First, I must apologize for being "late" on this, but, was up North when we watched this particular show. Plan was to come home, then share what I know with everyone, as well as comment on items either not included due to time, or, were simply "missed". Arriving home, we found our computer decided to not work. Yes, I'm on a borrowed system until I get back up.
Some of what I will say is based on assumption as not enough details. Other will be based on my personal experiences with the VA since 1970. For space purposes the comments will be shortened.
My first experience wth the VA in 1970 was not a happy one. I ended up getting so angry I walked away, only contacting them for my education. I later found out (1993) about being reevaluated, which, now has me, after a total of 15 years rated at 100% Service Connected. To add, I have been on appeal since 1997 on one specific item which will be discussed later. Finally, after VA "baloney", I have my second "Traveling Board" with a Judge on January 29 in San Diego. I'm giving a quick history so as to show that if I had known then what I know now, most of this would have been resolved years ago. In 1997 I was told my best bet was to go see a represenative from one of the Veteran's Service Organizations, such as the DAV, AMVETS, VFW, and the MOPH. I wish I had known of them sooner.
All the veteran has to do is go to their nearest Regional Office or Hospital. On the ground floor, they will find offices for each of the organizations. Just walk in, or, if posted, sign in and have a seat. All you need is a copy of your DD214 and any medical records you may have. If the veteran was medically discharged or retired out, they will have some of that info in their own files. These papers I'm referring to are from the Physical Evaluation Board and include the findings used to determine if the veteran is or is not fit for duty. In short, just take all that was given on date of release. Other medical records will be sent to St. Louis, MO where they will be retained. This does not happen overnight, so, it is best to file your claim ASAP, in hopes the records are caught prior to be shipped out from where the veteran was treated. To include, if while you were recovering in the Hospital, and represenatative from the VA had you fill out a claim, let the service officer know. This service is free and there is no obligation to join the organization. They will ask for the veteran to sign a Power of Attorney to act on your behalf. They will file the claim for you. You do nothing more, but wait. Just as the veteran will receive occasional letters, the service officer will receive same. Upon receipt of a decision, and it is felt to not be proper, contact the officer to file the appeal. All paperwork is included in the letters.
The two biggest problems with the VA are one, that the "book" they use to determine extent of disability is so far outdated, a reasonable person cannot for the life of them even begin to understand how they arrive at their decisions. The second is that it takes time and money to train a person to do this work. As an example, there is no section for the Pelvic Area. It is included in the Back section as it is connected to the back. An example is my Pelvis was broken very bad in that it did not heal properly and does cause me problems today. For years, the VA kept denying me a rating, though the damage was recognized. Finally, just a few years ago, a man who was retiring from the VA that very day, found a way to compensate me. That closed part of my appeals. I do have to say that they are limited in how they do this, but, it goes right back to what I said before in that the book is outdated.
Here, I want to commend Dr. Phil for bringing those Doctors in who are going to repair the damage to the eye. I am assuming by what I remember being said that the VA said they would not help on this. I do not understand why. Usually, if the injuries were of the face. there is no question and the proper repair is performed. For this, I can only wonder if the facility where he went was not properly staffed and the intent was to find a facility who could. I don't know. I would like to hear the whole reasons so as to try ad understand this. Most always, the VA Hospitals have proper staff to cover most everything, and, if lacking, they outsource to the nearest facility, whether VA, military, or civilian. I use the Loma Linda VA and received treatment at another local Surgery Clinic. LLVAMC did not have a surgeon at the time for this procedure. I was not alone as there were several. Many VA Hospitals have some Doctor's or even PA's on staff, with other Doctor's on contract, who come in once a week. This is found at the Reno, NV VAMC. All Specialist Doctor's (Ortho, Cardio, Neuro) have their own offices in town, but, once a week, they hold a clinic. LLVAMC is part of the "circle" for Interns. Here, in the Special Clinics, an Intern handles the visit, leaves, comes back with the Staff Doctor to complete visit. Also, each facility has a "Patient's Advocate" who will assist you if you have a problem. Again, I would have to know the whole story. Yes, I had problems, but, was able to get them resolved.
The same applies to the comment by the mother as to the military lying. I don't know the whole story. Who said what? Did they go higher up the chain to get answers, or, did they just walk away?
As to the "satelite" facilites, I do not use them personally as it takes forever to get in, but, most important, it is only for your primary care, no special care, such as Ortho. So I just keep all my records in one place. I am not alone in this as there are several others who do the same.
Regarding mental problems. I find it hard to believe that a VA facility turned away a veteran who claimed to be suicidal. In every facility I've visited, if a veteran shows signs, or claims to be, is automatically placed in a seperate room of the ER until a bed is found in the Mental Ward. The veteran is kept until they consider them "safe". Most times they will have one of the VA Police stand guard at the door to protect both the veteran and anyone nearby.
Regarding PTSD, I have this to say. In other eras, it was called, "Shell Shock" and "Battle Fatigue", as well as other names. No matter what you call it, it is a form of Menatal Stress. Mental Stress is known to contribute or be secondary to many problems, includng artery and heart disease. This is where the VA has their biggest problem. The "book" I mentioned earlier does not have this in it's content. Even though they know (they're conducting their own tests also) that many different "Facilities" have been researching and finding the relationships as I mention, the VA still refuses to award any disability ratings for the sole reason that is is not listed in the book, so, they do not have to do anything. For this reason, the only way for a veteran to get a rating for a secondary or contributing cause, they must have a letter from their Cardiologist clearly stating "likely as likely not" to be either. Until the veteran can show this, they must remain appealing their claims, or walk away. I say this as this is exactly what my appeal being heard the end of this month is all about. My Cardiologist (Dept Head of LLVAMC) wrote a letter that gives me the benefit of th doubt. Remember, I filed the original claim in December, 1997, after my heart attack the previous month.
I did not tell them I had PTSD, they told me. Too long a story to place here. In my own opinion, and, no, I am not a doctor, I strongly feel that this diagnosis is given way too easy. Don't misunderstand me, if you have stepped on a battlefield, you more than likely suffered a traumatic experience. Where my problem lies is all that is needed to support the claim is to show proof of being awarded the Combat Infantry Badge (Army) or Combat Action ribbon (USMC/USN). And, if awarded the Purple Heart, it is assured you will be awarded. You simply sit down with an Analyst or Doctor, tell your story, shed a few tears, and all is good. To me, there should be a stricter requirement in that what if the problem is something deeper or very minor. Is the PTSD diagnosis given incorrectly going to help the veteran get better or overcome their problem? This is my fear.
We all know that the VA submits a budget each year to operate. Yes, the numbers are padded and all know how the game is played. Either way, they still have only so much money to work on. And, when they lack funds, the veteran lacks services. For example, at LLVAMC, the only way to get "transitional"glasses is if the Doctor orders them with a specific prescription and good cause for dong so. The same aplies to medicines. Expensive are not available, or, only with a specific prescription. To supplement their income, the VA will ask the veteran if they have health insurance through their employer. They will bill and ask the amount remitted as payment in full, with no other charges to the veteran. True, other charges that are normally paid by the veteran do remain. BUT, here we have a problem that really bothers me. Some HMO's and PPO's will not pay the VA a dime. Written in their booklets will be verbiage along the line of "we will not pay for services that would otherwise be free". If the veteran does not have any insurance, treatment will not be denied. Here it should be understood that when a veteran first goes to a VA Hospital they need to take their DD214 with them as well as award letters to show their service connected disabilities. Based on this, veteran will know right then what their status is. For example, if they have co pays or not,
Lastly, everyone needs to know that away from the VA Offices and Hopitals are what are called Vet Centers. They are manned by analysts and counselors. The are also free and a DD214 is all that is necessary. They have PTSD groups as well as one on one available. While with the Reno Center, I was lucky to go on a trip across country with 20 other Vietnam Vets, and counselors, to the Vietnam Memorial in DC. We used AmTrak and was gone for 9 days. We even did a Documentary on this trip.
My intent of all I say here is that I want as many as can be possible to know what is out there. Much of this was not mentioned on the show. I can only assume it was due to time as Dr. Phil would never have a show "withhold" information. Right, Dr. Phil? At the same time, I do understand that there is not always sufficient time to gather all information and assistance that may be present.
I must add that one guest did raise my "dander". His constant negative was beyond ridiculous. Was not constructive in any way, and, only added more fuel to the fire and keep this country seperated. I did appreciate the Congressman coming there to listen. I only hope that he can read some of this. In fact, if Dr. Phil wants, just ask. I'll be glad to write a letter outlining what I know and can prove in writing. I have all of my papers from Day 1 to support what I say in how I was treated over the years.
If what I've said here can help a veteran and his family, I will be quite happy. Since I found out what I had missed and cost myself, I make it a priority when i meet other veterans to ask if they are getting all they deserve.
Again, my system is down for a while so I cannot be here every day to read. Do not hesitate to ask me a question as I will answer it to the best of my ability. I will add items I may have missed as I find them.