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More on Homeless Veterans and Corruption, Cont.

Pills and boozeWe left off with how the Veterans Administration dragged its feet — in the face of scientific evidence, dire need, and special legislation — on the issue of damage done to U.S. Military personnel by Agent Orange. If thousands of disability claims had to be honored, the health care costs would be enormous. Subsequent to Senator Daschle’s exposure of fraud in the investigation, such groups as the Vietnam Veterans of America and the American Legion accused the government of a massive coverup.

In 1990, the House Government Operations Committee released a report charging that the Reagan administration had purposely controlled and obstructed the Agent Orange study three years earlier. According to the U.S. Veteran Dispatch:

The White House compromised the independence of the CDC [Centers for Disease Control] and undermined the study by controlling crucial decisions and guiding the course of research at the same time it had secretly taken a legal position to resist demands to compensate victims of Agent Orange exposure…

To veterans with non-Hodgkin’s lymphoma, or their surviving dependents, the VA was ordered to pay compensation. This financial liability is on the U.S. taxpayers, rather than the war profiteers who made the defoliant. And even if the government had admitted to using the wrong sort of chemical, or to not using it in accordance with the manufacturer’s recommendations, so what? The only money the government has comes from the taxpayers, who would still end up footing the bill.

An interesting question

Between the end of the Vietnam war in 1975, and the 2010 “automatic funding” of Agent Orange claims, 35 years elapsed. During those years, how many homeless veterans were created or affected by illnesses that Agent Orange caused? With a sickness they couldn’t get treatment for, how many tried to cope on their own with pain and stress, and developed addictions? Impossible to know, but any number would be too many.

And, speaking of addiction, before judging a homeless vet for being a junkie, we might take a minute to think about how the monkey got onto that person’s back, and who put it there. Earlier this year, a very disturbing piece of investigative journalism by Richard A. Friedman appeared in The New York Times. He says frontline troops in Iraq and Afghanistan were fed generous amounts of “sedatives, stimulants and mood stabilizers.” He points out that, although combat troop levels in those places were reduced since 2008, the years from 2005 to 2011 saw a nearly 700% increase in pharmaceutical prescriptions.

In other words, for every service member in a combat zone who was given psychoactive drugs in, say, 2006, more than six times as many were on these meds in, say, 2010. In addition to the aforementioned categories, the pills include plenty of antipsychotics, which are the treatment of choice for Post-Traumatic Stress Disorder, even though knowledgeable experts are not convinced of their effectiveness against that condition. But the military prescribes these substances to service members, not only post-trauma, but literally in the midst of the trauma, i.e., in combat. Friedman writes:

We have no idea whether it’s effective — or safe — to use antipsychotic drugs on a continuing basis to treat war-related stress or to numb or sedate those affected by it.

As if that weren’t bad enough, one of the possible side effects is tardive dyskinesia, which is not a disease in itself, but a movement disorder with many possible causes. Alan Wilson worked as a laborer for 25 years, and his doctor believes he got tardive dyskinesia from a flu shot. His daughter’s “About” narrative and updates are horrifying, and Ashley Wilson makes the point that if she had not been there to take him in, her father would now be homeless.

What, you may ask, is our point? Here it is: An excellent reason for familiarizing oneself with tardive dyskinesia is to stretch the compassion muscle. On the street or at the soup kitchen, that weirdly behaving person might not be a shiftless drunk or a burned-out crackhead. He or she might be a regular American with a solid work history, who was struck by a terrifying medical crisis. He or she might be a veteran who was overdosed with anti-psychotic meds. Just a thought.

Source: “The Story of Agent Orange,” November 1990
Source: “Wars on Drugs,” The New York Times, 04/06/13
Source: “Alan Wilson — Tardive Dyskinesia,” YouTube.com, 09/22/09
Image by Thunderchild7.

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More on Homeless Veterans and Corruption

The Vietnam Veterans MemorialWith several posts already covering corruption as it impacts homeless veterans,  wouldn’t you think the subject would be exhausted? Apparently not. Let’s recap and then catch up.

In 1962, in Southeast Asia, the U.S. Military implemented Operation Ranch Hand, which sprayed herbicides to defoliate the area so there would be fewer places for the enemy to hide. Nobody even knows how much herbicide was involved. For Agent Orange alone, somewhere between 12 and 20 million gallons is the best guess.

Damaged veterans who tried to sue Monsanto were out of luck, partly because the company claimed that the military used the defoliant in Vietnam at “six to 25 times the rate suggested by the manufacturer,” so it wasn’t their fault. The military claimed it didn’t know how damaging the chemicals would be, either to the people of Vietnam whose hearts and minds they were supposedly trying to win, or to the American servicemen and servicewomen deployed there, and nothing can lessen the infamy of that untruth.

This information comes from a very long and detailed report published by the U.S. Veteran Dispatch, which says:

There are strong indications that not only were military officials aware as early as 1967 of the limited effectiveness of chemical defoliation, they knew of potential long-term health risks of frequent spraying and sought to keep that information from the public by managing news reports.

What’s the point of all this history? Tonight, there are Vietnam veterans in alleys and shelter beds who never were able to hold a job or pull themselves together, because of health conditions resulting from Agent Orange exposure for which they were unable to get any help.

Task force

In 1979 the National Veterans Task Force on Agent Orange was created, and charged with discovering just how many vets had been exposed. The Centers for Disease Control spent $43 million tax dollars on that project and ended up with results that the Institute of Medicine characterized as either “monumentally bungled” or “politically rigged.” All along, the occasional veteran had tried to sue the government for medical problems resulting from Agent Orange, but they were always blocked by something called the Feres Doctrine, which basically says no one can sue the government for anything that happens to them in the service.

In 1984, a new law required the Veterans Administration to get to work on establishing compensation standards for both soft tissue sarcoma (frequently associated with Agent Orange exposure) and atomic radiation damage. The VA did not, as the saying goes, get the memo. The agency that was created to help veterans continued to turn a blind eye and a deaf ear to Agent Orange exposure claims.

Admiral Elmo Zumwalt, Jr. was among the officers whose direct orders had caused Agent Orange to be sprayed. His son, also a Vietnam veteran, became fatally ill with Hodgkin’s disease and lymphoma and Zumwalt got on the case. He said the government “intentionally manipulated or withheld compelling information on the adverse health effects.” When this grieving, high-ranking father charged the government with denying justice to veterans, things began to happen.

Authority speaks

Military scientist Dr. James Clary was one of the team that initially green-lighted Agent Orange. These lines are from a letter he wrote in 1988 to answer congressional questions:

We were aware of the potential for damage due to dioxin contamination in the herbicide. We were even aware that the ‘military’ formulation had a higher dioxin concentration than the ‘civilian’ version… However, because the material was to be used on the ‘enemy,’ none of us were overly concerned. We never considered a scenario in which our own personnel would become contaminated with the herbicide.

Wait, what? Hel-lo! Duh! And every other colloquial expression of utter dumbfoundment. Say that again? How could they not have noticed that the grunts — tens of thousands of them — were crawling around down on the ground, just like the Viet Cong? Here is what else Dr. Clary said:

And, if we had, we would have expected our own government to give assistance to veterans so contaminated.

Hah! Might as well expect assistance from the Tooth Fairy or a genie in a bottle. And then along came Tom Daschle, a senator from South Dakota, who cast all kinds of aspersions on the 1984 report about Operation Ranch Hand and the birth defects afflicting the children of service members who had encountered Agent Orange. An earlier version of the document showed certain results, but then there was monkey business, and Sen. Daschle said:

The Air Force deleted these findings from the final report at the suggestion of a Ranch Hand Advisory Committee set up by the White House Agent Orange Working Group.

Plus, there were two different versions of the minutes of the meeting in which that pressure was applied. Daschle called foul. The U.S. Veteran Dispatch says:

Part of the fraud appears to have been perpetrated by the Monsanto Corp., which produces a number of chemicals containing dioxin. Monsanto knowingly rigged test results of employees who had been exposed to dioxin to make the effects of it appear far less than it actually was… This type of fraud appears to have been perpetrated regularly in connection with Agent Orange research…

(To be continued…)

Reactions?

Source: “The Story of Agent Orange,” November 1990
Image by Ben Schumin.

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The Year in Homeless Veteran Housing, Part 3

Homeless Vet @ Ferry BuildingLet’s see, where did we leave off? With the Veterans Administration finally fixing up some derelict buildings on bitterly-contested land in the middle of Los Angeles. Elsewhere in the sprawling metropolis, an apartment complex is under construction, meant to house chronically homeless disabled vets age 62 and over.

This is happening in Boyle Heights, a heavily ethnic and very low-income area bordered by Chinatown, Downtown, and East LA. Astonishingly, the neighborhood contains “opponents of affordable housing” who stalled the project in the typical ways and for the typical reasons.

Gloria Angelina Castillo described the objectors’ point of view:

They oppose such projects because they do not give priority to local residents and because they exclude undocumented immigrants in the mostly Latino community, while bringing in the homeless from other parts of the city. They in turn draw their homeless associates to loiter in the area. Residents worry that the chronically homeless suffer from mental illness…

We’re only talking about 32 one-bedroom units, and tenants probably too tired and broken to get up to much mischief, or even to entertain much company. Besides, there will be support, such as on-site case management and mental health services. The two main groups involved are the East LA Community Corporation (ELACC) and New Directions for Veterans, Inc., with additional help from the LA County Department of Military Affairs, Department of Veteran Affairs, the East L YMCA, and Behavioral Health Services.

The intentions are honorable, but this is not quite yet a success story, because the facility is expected to be complete in a year, and who knows what could happen between now and then. As this is being written, the government is in paralysis, and quite a few projects and people are suffering already.

As House the Homeless has mentioned before, a homeless woman veteran can be a special problematic case. For instance, one or more dependent children may be experiencing homelessness along with her. But there are other, less obvious reasons. Reporter Susan Abram learned from Michelle Wildy of the VA Greater Los Angeles Healthcare System:

Many women, when we initially outreach to them, may not even identify themselves as veterans. They still think of that stereotype of a man coming back from war.

There are also vets of both sexes who assume that to be eligible for any benefits at all, they would have to be a “lifer” with a 20-year career behind them. Wildy is part of an outreach team that spends time in Hollywood and the beach communities of Venice and Santa Monica looking for female veterans in danger of being left behind, who need to know they have earned the same care and benefits as men. A typical team consists of a social worker, a psychiatrist, a nurse practitioner, and a formerly homeless veteran.

The formation of such teams was spurred by the realization that the greater Los Angeles area contained around 1,000 homeless women vets. Since their inception, 3,000 homeless veterans have been housed, of whom 10% were women, which means roughly 300 out of the identified 1,000. Of the national scene, Abram says:

With some federal funds from the Obama administration’s ‘Opening Doors’ initiative, the HUD-Veterans Affairs Supportive Housing (HUD-VASH) Program has given projects like Wildy’s a boost in finding housing and assistance to homeless veterans.

This year, the HUD-VASH program received $75 million in federal funding to continue to offer rental assistance from HUD with case management and clinical services provided by the VA.

In all, 58,140 vouchers have been awarded since 2008 and 43,371 formerly homeless veterans are in homes of their own across the country because of HUD-VASH, federal officials have said.

Last month, a Los Angeles Daily News editorial brought up what they call a “national embarrassment”and characterize as the government’s ineffectiveness in the face of such extensive veteran homelessness. It’s not so much a general criticism as a problem with one particular matter. The newspaper wants the governor, Jerry Brown, to sign something called AB 639. The result would be an opportunity in the upcoming June 2014 elections for voters to signify approval of redirecting and repurposing $600 million in funds that are just sitting around doing nothing.

From where did this money come? According to LA Daily News:

In 2008, California voters passed a $900 million bond for veterans’ home loans. Those funds, administered by the state’s Veterans Affairs Department, have gone practically untouched because would-be veteran homeowners picked up loans with better interest rates on the open market. Meantime, nearly half of $500 million from a similar 2000 voter-approved bond measure is still unspent. That’s more than a billion dollars meant to help homeless vets but sitting idle.

Never mind reserving it for mortgages, let’s use it to build or create or find housing for homeless veterans who need places to live right now, along with health services and job services — supportive care — to help them get back on their feet. This is what the authors of the piece want. To bolster their argument, they reference:

[…] a report by the Economic Roundtable and the Los Angeles Homeless Services Authority that estimates a homeless person living in a place where they can access supportive services costs the public 79 percent less than they do on the streets.

Okay, ready for some good news? Jaime Henry-White has some from Atlanta, Georgia, a city that appears to have figured out a few things, inspired by the federal “Opening Doors” initiative. The most recent survey counted some 6,000 people experiencing homelessness in metro Atalanta, and since the state ranked second in homeless veterans, an program that helps the homeless will include a lot of vets.

Better yet, the city’s “Unsheltered No More” program is also on board with the “housing first” concept. Check this out:

The city is well on its way to meeting its goal of finding homes for 800 people this year, with already more than 700 in homes… Atlanta housed more homeless veterans than any other city participating in the nationwide challenge while also speeding up placement process by one-third… The U.S. Department of Housing and Urban Development-Veterans Affairs Supportive Housing voucher program provides rental assistance, case management and clinical services for homeless veterans through the departments and community-based outreach… Recent analysis from Atlanta’s local housing authority found that veterans permanently housed through the HUD-VASH voucher program had an average retention rate of 95 percent.

Way to go, Atlanta! May you continue to excel, and may other cities benefit from your fine example!

Reactions?

Source: “Chronically Homeless Vets to Get Homes in Boyle Heights,” EGPNews, 10/03/13
Source: “LA program targets homeless women vets,” LA Daily News, 09/29/13
Source: “A billion in unspent aid isn’t helping homeless vets: Editorial,” LA Daily News, 09/24/13
Source: “Atlanta logs dramatic turnaround in homelessness,” TwinCities.com, 09/29/13
Image by Vera Yu and David Lee.

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The Year in Homeless Veteran Housing, Part 2

The Year in Homeless Veteran Housing, Part 2

The Department of Veterans Affairs aims to end veteran homelessness by 2015, and one of the tools to do this job is the voucher system administered by the Veterans Affairs Supporting Housing Program (VASH) and Housing and Urban Development (HUD). California journalist Debra Gruszecki writes:

Riverside County Supervisors Jeff Stone and John Tavaglione challenged housing staff though a ‘Valor Initiative’ to find permanent homes for 135 veterans within 100 days… ‘We ended up housing 140,’ said Carrie Harmon, a specialist with the Housing Authority of Riverside County… Within the pool of 140 veterans, 110 are in apartments or single-family homes. The rest are in permanent supportive housing centers.

In and around Los Angeles, landlords are collecting $4.2 million per year in rental subsidies. The tenants themselves pay reduced amounts. For instance, a Navy vet featured in Gruszecki’s story is only liable for $286 of his own rent per month. A military aircraft mechanic, he had intended to make a career of it, but suffered a knee injury and combat PTSD during a tour of duty in Iraq.

Back in the States, he lost the woman he had been in a relationship with, and was prevented from contacting his kids. He met up with street drugs, and lost the car he had been living in. After attaining sobriety and maintaining it for seven months, he was chosen by the program for housing and help with the rent.

But it’s not just about money. Gruszecki says the program is:

[…] in partnership with agencies that include US Vets, Roy’s Desert Resource Center, Jewish Family Services, Coachella Valley Rescue Mission, Department of Mental Health, Valley Restart Center, Lighthouse Social Service Centers and the Southern California Veterans Alliance…

One result of this social-service backup system is that, in case of problems, a landlord has someone besides a possibly unstable tenant to deal with.

For better or worse, California is a thought leader. Things start there and spread. What happens in California is important because it’s huge, with around 16,500 homeless veterans, about half of them in the southern part of the state where Los Angeles is. Over the years there has been fierce debate over the land and facilities in the middle of LA, that are supposed to belong to America’s veterans.

One of the contested issues has been the fate of some 60-year-old buildings belonging to the Sepulveda Ambulatory Care Center, that were damaged in a 1994 earthquake and closed down. Christina Villacorte writes:

Over the last decade, several community organizations, neighborhood councils, and government officials opposed the project, including Rep. Brad Sherman, D-Sherman Oaks, because developers did not initially plan to offer the units exclusively to homeless veterans, and were also open to having tenants that were not yet clean or sober…

The 400-square-foot units are designated for veterans who had lived on the streets and tried to deal with post-traumatic stress disorder and other injuries by abusing drugs or alcohol, but have since embraced sobriety.

So the “housing first” principle lost out in this project. Anyway, the properties have been rehabilitated by the nonprofit housing developer A Community of Friends and another nonprofit, New Directions for Veterans. The complex, which opened a few weeks ago, is described as a “permanent supportive housing facility for formerly homeless, disabled and low-income military veterans.” Residents pay no more than 30% of their income, or up to $435 monthly, and the tax funds allotted to veterans take care of the rest.

The development includes 147 studio apartments, each of which cost $320,000 to create. It seems like a lot of money for 400 square feet, which is, like, 20′ by 20′. Many homes in Los Angeles have closets bigger than that. Of course there are also common areas, the price of which must be averaged in, but it still seems like quite a price tag. There are places where $320,000 could buy a decent house with a yard and garage. Maybe the necessity for earthquake-proofing explains the extraordinary cost per unit.

(To be continued…)

Reactions?

Source: “Homeless Veterans: 140 housed in 100 days,” pe.com, 09/25/13
Source: “Once homeless vets now have a place to call their own,” DailyNews.com, 09/27/13
Image by Boston Public Library.

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The Year in Homeless Veteran Housing

vacant housesIn April, the Associated Press reported that Operation Stand Down Rhode Island opened six service-enriched homes for veterans. In May, Fran Daniel reported on the plans in Winston-Salem, North Carolina, to rehabilitate a set of apartments, mostly for military veterans. In Forsyth County, there was already a 24-bed transitional housing program that allowed up to two years residency for homeless vets working to get back on their feet.

The apartment remodeling project represented a branching-out on the part of Whole Man Ministries, which maintained a church, a food bank, a clothing bank, a computer lab, an after-school program for kids, and a mentoring programs for prisoners, but had never before attempted to house the homeless. The organization bought two duplexes that had been scheduled for demolition and began fixing them up to create four apartments, one equipped for handicap access.

Help was solicited from local carpenters, plumbers, and businesses. The city’s director of community and business development, Ritchie Brooks, voiced to the press concerns felt by many local residents:

Generally if you can get volunteers and have some good supervision or a good contractor, you can make it through the rehab pretty successfully. But after that rehab, it’s the management portion that would still be of a concern — being able to adequately do that so that it’s not going to be a burden or have some negative impact on the community.

In June, Habitat for Humanity began an initiative called Veterans Build and took over the National Mall in the nation’s capital to build seven house frames which would later be moved to local sites and finished. The same week, C. Andrew McCawley, CEO of Boston’s New England Center for Homeless Veterans, wrote for publication about his own state, which contained an estimated 1,200 homeless vets at any give time, and the national scene:

The country is now more than halfway into a dedicated five-year campaign to end veterans’ homelessness, and a 20 percent reduction has been achieved nationwide, with select states, such as Massachusetts, demonstrating even greater progress. The state’s plan is a comprehensive strategy and course of action with the explicit goal of ending veterans’ homelessness in Massachusetts by the end of 2015.

Massachusetts has broken its goal down into four main areas:

Implement a housing strategy to re-house and stabilize veterans who become homeless
Ensure veterans who are most at risk of homelessness remain housed to prevent homelessness
Increase access to benefits and resources for veterans through greater intervention
Align and integrate federal, state, and community resources to support veterans through effective partnerships.

In the same month, news came from Florida that the Lee County Homeless Coalition got together with other agencies to do something about chronically homeless veterans, in other words, the individuals who had been on the streets for the longest time, chalking up bills in emergency rooms because of their medical conditions including addiction. First, the needlessly complicated local housing voucher system was streamlined. But here is the important part:

Coalition members are referring all veteran clients to Veteran Affairs outreach. Permanent housing options are being identified using a Housing First approach centered on providing people experiencing homelessness with housing as quickly as possible, then providing services as needed.

Housing First a winning idea

In city after city, the idea is slowly catching on that plenty of taxpayer money can be saved by identifying the most needy and service-intensive people and getting them help. With “housing first,” expenses are markedly reduced, and there is more money left over to distribute among other housing efforts.

Perhaps the most egregious example was seen in Fresno, California, where a man died in January who had called for an ambulance on a daily or sometimes twice-daily basis for almost a year, accruing hundreds of thousands of dollars worth of charges. If he had been placed in services-enriched housing, the taxpayers and the hospital would both be in better financial shape.

The “housing first” principle was illustrated to the citizens of Saskatoon, in Canada’s Saskatchewan Province, where a study concentrating on 23 chronically homeless individuals showed that their care was costing $2.8 million per year, divided between emergency room visits, psychiatric hospital visits, ambulance trips, overnight detox visits, and jail stays. Knowledge that $2 million could be saved by providing services-enriched housing for just this small number inspired United Way to turn its efforts in the “housing first” direction.

(To be continued…)

Reactions?

Source: “Local nonprofit organization to rehab apartments for homeless veterans,” Winston-Salem Journal, 05/12/13
Source: “Habitat for Humanity building homes for homeless vets on National Mall,” MyFoxDC.com, 06/02/13
Source: “Ending homelessness for veterans,” Boston.com, 06/03/13
Source: “Help for homeless veterans : 50 homes in 100 days,” WinkNews.com, 06/12/13
Source: “Housing 23 homeless saves taxpayers $2M,” TheStarPhoenix.com, 06/14/13
Image by unknown.