Consider a tale of two Army veterans (退伍军人), Jeff served two terms in Afghanistan, moved home to the Midwest, graduated from college and landed a secure job in a firm. Matt fought alongside Jeff, left the Amy at the same time and headed home to North Carolina. By the time he was in his 30, though, Matt was unemployed and dependent on government checks.
Why did Jeff develop so well while Matt lost his civilian footing? The answer, according to Daniel M. Gade, a retired office, and Daniel Huang, a former Wall Street Journal reporter, is the Department of Veterans Affairs (VA)—in particular, its strong disability system.
In their convincing description, the authors show in detail how a well-intended system can unintentionally lead fragile veterans, step by step, away from the worlds of work and community. The path typically starts just before separation from the service. Soldiers meet with VA representatives who emphasize opportunities to collect disability compensation (补偿). Jeff, for example, wanted to "get out and get on" with his life, while Matt took the VA agent's advice "and applied for every condition he could think of."
Mat's career plan had been to attain an ideal job in law enforcement (执行), but the field was highly competitive. So he took a job with his dad's construction company. But the physical damage of the job was too much for his knees and back. Deeply depressed, now out of work and living in his parents' home, Matt tried college but felt unbearable. Meanwhile, anxious about his future, he kept applying for higher disability ratings—receiving, eventually, a monthly tax-free check over $3, 000.
For many partially or fully disabled veterans, PTSD (创伤应急障碍) istheir primary diagnosis (诊断). The condition, can be very weak, but it is also treatable. A psychologist told the authors that, when it comes to PTSD, the agency "has been doing harm to millions of veterans by telling them that they're disabled. "
In Matt's case, remarkably, even after the VA determined him to be "housebound, "it didn't mandate (强制执行) treatment. "The natural athlete who had conquered his fear of heights to excel as an airborne (空降的) soldier, " the authors write, "had become a disabled man one year later. The VA's record on treatment in general looks poor: More veterans today, relative to their overall numbers, are compensated for disabilities than ever before in the VA's history. Under 0. 1% of the veterans who receive disability benefits for mental disorders have their benefits reduced over time because their condition has improved.