Robert L. Beckman, PhD 3816 18th Street North
CS
Published · 21 slides · 0 views
1 / 1
Description
Robert L. Beckman, PhD 3816 18th Street North Arlington, VA 22207 (703) 346-8432 healtreatnow.org www.treatnow.org Veteran Care and Military Challenges November 5, 2021 Each Inspector General (IG) is required by the Reports
Related Topics
Share
Embed code
Download this presentation From Below
"Robert L. Beckman, PhD 3816 18th Street North" is the property of its rightful owner. Permission is granted to download and print the materials on this website for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Presentation Transcript
01
Robert L. Beckman, PhD
3816 18th Street North
Arlington, VA 22207 (703) 346-8432
heal@treatnow.org www.treatnow.org "Veteran Care and Military Challenges”
November 5, 2021 “Each Inspector General (IG) is required by the Reports Consolidation Act of 2000 to prepare an annual statement summarizing what the IG considers to be the ‘most serious management and performance challenges facing the agency’ and to assess the agency’s progress in addressing those challenges. 1<br>
3816 18th Street North
Arlington, VA 22207 (703) 346-8432
heal@treatnow.org www.treatnow.org "Veteran Care and Military Challenges”
November 5, 2021 “Each Inspector General (IG) is required by the Reports Consolidation Act of 2000 to prepare an annual statement summarizing what the IG considers to be the ‘most serious management and performance challenges facing the agency’ and to assess the agency’s progress in addressing those challenges. 1<br>
02
For 2022, the DOD Budget provides total funding of $705.939 billion, an increase of $9.978 billion [14%] above 2021.
The U.S. Department of Veterans Affairs (VA)is requesting a total of $269.9 billion in fiscal year (FY) 2022, a 10 percent increase above fiscal 2021 enacted levels.
The National Brain-Wounded Veteran Brain Drain: Cost Benefit Analysis of Changing the DoD and VA Standard of Care for TBI and Suicide Prevention
Estimated TBI/PTSD Veterans: 877,450
Estimated Post 9/11 Veteran suicides: 109,500
Estimated Veteran opioid deaths: 109,206
Estimated cost of TBI/PTSD Veterans per year: $118.1 Billion
40-year cost to NOT treat brain wounds: $4.7 Trillion
One-time cost to treat 877,450 brain-wounded Veterans: $19.8 Billion
Net net: for 0.4%, all 877,450 Veterans can be treated DoD: 1.3+ million active duty service members, 750,000 civilian personnel,
and more than 811,000 National Guard and Reserves VA: 367,200 full time health care workers at 1,293 health care facilities, including 171 VA Medical Centers and 1,112 outpatient sites
VETERANS: 19M+
-only 49% use VA services Link to Report on TreatNOW: https://bit.ly/3uX6Jiw Link to Google Book site: bit.ly/3mzPHTv 2<br>
The U.S. Department of Veterans Affairs (VA)is requesting a total of $269.9 billion in fiscal year (FY) 2022, a 10 percent increase above fiscal 2021 enacted levels.
The National Brain-Wounded Veteran Brain Drain: Cost Benefit Analysis of Changing the DoD and VA Standard of Care for TBI and Suicide Prevention
Estimated TBI/PTSD Veterans: 877,450
Estimated Post 9/11 Veteran suicides: 109,500
Estimated Veteran opioid deaths: 109,206
Estimated cost of TBI/PTSD Veterans per year: $118.1 Billion
40-year cost to NOT treat brain wounds: $4.7 Trillion
One-time cost to treat 877,450 brain-wounded Veterans: $19.8 Billion
Net net: for 0.4%, all 877,450 Veterans can be treated DoD: 1.3+ million active duty service members, 750,000 civilian personnel,
and more than 811,000 National Guard and Reserves VA: 367,200 full time health care workers at 1,293 health care facilities, including 171 VA Medical Centers and 1,112 outpatient sites
VETERANS: 19M+
-only 49% use VA services Link to Report on TreatNOW: https://bit.ly/3uX6Jiw Link to Google Book site: bit.ly/3mzPHTv 2<br>
03
Global catastrophic risks
Mental health
Climate change
Biotechnology risk
Ecological collapse
Molecular nanotechnology
Nuclear holocaust
Pandemic
COVID-19 UN Global Issues
Africa
Ageing
AIDS
Atomic Energy
Big Data for Sustainable
Development
Children
Climate Change
Decolonization
Democracy
Ending Poverty
Food
Gender Equality
Health
Human Rights
International Law and Justice
Migration
Oceans and the Law of the Sea
Peace and Security
Population
Refugees
Water
Youth Global Environmental Issues
1) HABITAT AND BIODIVERSITY LOSS
2) OCEAN CONSERVATION
3) WATER SCARCITY
4) FOOD SECURITY
5) MAJOR GLOBAL HEALTH ISSUES
malnutrition
communicable diseases
improved education around proper sanitation
good nutritional education and preventing personal harm
emergency response resources
COVID-19 pandemic
mental health issues
Good Health and Well-Being
GLOBAL CHILD HEALTH AND PRIMARY EDUCATION
THE NEED FOR GENDER EQUALITY
EMPOWERMENT WORK IN AFRICA
upholding of international law and peace
assisting with the decolonisation of nations
ensuring the effective running of democracies
human rights
population growth
Climate change So, What Are We Up Against? 3<br>
Mental health
Climate change
Biotechnology risk
Ecological collapse
Molecular nanotechnology
Nuclear holocaust
Pandemic
COVID-19 UN Global Issues
Africa
Ageing
AIDS
Atomic Energy
Big Data for Sustainable
Development
Children
Climate Change
Decolonization
Democracy
Ending Poverty
Food
Gender Equality
Health
Human Rights
International Law and Justice
Migration
Oceans and the Law of the Sea
Peace and Security
Population
Refugees
Water
Youth Global Environmental Issues
1) HABITAT AND BIODIVERSITY LOSS
2) OCEAN CONSERVATION
3) WATER SCARCITY
4) FOOD SECURITY
5) MAJOR GLOBAL HEALTH ISSUES
malnutrition
communicable diseases
improved education around proper sanitation
good nutritional education and preventing personal harm
emergency response resources
COVID-19 pandemic
mental health issues
Good Health and Well-Being
GLOBAL CHILD HEALTH AND PRIMARY EDUCATION
THE NEED FOR GENDER EQUALITY
EMPOWERMENT WORK IN AFRICA
upholding of international law and peace
assisting with the decolonisation of nations
ensuring the effective running of democracies
human rights
population growth
Climate change So, What Are We Up Against? 3<br>
04
National Security Threat List
Terrorism e. Targeting the National Information Infrastructure
Espionage f. Targeting the U.S. Government
Proliferation g. Perception Management
Economic Espionage h. Foreign Intelligence Activities
Pandemic recovery
Debt planning
Rebalancing our over-militarized approach to the world
Handling China: COVID-19, trade war, South China Sea, Belt and Road
Harnessing allies
Global Health Security
Russia, Syria, North Korea, Iran, Venezuela, Saudi Arabia & Yemen, Israel
Domestic Extremism
Election Security
Cyberthreats
Forever War
Border Security
Climate Change
Corruption, Fake News, Distrust of Science/Government/Authorities/Professionals Summary of National Security Challenges Facing the DoD and U.S.<br>
Terrorism e. Targeting the National Information Infrastructure
Espionage f. Targeting the U.S. Government
Proliferation g. Perception Management
Economic Espionage h. Foreign Intelligence Activities
Pandemic recovery
Debt planning
Rebalancing our over-militarized approach to the world
Handling China: COVID-19, trade war, South China Sea, Belt and Road
Harnessing allies
Global Health Security
Russia, Syria, North Korea, Iran, Venezuela, Saudi Arabia & Yemen, Israel
Domestic Extremism
Election Security
Cyberthreats
Forever War
Border Security
Climate Change
Corruption, Fake News, Distrust of Science/Government/Authorities/Professionals Summary of National Security Challenges Facing the DoD and U.S.<br>
05
Maintaining the Advantage While Balancing Great Power Competition and Countering Global Terrorism
Building and Sustaining the DoD’s Technological Dominance
Strengthening Resiliency to Non‑Traditional Threats
Assuring Space Dominance, Nuclear Deterrence, and Ballistic Missile Defense
Enhancing Cyberspace Operations and Capabilities and Securing the DoD’s Information Systems, Network, and Data
Transforming Data Into a Strategic Asset
Strengthening and Securing the DoD Supply Chain and Defense Industrial Base
Improving Financial Management and Budgeting
Promoting Ethical Conduct and Decision Making
Ensuring Health and Safety of Military Personnel, Retirees, and Their Families
Pdf Version: https://bit.ly/2ZpO5nV Summary of Management and Performance Challenges Facing the DoD<br>
Building and Sustaining the DoD’s Technological Dominance
Strengthening Resiliency to Non‑Traditional Threats
Assuring Space Dominance, Nuclear Deterrence, and Ballistic Missile Defense
Enhancing Cyberspace Operations and Capabilities and Securing the DoD’s Information Systems, Network, and Data
Transforming Data Into a Strategic Asset
Strengthening and Securing the DoD Supply Chain and Defense Industrial Base
Improving Financial Management and Budgeting
Promoting Ethical Conduct and Decision Making
Ensuring Health and Safety of Military Personnel, Retirees, and Their Families
Pdf Version: https://bit.ly/2ZpO5nV Summary of Management and Performance Challenges Facing the DoD<br>
06
1. Maintaining the Advantage While Balancing Great Power Competition and Countering Global Terrorism Focus on enhancing interagency collaboration and rebuilding military capabilities that may have atrophied the past 20 years. SIGINT
COMINT
ELINT
HUMINT
MASINT
GEOINT
OSINT
TECHINT
CYBINT/DNINT
FININT
TRASHINT
RUMINT 6 Howard Gardner<br>
COMINT
ELINT
HUMINT
MASINT
GEOINT
OSINT
TECHINT
CYBINT/DNINT
FININT
TRASHINT
RUMINT 6 Howard Gardner<br>
07
2. Building and Sustaining the DoD’s Technological Dominance Emerging technologies, present both significant opportunities and challenges because each could revolutionize the conduct of war:
hypersonic weapons
microelectronics
artificial intelligence
5G communications
and biotechnologies The DoD must build and sustain a future of technological dominance for the United States by focusing on emerging technologies:
the development,
employment,
defeat, and
protection 7<br>
hypersonic weapons
microelectronics
artificial intelligence
5G communications
and biotechnologies The DoD must build and sustain a future of technological dominance for the United States by focusing on emerging technologies:
the development,
employment,
defeat, and
protection 7<br>
08
3. Strengthening Resiliency to
Non‑Traditional Threats The recent increase in non‑traditional threats has presented the DoD with new challenges as it continues to defend and secure the Nation Out of 79 installations reviewed in the continental United States, 53 are currently vulnerable to repeat flooding (see Table 1). Additionally, it stated that more than half of the 79 installations are at risk from drought and nearly half are vulnerable to wildfire. *pandemics
*changing climate
*extreme weather events 8<br>
Non‑Traditional Threats The recent increase in non‑traditional threats has presented the DoD with new challenges as it continues to defend and secure the Nation Out of 79 installations reviewed in the continental United States, 53 are currently vulnerable to repeat flooding (see Table 1). Additionally, it stated that more than half of the 79 installations are at risk from drought and nearly half are vulnerable to wildfire. *pandemics
*changing climate
*extreme weather events 8<br>
09
4. Assuring Space Dominance, Nuclear Deterrence, and Ballistic Missile Defense Investing in and modernizing the space force, the nuclear triad, and missile defense are critical for the DoD to effectively counter the threats posed by near‑peer adversaries and rogue nations. Space‑based capabilities are a crucial component of U.S. deterrence *missile warning
*missile defense
*kill assessment
*attack assessment
*nuclear command, control,
and communications TRIAD:
*ICBMs
*SLBMs
*Manned
Bombers 405 ICBMs
14/24 SSBNs
240 SLBMs
1,373 warheads
76 B-52s
45 B-1Bs
20 B-2s
100 B-21 Raiders Right now, the US only acknowledges one space weapon— a ground-based communications jammer to interfere with signals sent from satellites. United States Space Force
Space security
Combat power projection
Space mobility and logistics
Information mobility
Space domain awareness Nuclear Warheads, 2021
*Russia 6,255
*U.S. 5,500
*China 350
*France 290
*UK 225
*Pakistan 165
*India 156
*Israel 90
*North Korea ~50 9<br>
*missile defense
*kill assessment
*attack assessment
*nuclear command, control,
and communications TRIAD:
*ICBMs
*SLBMs
*Manned
Bombers 405 ICBMs
14/24 SSBNs
240 SLBMs
1,373 warheads
76 B-52s
45 B-1Bs
20 B-2s
100 B-21 Raiders Right now, the US only acknowledges one space weapon— a ground-based communications jammer to interfere with signals sent from satellites. United States Space Force
Space security
Combat power projection
Space mobility and logistics
Information mobility
Space domain awareness Nuclear Warheads, 2021
*Russia 6,255
*U.S. 5,500
*China 350
*France 290
*UK 225
*Pakistan 165
*India 156
*Israel 90
*North Korea ~50 9<br>
10
5. Enhancing Cyberspace Operations and Capabilities and Securing the DoD’s
Information Systems, Network, and Data The 2019 DoD Digital Modernization Strategy focuses on increasing DoD-wide technological capabilities and adopting enterprise systems through four strategic initiatives—innovation, optimization, cybersecurity resiliency, and talent cultivation. Key Concept: Cyber Hygiene
COORDINATING EFFECTIVE CYBERSPACE OPERATIONS
DEFENDING AND SECURING DOD SYSTEMS, NETWORKS, DEVICES, AND DATA
MODERNIZING LEGACY SYSTEMS, NETWORKS, AND DEVICES
BUILDING AND MAINTAINING AN EVOLVING CYBER WORKFORCE 10<br>
Information Systems, Network, and Data The 2019 DoD Digital Modernization Strategy focuses on increasing DoD-wide technological capabilities and adopting enterprise systems through four strategic initiatives—innovation, optimization, cybersecurity resiliency, and talent cultivation. Key Concept: Cyber Hygiene
COORDINATING EFFECTIVE CYBERSPACE OPERATIONS
DEFENDING AND SECURING DOD SYSTEMS, NETWORKS, DEVICES, AND DATA
MODERNIZING LEGACY SYSTEMS, NETWORKS, AND DEVICES
BUILDING AND MAINTAINING AN EVOLVING CYBER WORKFORCE 10<br>
11
6. Transforming Data Into a Strategic Asset INFORMATION IS A STRATEGIC ASSET
DATA CHALLENGES:
NORMALIZATION
VISUALIZATION, SENSE-MAKING
10,000 operational systems, each with thousands of data centers, tens of thousands of servers, millions of computers and IT devices, and hundreds of thousands of commercial mobile devices.
VOLUME OF DATA: 2.5 quintillion (or 2.5 billion billion) bytes of data created every day
VELOCITY, VARIETY, VERACITY, VOLUME, VALUE OF DATA
NETMAP [COUNTER-DRUG, COUNTER-INTELLIGENCE, COUNTER-ORGANIZED CRIME, ANTI-MONEY LAUNDERING, COUNTER-TERROR, COUNTER-PROLIFERATION, ANTI-FRAUD, ETC.] e.g.: Money Laundering: banks, taxes, insurance, sales, credit cards, ownership, LEAs, social media, telephones/cyber, military, school, associations, etc. 11<br>
DATA CHALLENGES:
NORMALIZATION
VISUALIZATION, SENSE-MAKING
10,000 operational systems, each with thousands of data centers, tens of thousands of servers, millions of computers and IT devices, and hundreds of thousands of commercial mobile devices.
VOLUME OF DATA: 2.5 quintillion (or 2.5 billion billion) bytes of data created every day
VELOCITY, VARIETY, VERACITY, VOLUME, VALUE OF DATA
NETMAP [COUNTER-DRUG, COUNTER-INTELLIGENCE, COUNTER-ORGANIZED CRIME, ANTI-MONEY LAUNDERING, COUNTER-TERROR, COUNTER-PROLIFERATION, ANTI-FRAUD, ETC.] e.g.: Money Laundering: banks, taxes, insurance, sales, credit cards, ownership, LEAs, social media, telephones/cyber, military, school, associations, etc. 11<br>
12
7. Ensuring Health and Safety of Military Personnel, Retirees, and Their Families One of the Secretary of Defense’s top priorities. The DoD is responsible for the mental and physical well‑being of service members.
MAINTAINING ACCESS TO HIGH-QUALITY AND SAFE HEALTH CARE DURING REFORM
DEPLOYMENT AND INTEROPERABILITY OF ELECTRONIC HEALTH RECORDS
SUBSTANCE ABUSE
SUICIDE PREVENTION
SEXUAL ABUSE
IMPACT OF ENVIRONMENTAL HAZARDS ON DOD PERSONNEL [PFAS, GULF WAR SYNDROME, BURN PITS…..]
HEALTH AND SAFETY MANAGEMENT OF MILITARY FAMILY HOUSING 12<br>
MAINTAINING ACCESS TO HIGH-QUALITY AND SAFE HEALTH CARE DURING REFORM
DEPLOYMENT AND INTEROPERABILITY OF ELECTRONIC HEALTH RECORDS
SUBSTANCE ABUSE
SUICIDE PREVENTION
SEXUAL ABUSE
IMPACT OF ENVIRONMENTAL HAZARDS ON DOD PERSONNEL [PFAS, GULF WAR SYNDROME, BURN PITS…..]
HEALTH AND SAFETY MANAGEMENT OF MILITARY FAMILY HOUSING 12<br>
13
8. Strengthening and Securing the DoD Supply Chain and Defense Industrial Base DEFENSE INDUSTRIAL BASE: ~ 300,000 CONTRACTORS
SUPPLY CHAIN: identifying a need; continuing through manufacturing, purchasing, delivery, distribution, maintenance, repair, sustainment, and disposition
REDUCING BARRIERS THROUGH STREAMLINING THE ACQUISITION PROCESS
OBTAINING THE TECHNICAL DATA RIGHTS NEEDED TO SUSTAIN DOD WEAPON SYSTEMS
IMPROVING SUPPLY CHAIN EFFICIENCIES THROUGH ARTIFICIAL INTELLIGENCE
FILLING GAPS IN THE SUPPLY CHAIN THROUGH ADVANCED MANUFACTURING
SECURING THE DEFENSE INDUSTRIAL BASE
REDUCING DEPENDENCE ON FOREIGN SOURCES FOR RARE EARTH ELEMENTS
PROTECTING AGAINST FOREIGN INFLUENCE IN THE SUPPLY CHAIN
PROTECTING AND DEFENDING THE DEFENSE LOGISTICS AGENCY SUPPLY CHAIN
( 9 supply chains, 5 million items)
ENSURING CYBERSECURITY IN DOD ACQUISITIONS Rare Earth Elements *lanthanum
*cerium *praseodymium *neodymium *promethium *samarium
*europium *gadolinium
*terbium
*dysprosium *holmium
*erbium
*thulium
*ytterbium
*lutetium Plus
Yttrium**
Scandium** 13<br>
SUPPLY CHAIN: identifying a need; continuing through manufacturing, purchasing, delivery, distribution, maintenance, repair, sustainment, and disposition
REDUCING BARRIERS THROUGH STREAMLINING THE ACQUISITION PROCESS
OBTAINING THE TECHNICAL DATA RIGHTS NEEDED TO SUSTAIN DOD WEAPON SYSTEMS
IMPROVING SUPPLY CHAIN EFFICIENCIES THROUGH ARTIFICIAL INTELLIGENCE
FILLING GAPS IN THE SUPPLY CHAIN THROUGH ADVANCED MANUFACTURING
SECURING THE DEFENSE INDUSTRIAL BASE
REDUCING DEPENDENCE ON FOREIGN SOURCES FOR RARE EARTH ELEMENTS
PROTECTING AGAINST FOREIGN INFLUENCE IN THE SUPPLY CHAIN
PROTECTING AND DEFENDING THE DEFENSE LOGISTICS AGENCY SUPPLY CHAIN
( 9 supply chains, 5 million items)
ENSURING CYBERSECURITY IN DOD ACQUISITIONS Rare Earth Elements *lanthanum
*cerium *praseodymium *neodymium *promethium *samarium
*europium *gadolinium
*terbium
*dysprosium *holmium
*erbium
*thulium
*ytterbium
*lutetium Plus
Yttrium**
Scandium** 13<br>
14
9. Improving Financial Management and Budgeting IMPORTANCE OF FINANCIAL AUDITABILITY
FINANCIAL MANAGEMENT CHALLENGES IDENTIFIED DURING FINANCIAL STATEMENT AUDITS
DOD AUDIT PRIORITIES
Information Technology
Real Property
Inventory and Related Property
Government Property in the Possession of Contractors
Fund Balance With Treasury
Financial Reporting Internal Controls
TIMELY AND ACCURATE ACCOUNTING INFORMATION FOR DECISION MAKERS 14<br>
FINANCIAL MANAGEMENT CHALLENGES IDENTIFIED DURING FINANCIAL STATEMENT AUDITS
DOD AUDIT PRIORITIES
Information Technology
Real Property
Inventory and Related Property
Government Property in the Possession of Contractors
Fund Balance With Treasury
Financial Reporting Internal Controls
TIMELY AND ACCURATE ACCOUNTING INFORMATION FOR DECISION MAKERS 14<br>
15
10. Promoting Ethical Conduct and
Decision Making The Secretary of Defense’s August 2019 memo to all military personnel and DoD employees stated that the DoD enjoys the highest trust and confidence of the American people “because we live by core values grounded in duty and honor that influence how we think and act. The decisions we make every day reaffirm our commitment to ethical conduct—doing what is right, without hesitation.” Ethics builds principled, self‑disciplined teams; strengthens alliances and builds new ones; and is fundamental to business reforms ETHICAL PRINCIPLES FOR THE USE OF AI
SEXUAL ASSAULT IN THE MILITARY
SEXUAL HARASSMENT IN THE DOD
UPHOLDING CORE VALUES: LEADERSHIP, DISCIPLINE, DIGNITY, RESPECT, ACCOUNTABILITY 15<br>
Decision Making The Secretary of Defense’s August 2019 memo to all military personnel and DoD employees stated that the DoD enjoys the highest trust and confidence of the American people “because we live by core values grounded in duty and honor that influence how we think and act. The decisions we make every day reaffirm our commitment to ethical conduct—doing what is right, without hesitation.” Ethics builds principled, self‑disciplined teams; strengthens alliances and builds new ones; and is fundamental to business reforms ETHICAL PRINCIPLES FOR THE USE OF AI
SEXUAL ASSAULT IN THE MILITARY
SEXUAL HARASSMENT IN THE DOD
UPHOLDING CORE VALUES: LEADERSHIP, DISCIPLINE, DIGNITY, RESPECT, ACCOUNTABILITY 15<br>
16
SEC VA McDonough’s veteran health care priorities include:
Offer serious communication and a commitment to providing VA employees and veterans with
protective equipment, care, testing, and vaccines to combat the COVID-19 pandemic.
Provide strict oversight and implementation of the 2018 VA MISSION Act, including the rollout of VA’s
community care and new caregiver programs, along with newer legislation designed to expand mental health
services and suicide prevention programs, such as:
S. 785, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act
H.R. 8247, the Veterans Comprehensive, Prevention, Access to Care, and Treatment (COMPACT) Act
H.R. 7105, the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act
Ease access to reproductive services, including fertility treatments such as in vitro fertilization for veterans.
Improve oversight and implementation of the joint VA-DoD electronic health record.
Address longstanding concerns of access to care for veterans living in rural areas.
Eliminate health disparities and improve equity of care for women, underserved, and minority veterans.
Provide strict oversight of VA infrastructure modernization and facility realignment.
Expand veterans’ access to dental care.
The new secretary also outlined his priority list for other VA benefits programs:
Expand GI Bill protections and the prosecution of predatory for-profit institutions.
Rectify the growing disability claims backlog due to COVID-19 and other factors.
Commit to scientific evidence-driven decision making when it comes to adding conditions to the list of those with a presumptive link to toxic exposure. [Burn Pits interview with Jon Stewart: https://www.youtube.com/watch?v=BzEgIm9-Yk4
Establish processes to ensure families receive all their benefits if the veteran’s death certificate only notes COVID-19 as the cause of death. 16<br>
Offer serious communication and a commitment to providing VA employees and veterans with
protective equipment, care, testing, and vaccines to combat the COVID-19 pandemic.
Provide strict oversight and implementation of the 2018 VA MISSION Act, including the rollout of VA’s
community care and new caregiver programs, along with newer legislation designed to expand mental health
services and suicide prevention programs, such as:
S. 785, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act
H.R. 8247, the Veterans Comprehensive, Prevention, Access to Care, and Treatment (COMPACT) Act
H.R. 7105, the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act
Ease access to reproductive services, including fertility treatments such as in vitro fertilization for veterans.
Improve oversight and implementation of the joint VA-DoD electronic health record.
Address longstanding concerns of access to care for veterans living in rural areas.
Eliminate health disparities and improve equity of care for women, underserved, and minority veterans.
Provide strict oversight of VA infrastructure modernization and facility realignment.
Expand veterans’ access to dental care.
The new secretary also outlined his priority list for other VA benefits programs:
Expand GI Bill protections and the prosecution of predatory for-profit institutions.
Rectify the growing disability claims backlog due to COVID-19 and other factors.
Commit to scientific evidence-driven decision making when it comes to adding conditions to the list of those with a presumptive link to toxic exposure. [Burn Pits interview with Jon Stewart: https://www.youtube.com/watch?v=BzEgIm9-Yk4
Establish processes to ensure families receive all their benefits if the veteran’s death certificate only notes COVID-19 as the cause of death. 16<br>
17
TreatNOW.org
MISSION: Stop service member suicides by identifying and treating veterans and others suffering from brain wounds: TBI/PTSD/Concussion
GOAL: Ensure that over 800,000 Iraq and Afghanistan brain injured veterans and active duty service members, along with all citizens, get insured access to Hyperbaric Oxygen Therapy and other proven alternative medical treatments for their Invisible Wounds
Over 120 clinics organized
Over 8,500 successes
Worldwide peer-reviewed data showing HBOT is safe and effective for TBI/PTSD
8 states with legislation calling for use of HBOT for TBI/PTSD
National legislation picking up co-sponsors
S.2189 — HBOT Access Act of 2021 117th Congress (2021-2022) [Tuberville (R-AL)]
H.R.1014 — Veterans National Traumatic Brain Injury Treatment Act 117th Congress (2021-2022) [Murphy (R-NC)]
S. 3013 -- Evaluation and standardization of suicide prevention 117th Congress (2021-2022) [Ernst (R-IA)] 17<br>
MISSION: Stop service member suicides by identifying and treating veterans and others suffering from brain wounds: TBI/PTSD/Concussion
GOAL: Ensure that over 800,000 Iraq and Afghanistan brain injured veterans and active duty service members, along with all citizens, get insured access to Hyperbaric Oxygen Therapy and other proven alternative medical treatments for their Invisible Wounds
Over 120 clinics organized
Over 8,500 successes
Worldwide peer-reviewed data showing HBOT is safe and effective for TBI/PTSD
8 states with legislation calling for use of HBOT for TBI/PTSD
National legislation picking up co-sponsors
S.2189 — HBOT Access Act of 2021 117th Congress (2021-2022) [Tuberville (R-AL)]
H.R.1014 — Veterans National Traumatic Brain Injury Treatment Act 117th Congress (2021-2022) [Murphy (R-NC)]
S. 3013 -- Evaluation and standardization of suicide prevention 117th Congress (2021-2022) [Ernst (R-IA)] 17<br>
18
Typical Multiplace Hyperbaric Chamber Typical Monoplace Hyperbaric Chamber HBOT MECHANISMS OF ACTION: Upregulates growth factors
Reduces edema/swelling
Promotes neural pathway growth
Activates senescent neurons
[“sleeping” not dead]
Increases neuronal energy [ATP]
Downregulates inflammation
Reduces reperfusion injury [not enough O2] Angiogenesis
Neurogenesis
Proliferation of stem cells
Fights infection
Rejuvenates COVID long-haulers
Anti-aging factors
“cure” for suicide: Eliminates “ideation of suicide”, depression, drug dependency, brain fog, frustration 18<br>
Reduces edema/swelling
Promotes neural pathway growth
Activates senescent neurons
[“sleeping” not dead]
Increases neuronal energy [ATP]
Downregulates inflammation
Reduces reperfusion injury [not enough O2] Angiogenesis
Neurogenesis
Proliferation of stem cells
Fights infection
Rejuvenates COVID long-haulers
Anti-aging factors
“cure” for suicide: Eliminates “ideation of suicide”, depression, drug dependency, brain fog, frustration 18<br>
19
The Powell Doctrine states that a list of questions all have to be answered affirmatively before military action is taken by the United States:
Is a vital national security interest threatened?
Do we have a clear attainable objective?
Have the risks and costs been fully and frankly analyzed?
Have all other non-violent policy means been fully exhausted?
Is there a plausible exit strategy to avoid endless entanglement?
Have the consequences of our action been fully considered?
Is the action supported by the American people?
Do we have genuine broad international support?[2]
As Powell said in an April 1, 2009 interview on The Rachel Maddow Show, it denotes a nation's exhausting of all "political, economic, and diplomatic means", which, only if all were futile, would result in the condition that the nation should resort to military force. 19<br>
Is a vital national security interest threatened?
Do we have a clear attainable objective?
Have the risks and costs been fully and frankly analyzed?
Have all other non-violent policy means been fully exhausted?
Is there a plausible exit strategy to avoid endless entanglement?
Have the consequences of our action been fully considered?
Is the action supported by the American people?
Do we have genuine broad international support?[2]
As Powell said in an April 1, 2009 interview on The Rachel Maddow Show, it denotes a nation's exhausting of all "political, economic, and diplomatic means", which, only if all were futile, would result in the condition that the nation should resort to military force. 19<br>
20
The Weinberger Doctrine was publicly disclosed by U.S. Secretary of Defense Caspar Weinberger on November 28, 1984, in a speech entitled "The Uses of Military Power" delivered before the National Press Club in Washington, D.C.
The United States should not commit forces to combat unless the vital national interests of the United States or its allies are involved.
U.S. troops should only be committed wholeheartedly and with the clear intention of winning. Otherwise, troops should not be committed.
U.S. combat troops should be committed only with clearly defined political and military objectives and with the capacity to accomplish those objectives.
The relationship between the objectives and the size and composition of the forces committed should be continually reassessed and adjusted if necessary.
U.S. troops should not be committed to battle without a "reasonable assurance" of the support of U.S. public opinion and Congress.
The commitment of U.S. troops should be considered only as a last resort. 20<br>
The United States should not commit forces to combat unless the vital national interests of the United States or its allies are involved.
U.S. troops should only be committed wholeheartedly and with the clear intention of winning. Otherwise, troops should not be committed.
U.S. combat troops should be committed only with clearly defined political and military objectives and with the capacity to accomplish those objectives.
The relationship between the objectives and the size and composition of the forces committed should be continually reassessed and adjusted if necessary.
U.S. troops should not be committed to battle without a "reasonable assurance" of the support of U.S. public opinion and Congress.
The commitment of U.S. troops should be considered only as a last resort. 20<br>
21
RLB “Rules” to Guide Decision-Making Going Forward
Facts may be, truths aren’t, “Where you stand depends on where you sit”
What are you willing to die for?
Would you be OK with seeing this on the front page of the paper in the morning?
What would you pay to stay alive? To save your family? Your country?
Open, not closed; humble, not certain; confident, not cowed; generous, not selfish; moral, not devious; listening, not lecturing; inclusive, not isolationist; meaning, not expedience; purpose over profit
Understand how decisions should be made:
1. Detect and Define Problem 2. Diagnose Problem 3. Establish Decision Criteria 4. Develop Alternatives 5. Evaluate Alternatives 6. Implementation 7. Evaluation 8. Collection of Data 9. Follow Up the Decision.
7. The eightfold path: right view; right intention; right speech; right action; right livelihood; right effort; right mindfulness; right concentration 21<br>
Facts may be, truths aren’t, “Where you stand depends on where you sit”
What are you willing to die for?
Would you be OK with seeing this on the front page of the paper in the morning?
What would you pay to stay alive? To save your family? Your country?
Open, not closed; humble, not certain; confident, not cowed; generous, not selfish; moral, not devious; listening, not lecturing; inclusive, not isolationist; meaning, not expedience; purpose over profit
Understand how decisions should be made:
1. Detect and Define Problem 2. Diagnose Problem 3. Establish Decision Criteria 4. Develop Alternatives 5. Evaluate Alternatives 6. Implementation 7. Evaluation 8. Collection of Data 9. Follow Up the Decision.
7. The eightfold path: right view; right intention; right speech; right action; right livelihood; right effort; right mindfulness; right concentration 21<br>