tangibility since they are largely kept out of the public sight and mind. As a result, many in nuclear-armed countries see them as a positive source of prestige and necessity for security. Nuclear countries boast of technological achievement and belonging to an exclusive “club”—even though possessing nuclear weapons makes countries more likely to be nuclear targets themselves.
Beyond ignorance and its cousin pride, another source of apathy is a sense of fatigue. We must use our imaginations to envision the horror of nuclear catastrophe, but it is very difficult to sustain such fear in the public mind year after year, decade after decade, in the absence of nuclear war. The world has come close on many occasions, but malice, madness, or mistake has not yet triggered the use of nuclear weapons in war since World War II. Nonetheless, it is essential that we keep shouting warnings despite accusations of being “the boy who cried wolf.” Only by sounding the alarm can we build a movement with sufficient power to abolish nuclear weapons once and for all.
Even when people understand the dangers of nuclear weapons, however, they may still be paralyzed by a perceived lack of power to bring about change. With decision-making power on nuclear policy highly centralized, individuals lack influence—unless they become politically active in large numbers. Ironically, the perception of impotence becomes a self-fulfilling prophecy that impedes movement-building and effective change.
The only way to change direction is to build a strong popular movement, in the nuclear-armed countries and throughout the world, to delegitimize nuclear weapons, support the Treaty on the Prohibition on Nuclear Weapons, and oppose reliance on nuclear arsenals. Political pressure from below is our best hope for getting governments of the nuclear states to join the rest of the world in prohibiting the possession, use, and threat of use of nuclear arms.

Toward Systemic Change

Nuclear weapons stand as the quintessential shared risk, posing a danger to the whole of humanity. The problem cannot be solved by any one nation alone. Nuclear abolition requires collective global action—a deep shift in values and institutions lest the forces that created the nuclear age continue to prevail.
Just as no nation can succeed on its own, in our interdependent world, no movement seeking fundamental change can truly succeed on its own. However, movements are too often isolated in different issue silos, competing for support and scarce resources. This fragmentation erodes unity and long-term impact. The nuclear abolition movement must join with other movements seeking systemic global change.
Synergy is most promising between the nuclear abolition movement and the wider peace movement, the environmental movement, and the economic justice movement. Each of these movements demands a global sensibility and global action. And each calls into question the governing assumptions of society that have led us down an unsustainable path.
"Armageddon is a frightening thought, but as long as these 'doomsday machines' exist, to use Daniel Ellsberg’s term, it remains a possibility."
The most obvious opportunity for cross-movement collaboration is with the peace movement. Any war involving nuclear-armed states or their allies could lead to the use of nuclear weapons. Peace activists, of course, have often been on the frontlines protesting the expansion of nuclear arsenals. However, the peace movement in the US and globally appears to be exhausted after the long wars in Afghanistan, Iraq, and elsewhere in the Middle East that have dragged on for more than a decade.
Still, there are bright spots. New approaches to peace literacy are sprouting up.[i]Veterans groups, such as Veterans for Peace (VFP), have helped to reinvigorate the peace movement. Through their first-hand experience with warfare, the veterans bring a unique perspective, legitimacy, and energy to the quest for peace, and have demonstrated a willingness to take on the issue of nuclear abolition as well. VFP has resurrected the Golden Rule, a ship that first sailed in the 1950s to protest atmospheric nuclear weapons testing in the Pacific. Now, she sails again in support of nuclear abolition and to display the bravery and tenacity that can overcome militarism. VFP also supports such disarmament projects as the lawsuits filed by the Marshall Islands in 2014 at the International Court of Justice against the nine nuclear-armed countries.[ii]  The British Nuclear Test Veterans Association and other groups work to support veterans who have suffered radiation exposure from nuclear tests.
The environmental movement offers another potential partner for cross-movement collaboration. Nuclear abolition has not been high on the priority list of the environmental movement. At least in the US, the movement has been preoccupied with defensive battles against an administration intent on rolling back environmental protection. Even before, it focused on tangible and immediately pressing battles while tackling such planetary-scale threats as ozone depletion and climate change.
Environmentalists have, however, sounded the alarm on the deleterious impacts of so-called “peaceful” nuclear power, particularly in the aftermath of the accidents at Three Mile Island in the US, Chernobyl in the former Soviet Union, and Fukushima in Japan. But this is just one facet of the threat nuclear technology poses to a livable planet. Without total abolition, every aspect of the Earth’s living systems, as well as life itself, remains at risk, while building and maintaining these tools of total war are a drag on efforts to transition toward a sustainable economy. As nuclear energy always contains within it the possibility of nuclear proliferation, advocates of nuclear abolition must likewise get behind the fight for a renewables-driven clean economy that would render such technology unnecessary.
The economic justice movement is a third promising ally of the nuclear abolition movement. Nuclear weapons systems have consumed vast public resources since the onset of the nuclear age. The US alone has spent more than $7.5 trillion on its nuclear arsenal, and plans to spend $1.7 trillion more over the next three decades to modernize it. World nuclear weapons expenditures exceed $1 trillion per decade, with the US accounting for over sixty percent of the total with Russia accounting for 14 percent and China 7 percent. These resources could be far better used to provide food, clean water, shelter, health care, and education to those in need. This diversion of resources is a double whammy: we underspend on human and ecological well-being while intensifying the threat of a nuclear catastrophe.
The militarization of the economy and centralization of power, for which nuclear weapons have been both cause and effect, are incompatible with egalitarian national economic systems. Internationally, as long as nuclear weapons give a handful of countries outsize power on the global stage, especially the ability to make credible threats, the shift toward a more democratic global economic system will be impossible.
For all these reasons, nuclear abolition serves the cause of economic justice. And it is equally true that those of us who care about the nuclear threat need to advocate for greater justice. Economic inequality within and between nations fosters polarization, migration pressure, and geopolitical conflict, thereby raising the risk of (nuclear) war. Thus the peace movement has powerful incentives to ally with social justice movements.
Peace, a healthy environment, and economic justice will remain elusive in a nuclear world. A cooperative movement of movements would enhance the capacity of each constituent to achieve its own goals, while fostering the cross-movement solidarity that can bring a Great Transition future. With the alarms sounding, the time has come to act together with a sense of urgency.

Armageddon or Transformation?

At the onset of the nuclear age, Einstein reflected, “The unleashed power of the atom has changed everything save our modes of thinking, and we thus drift toward unparalleled catastrophe.” The splitting of the atom made new modes of thinking not only desirable but necessary. Nuclear weapons threaten the future of civilization and the human species. We can no longer think in old ways, solving differences among countries by means of warfare. Instead of absolute allegiance to a sovereign state, we must think holistically and globally. In light of the omnicide that our technologies have made possible, we must elevate our moral and spiritual awareness to forge a movement global and systemic enough to meet the challenges ahead.
Armageddon is a frightening thought, but as long as these “doomsday machines” exist, to use Daniel Ellsberg’s term, it remains a possibility. The only realistic alternative to Armageddon is transformation, both of individual and collective consciousness: an “anti-nuclear revolution,” to quote activist Helen Caldicott. This requires nothing less than changing the course of history; we are compelled to transform our world or to face Armageddon.
Change ultimately begins with individuals. Movements are composed of committed individuals, some of whom step forward as leaders. The task is to awaken to the urgency of the threat and mobilize. The nuclear age and the Great Transition call upon us, before it is too late, to wake up.
The following excerpt was adapted from the essay "Nuclear Abolition: The Road from Armageddon to Transformation" published by the Great Transition Initiative at https://greattransition.org/. 
David Krieger is president of the Nuclear Age Peace Foundation(www.wagingpeace.org), an organization that has worked since 1982 to educate and advocate for a world free of nuclear weapons.  

--
"Not one step back"

Cole Harrison
Executive Director
Massachusetts Peace Action - the Commonwealth's largest grassroots peace organization
11 Garden St., Cambridge, MA 02138
617-354-2169 w
617-466-9274 m
Twitter: masspeaceaction


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