America’s newest veterans are filing for disability benefits at a historic rate, claiming to be the most medically and mentally troubled generation of former troops the nation has ever seen.
A staggering 45 percent of the 1.6 million veterans from the wars in Iraq and Afghanistan are now seeking compensation for injuries they say are service-related. That is more than double the estimate of 21 percent who filed such claims after the Gulf War in the early 1990s, top government officials told The Associated Press.
What’s more, these new veterans are claiming eight to nine ailments on average, and the most recent ones over the last year are claiming 11 to 14. By comparison, Vietnam veterans are
currently receiving compensation for fewer than four, on average, and those from World War II and Korea, just two.
It’s unclear how much worse off these new veterans are than their predecessors. Many factors are driving the dramatic increase in claims — the weak economy, more troops surviving wounds and more awareness of problems such as concussions and PTSD.
Government officials and some veterans’ advocates say that veterans who might have been able to work with certain disabilities may be more inclined to seek benefits now because they lost jobs or can’t find any. Aggressive outreach and advocacy efforts also have brought more veterans into the system, which must evaluate each claim to see if it is war-related. Payments range from $127 a month for a 10 percent disability to $2,769 for a full one.
With the nation having just commemorated the more than 6,400 troops who died in post-9/11 wars, the problems of those who survived also draw attention. These new veterans are seeking a level of help the government did not anticipate, and for which there is no special fund set aside to pay.
The Department of Veterans Affairs is mired in backlogged claims, but “our mission is to take care of whatever the population is,” said Allison Hickey, the VA’s undersecretary for benefits. “We want them to have what their entitlement is.”
The 21 percent who filed claims in previous wars is Hickey’s estimate of an average for Operation Desert Storm and Desert Shield. The VA has details only on the current disability claims being paid to veterans of each war.
The AP spent three months reviewing records and talking with doctors, government officials and former troops to take stock of the new veterans. They are different in many ways from those who fought before them.
More are from the Reserves and National Guard — 28 percent of those filing disability claims — rather than career military. Reserves and National Guard made up a greater percentage of troops in these wars than they did in previous ones. About 31 percent of Guard/Reserve new veterans have filed claims compared to 56 percent of career military ones.
More of the new veterans are women, accounting for 12 percent of those who have sought care through the VA. Women also served in greater numbers in these wars than in the past. Some female veterans are claiming PTSD due to military sexual trauma — a new challenge from a disability rating standpoint, Hickey said.
The new veterans have different types of injuries than previous veterans did. That’s partly because improvised bombs have been the main weapon and because body armor and improved battlefield care allowed many of them to survive wounds that in past wars proved fatal.
“They’re being kept alive at unprecedented rates,” said Dr. David Cifu, the VA’s medical rehabilitation chief. More than 95 percent of troops wounded in Iraq and Afghanistan have survived.
Of those who have sought VA care:
• More than 1,600 lost a limb; many others lost fingers or toes.
• At least 156 are blind, and thousands of others have impaired vision.
• More than 177,000 have hearing loss, and more than 350,000 report tinnitus — noise or ringing in the ears.
• Thousands are disfigured, as many as 200 of them so badly that they may need face transplants. One-quarter of battlefield injuries requiring evacuation included wounds to the face or jaw, one study found.
Others have invisible wounds. More than 400,000 of these new veterans have been treated by the VA for a mental health problem, most commonly, PTSD.
Tens of thousands of veterans suffered traumatic brain injury, or TBI — mostly mild concussions from bomb blasts — and doctors don’t know what’s in store for them longterm.
On a more mundane level, many new veterans have back, shoulder and knee problems, aggravated by carrying heavy packs and wearing the body armor that helped keep them alive. One recent study found that 19 percent required orthopedic surgery consultations and 4 percent needed surgery after returning from combat.
All of this adds up to more disability claims, which for years have been coming in faster than the government can handle them. The average wait to get a new one processed grows longer each month and is now about eight months — time that a frustrated, injured veteran might spend with no income.
More than 560,000 veterans from all wars currently have claims that are
backlogged — older than 125 days.
For taxpayers, the ordeal is just beginning, said Harvard economist Linda Bilmes. She estimates the health care and disability costs of the recent wars at $600 billion to $900 billion.
“This is a huge number and there’s no money set aside,” she said. Right now, “there’s a lot of sympathy and a lot of people want to help. But memories are short and times change.”
Photo: AP Photo/Charles Dharapak
PAYING THE PRICE: In this Tuesday, May 22 photo, Marine Cpl. Larry Bailey II, of Zion, Ill., shows the tattoos on his arm at Walter Reed National Military Medical Center in Bethesda, Md. After tripping a rooftop bomb in Afghanistan in June 2011, the 26-year-old Marine remembers flying into the air, then fellow troops attending to him. Bailey, who ended up a triple amputee, expects to get a hand transplant this summer.