"We've unintentionally an entire generation of veterans" - Antimalarial drugs and the cost of prevention - Disabled American Veterans

 
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"We've unintentionally an entire generation of veterans" - Antimalarial drugs and the cost of prevention - Disabled American Veterans
THE OFFICIAL VOICE OF DAV AND AUXILIARY
                                                     MARCH | APRIL 2020

“We’ve unintentionally

   an entire generation
           of veterans”
                                               Antimalarial drugs
                                        and the cost of prevention
                                                           Page 18

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"We've unintentionally an entire generation of veterans" - Antimalarial drugs and the cost of prevention - Disabled American Veterans
2020 Department Conventions
DEPARTMENT       CITY                CONVENTION HEADQUARTERS                                  DATES            BANQUET
Alabama          Opelika             Auburn Marriott Opelika Resort & Spa at Grand National   June 4–7         June 6
Alaska           Fairbanks           Westmark Fairbanks Hotel & Convention Center             April 3–5        April 4
Arizona          Phoenix             Embassy Suites by Hilton Phoenix Scottsdale              May 27–30        May 29
Arkansas         North Little Rock   Wyndham Riverfront Little Rock                           June 12–13       June 13
California       Indian Wells        Miramonte Resort & Spa                                   May 20–23        May 23
Colorado         Pueblo              SpringHill Suites                                        May 20–22        May 22
Connecticut      Cromwell            Courtyard by Marriott Hartford Cromwell                  April 30–May 3   May 2
D.C.             Washington          DAV National Service & Legislative Headquarters          April 24–25      April 25
Delaware         Dover               Comfort Suites                                           May 15–16        May 16
Florida          Lake Mary           Orlando Marriott Lake Mary                               June 18–20       June 20
Georgia          Macon               Macon Marriott City Center                               June 4–7         June 6
Hawaii           Honolulu            Airport Honolulu Hotel                                   June 5–7         June 6
Idaho            Coeur d’Alene       Coeur d’Alene Inn Best Western                           April 23–26      April 26
Illinois         Springfield         Northfield Inn Suites                                    June 11–14       June 13
Indiana          Indianapolis        Indianapolis Marriott East                               June 3–7         June 6
Iowa             Dubuque             Grand Harbor Resort                                      June 12–14       June 13
Kansas           Mayetta             Prairie Band Casino & Resort                             June 12–14       June 13
Kentucky         Lexington           Embassy Suites by Hilton Lexington/UK Coldstream         June 26–27       June 27
Louisiana        Alexandria          Hotel Bentley of Alexandria                              May 14–17        May 16
Maine            Bangor              Ramada by Wyndham Bangor                                 May 1–3          May 2
Maryland         Ocean City          Princess Royale Conference Center                        May 28–31        May 30
Massachusetts    Leominster          DoubleTree by Hilton Leominster Hotel                    June 19–21       June 20
Michigan         Mount Pleasant      Soaring Eagle Casino & Resort                            June 24–26       June 25
Minnesota        St. Cloud           Best Western Plus Kelly Inn                              May 7–9          May 8
Mississippi      Biloxi              Treasure Bay Casino & Hotel                              April 29–May 3   May 2
Missouri         Jefferson City      Capitol Plaza Hotel & Convention Center                  May 29–31        May 30
Montana          Lincoln             Sportsman Motel                                          June 4–6         June 5
Nebraska         Kearney             Holiday Inn Kearney                                      May 1–3          May 2
Nevada           Sparks              Nugget Casino Resort                                     May 31–June 2    June 2
New Hampshire    Nashua              DoubleTree by Hilton Nashua                              June 5–7         June 6
New Jersey       Atlantic City       Resorts Casino Hotel                                     June 14–17       June 16
New Mexico       Albuquerque         Ramada by Wyndham Albuquerque Midtown                    June 11–13       June 12
New York         Callicoon           Villa Roma Resort & Conference Center                    June 28–July 1   June 30
North Carolina   Greensboro          Sheraton Greensboro at Four Seasons                      June 17–21       June 20
North Dakota     Fargo               Ramada by Wyndham Fargo                                  April 24–26      April 25
Ohio             Dublin              Embassy Suites by Hilton Columbus Dublin                 June 27–28       June 27
Oklahoma         Catoosa             Hard Rock Hotel & Casino                                 June 30–July 2   July 1
Oregon           Albany              Comfort Suites Linn County                               May 16–17        May 16
Pennsylvania     King of Prussia     Valley Forge Casino Resort                               June 11–13       June 12
Puerto Rico      Mayaguez            Mayaguez Resort & Casino                                 April 24–26      April 25
Rhode Island     Warwick             Crowne Plaza Providence–Warwick                          April 16–18      April 17, 18
South Carolina   Columbia            DoubleTree By Hilton Columbia                            May 14–17        May 16
South Dakota     Brookings           Brookings Days Inn                                       May 15–17        May 16
Tennessee        Murfreesboro        DoubleTree by Hilton Murfreesboro                        June 18–21       June 20
Texas            Corpus Christi      Omni Corpus Christi Hotel                                June 5–7         June 6
Utah             Ogden               Comfort Suites Ogden                                     May 28–30        May 29
Vermont          Dover               Mount Snow Resort                                        May 15–17        May 15, 16
Virginia         Roanoke             Holiday Inn–Tanglewood                                   June 11–14       June 13
Washington       Suquamish           Suquamish Clearwater Casino Resort                       June 17–19       June 18
West Virginia    Fairmont            Fairfield Inn & Suites                                   June 5–7         June 6
Wisconsin        Green Bay           Radisson Hotel & Conference Center                       June 10–14       June 13
Wyoming          Cheyenne            Little America Hotel & Resort–Cheyenne                   May 1–3          May 2
"We've unintentionally an entire generation of veterans" - Antimalarial drugs and the cost of prevention - Disabled American Veterans
COMMENTARY
                                  From the NATIONAL COMMANDER
                              STEPHEN “BUTCH” WHITEHEAD

Ensuring accountability in 2020

I   t was a tremendous pleasure to see
    so many of our dedicated members,
    advocates and supporters at the 2020
DAV Mid-Winter Conference in February.
I’ve always enjoyed the camaraderie at
                                                     Additionally, DAV will be soliciting
                                                 feedback from our members as the VA
                                                 MISSION Act approaches its first full year
                                                 of implementation. We need to hear
                                                 about your experiences—good and
the event, but my experience this year           bad—so we can properly evaluate its
as national commander is something               strengths and weaknesses. Legislators
I’ll cherish for the rest of my days.            and policymakers shouldn’t only hear
    Even in this role, I continue to learn new   about VA-authored statistics pertaining
things about advocacy and the veteran            to this law. They need to hear about
landscape each time I visit Washington.          real-life experiences from real veterans
I’m thankful for the imparted knowledge          utilizing the VA health care system. I
and am compelled to share my biggest             highly encourage you to participate in
takeaway from my recent visit—all of             our survey when it reaches you.
our legislative accomplishments are                  Finally, we need your help in gaining
for naught if we don’t monitor the               as much support as possible for
implementation and progress of VA                S. 2950, the Veterans Burn Pit Exposure
reforms that are put in place to better          Recognition Act of 2019. This bipartisan
serve veterans and hold the VA,                  legislation, which was crafted from an
lawmakers and other government                   original DAV concept, would codify a
officials accountable for their outcomes.        concession of exposure to help ensure
    In January, the VA finally began             that veterans who served near burn pits
processing disability claims for Blue            have less red tape to deal with when, and
Water Navy veterans’ exposure to                 if, they need to file a related claim for a
Agent Orange in the waters off Vietnam           service-connected disability. I ask you to
decades ago. For months, the VA cited            call your elected officials and voice your
IT problems as it delayed processing             support for this bill and ensure our post-
these claims, withholding earned health          9/11 veterans don’t have to fight the VA
care and survivor benefits for thousands         for decades for disability benefits the way
of veterans and their families. But Blue         Vietnam veterans did with Agent Orange.
Water Navy veterans have waited long                 As always, thank you all for your
enough for these benefits, and further           tremendous work and advocacy on
delays are not acceptable. It’s imperative       behalf of our nation’s veterans. I humbly
for us to make noise on behalf of all Blue       ask that you all remain steadfast in your
Water Navy veterans who have filed such          efforts this year, because if we don’t
a claim to ensure they receive a favorable       advocate for ourselves and our fellow
decision in a timely manner.                     veterans, who will?

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"We've unintentionally an entire generation of veterans" - Antimalarial drugs and the cost of prevention - Disabled American Veterans
CONTENTS

      1        Election season is upon us,
                                                                               FEATURES
                                                                                                                        8
               and National Commander Butch
               Whitehead reminds members
               to advocate responsibly.

      3        National Adjutant Marc Burgess                                                                Emerging technology is helping
               encourages DAV members—and                                                                    veterans with spinal cord injuries
               all veterans—to share their stories                                                           get mobile; now researchers
               and experiences to ensure they                                                                are looking to see how this tech
               are not lost to history.                                                                      can mitigate other conditions

      6        DAV helps a Marine veteran
                                                                                                             stemming from SCIs.
               attain benefits for Agent Orange
               exposure and the lingering scars
               of war.
                                                                                                                       13
11             New changes in effect for the GI                                                              The U.S. military continues
               Bill may be impacting your bottom                                                             to make strides integrating
               line. Here’s what to look for.                                                                women into combat roles.

16
                                                                                                             Photo by Sgt. Brian Calhoun/Army National
               Coming soon to a neighborhood                                                                 Guard
               near you—DAV is bringing benefits
               information seminars into local

                                                                                                                       18
               communities to more efficiently
               reach veterans.

23             At 100 years old, one DAV
               volunteer shows that nothing will
               hold him back from making a
                                                                                                             Mefloquine has been used to
                                                                                                             prevent malaria since the late
               difference in the lives of veterans.                                                          1980s, but research suggests
                                                                                                             the drug may have long-term—
24             On step at a time: Air Force
               veteran William Shuttleworth treks
               from Massachusetts to California
                                                                                                             even permanent—adverse
                                                                                                             effects.
               in honor of America’s veterans.

                                                                                  Stephen “Butch” Whitehead National Commander
                                                                                  J. Marc Burgess National Adjutant/Publisher
                                                                                  Barry A. Jesinoski National Headquarters Executive Director
DAV MAGAZINE • March/April 2020
Contact us: dav.org • Toll Free 877-426-2838 • 3725 Alexandria Pike,           Daniel J. Clare Chief Communications and Outreach Officer
Cold Spring, KY 41076 • feedback@dav.org. Volume 62, Issue 2, DAV              Rob Lewis National Communications Director
Magazine (ISSN 0885-6400). Editorial Office: DAV Magazine, P.O. Box
14301, Cincinnati, OH 45250-0301. Telephone 859-441-7300 or toll               Ashleigh Byrnes Deputy National Communications Director
free (877) I AM A VET. Published and circulated bimonthly bulletin by
the Disabled American Veterans, a Congressionally chartered, nonprofit         M. Todd Hunter Assistant National Communications Director
organization, P.O. Box 14301, Cincinnati, OH 45250-0301. DAV Home              Mary Dever Assistant National Communications Director
Page is dav.org. Available on recording for the blind and those with
physical handicaps that preclude reading printed material. The magazine        Bryan Lett Assistant National Communications Director
is mailed free to DAV and Auxiliary members who are paid subscribers.
Nonmembers may subscribe for $15 per year. Periodical postage paid at
                                                                               Austin Shaffner Assistant National Communications Director
office of publication, Newport, KY 41071, and at additional offices. Printed   Matt Saintsing Associate National Communications Director
in U.S.A. Change of Address: When notifying a change of address, send
former as well as new address, including ZIP code, to: DAV Magazine,           Doreen Briones Production Manager
DAV National Headquarters, P.O. Box 145550, Cincinnati, OH 45250-              Shannan Archer Senior Graphic Designer
5550. POSTMASTER: Send address changes to DAV Magazine, DAV
National Headquarters, P.O. Box 145550, Cincinnati, OH 45250-5550.             Michelle Bradburn Graphic Production Assistant
"We've unintentionally an entire generation of veterans" - Antimalarial drugs and the cost of prevention - Disabled American Veterans
COMMENTARY
                                     From the NATIONAL ADJUTANT
                                                       J. MARC BURGESS

Share your story

I  t seems like the calendar is
   becoming more and more packed
   with celebrations and observances,
with a day dedicated to just about
everything. Some things, of course,
                                            to put a voice to your internal thoughts,
                                            even if it takes many years to do so.
                                               Over the years, DAV has partnered
                                            with the Library of Congress to support
                                            the Veterans History Project (VHP),
are a bit more lighthearted—National        encouraging our members to record their
Doughnut Day or International Necktie       oral histories and submit them to the
Day, for instance.                                             library’s collection. The
Others are more                                                VHP comprises more
                                   Sharing your
significant and somber,                                        than 68,000 veterans’
such as Memorial                   experiences,                collections, but there
Day or POW/MIA                     struggles and               are more than 18 million
Recognition Day,                                               veterans in the U.S.
and carry much more
                                   triumphs   can
                                                                  The VHP is in need
meaning within the                 help others                 of more stories from
veteran community.                 facing adversity women veterans in
  One that recently                                            particular, as they remain
caught my attention
                                   to achieve   their          under­represented in the
was World Storytelling             own victories, too. collection. You can
Day, observed on                                               learn how to share
March 20. It celebrates the art of oral     your story, or become an interviewer
storytelling. At first blush, it may not    yourself, by visiting loc.gov/vets.
seem to have much significance among           We at DAV are also very interested in
veterans. But if you’re like me, you know hearing your stories. One of the most
a veteran or two whose stories have         effective ways for us to advocate on
greatly impacted your life, helping to      Capitol Hill for veterans is by sharing the
define the way you view the world and       accounts of real-life individuals who are
possibly even the way you cope with         impacted by policies or whose lives
an illness or injury.                       could be changed by the passage of
  Sharing your experiences, struggles       new laws.
and triumphs can help others facing            There is no one better to tell your story
adversity to achieve their own victories,   than you, so this World Storytelling Day,
too. You may not even realize how           feel free to visit mystory.dav.org and
powerful and inspirational a tool your      share your experience with us. You never
story can be. It can also be very           know just how far that story may go to
therapeutic, if and when you’re able,       help a fellow veteran.

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"We've unintentionally an entire generation of veterans" - Antimalarial drugs and the cost of prevention - Disabled American Veterans
LETTERS

    Medical cannabis                              to finish. Knowledge is a beautiful        should be brought back home.
    Marijuana is a calming tool,                  thing, and it will contribute to more      Edward Cherry, via Facebook
    especially for those of us still dealing      analytical discussion than reactive
    with PTSD. It also decreases joint            drama. Arnie Welber, via email             VA telehealth
    pain and helps with sleep. It is a joke                                                  Telehealth would work much
    how the VA still prescribes what the          Emotional support animals, if valid,       more efficiently and effectively if
    pharmaceutical lobby pushes. I                are just as important to disabled          the VA hospitals, hospital staff
    know of many veterans who were                veterans with PTSD and mental              and administrators would step up
    given so many pills it was hard               or emotional wounds as physical            and really support the program.
    to keep track. Now, it is a highly            support animals. Maybe if some of          Anne Kemper, via Facebook
    trained service dog and a bowl                the veterans who commit suicide—
    of weed. Nick Travis, via email               at least 20 daily—had an emotional         I live in rural America, and telehealth
                                                  support animal, they would still be        is not an option. You have to have
    I certainly hope the VA will research         here. Stephen Briggs, via email            decent internet for it to work, and
    and control the quality of cannabis                                                      most of us in rural America do
    and not rely on these unregulated             Hearing loss/tinnitus                      not have access. Heck, even our
    producers. The data is not available          I have tinnitus, and I always will.        school-age kids can’t do homework
    on the possibility of contamination.          I also have service-connected              and other stuff for school due
    Industrial solvents, pesticides, etc.,        hearing loss. I am currently on my         to the lack of decent internet.
    have not been identified because              third set of hearing aids. The first       Terry Swift, via Facebook
    it’s not a regulated industry. Studies        set I got while I was still active duty.
    haven’t been conducted to the level           The others I got from the VA. I just       DAV volunteer Harlan
    of good and bad side effects of this          had my yearly hearing check, and           Plummer turns 100
    so-called miracle drug. Do you really         I am scheduled for my next set of          Happy 100th birthday, Harlan,
    want VA prescribing unregulated               hearing aids within the next week          and thanks for your lifetime of
    chemicals for your treatment?                 or so. The VA has been great to            service to your country and
    David Galassini, via email                    me when it comes to hearing loss.          your fellow veterans. God
                                                  Marty Petrich, via Facebook                bless you and many more
    Expanding Space-A travel                                                                 birthdays to come. Kenneth
    for veterans                                  I knew I had lost some hearing,            Rogers Jr., via Facebook
    I am delighted to see that, in [the           but I did not believe it was so bad.
    January/February 2020] issue, there           They said I had lost about 47%. I          Happy birthday, Harlan! God
    is mention of looking into extending          was so surprised how different it          bless you and your family!
    the Space-A travel benefit for                sounded when I got my hearing              Thank you for your service and
    veterans [“Legislative goals for the          aids. John Martin, via Facebook            sacrifice for our country! Ron
    new year”]. What a victory that would                                                    Williams, via Facebook
    be for us. In addition, I hope that           DAV podcast (missing in action)
    legislation will also extend the theater      Veterans of the Vietnam War                Happy birthday, Harlan. Thank
    of eligibility as it is for retirees. Thank   were and are still so mistreated           you for your service and for
    you all for the outstanding work you          and forgotten! They were doing             all the volunteer work you do
    do. Harvey Porter, via email                  what our country asked of them.            for all of your fellow veterans.
                                                  The missing personnel absolutely           Evelyn Hoff, via Facebook
    Service dogs
    I was happy to read about different
                                                    WRITE TO US Please send feedback to DAV Magazine, 3725 Alexandria Pike,
    service dog categories. I am hopeful            Cold Spring, KY 41076, or via email to feedback@dav.org. We also welcome
    all my Facebook animal-loving and               feedback on our Facebook (facebook.com/DAV) and Twitter (twitter.com/davhq)
    caring friends will take the time to            pages. We regret we are unable to acknowledge every letter due to the volume
    read the story [‘The Service Dog                received. Letters are subject to editing for clarity, style, accuracy, space and
    Dilemma,’ November/December                     propriety. Letters involving claims are referred to DAV’s Service Department.
    2019 DAV Magazine] from start

4            DAV MAGAZINE | MARCH/APRIL 2020 | DAV.ORG
LEGISLATIVE Spotlight

    Easier access
    for rural veterans
    Bipartisan bill introduced
    to improve transportation services

By Mary Dever                                                     DAV supports this legislation based on Resolution
                                                               Number 330, which calls on the VA to operate an

T   he Rural Veterans Travel Enhancement Act
    of 2019—introduced by a bipartisan group of
senators—will expand on current initiatives that
                                                               effective and efficient transportation program for
                                                               service-connected veterans and simplify travel benefits.
                                                                  If enacted, the proposed legislation will also extend
provide transportation services to veterans living             VA authority to provide grants that allow veterans
in rural areas and reimbursement for their travel to           service organizations and state veterans service agencies
Department of Veterans Affairs medical facilities, Vet         to explore new approaches to provide transportation or
Centers and vocational rehabilitation programs. The            travel assistance to rural veterans.
proposed legislation will also require the VA to develop          The Rural Veterans Transportation Enhancement Act
and pilot an improved protocol for conducting medical          would:
exams for volunteer drivers in a more timely manner,              • Expand eligibility for reimbursements to veterans
an issue that has been a top priority for DAV for years.             and eligible beneficiaries for travel to VA Vet
   If enacted, this bill will extend the VA’s transportation         Centers for mental health care and counseling.
program, which is a complementary asset to the robust,            • Make permanent the Veterans Transportation
nationwide DAV Transportation Network. Prospective                   Service program, which allows local VA facilities
volunteers must undergo a basic physical to screen for               to hire drivers and purchase vehicles to transport
underlying medical issues that would jeopardize the                  veterans to their appointments.
safety of veterans, but they have experienced issues with         • Require the Government Accounting Office to
timeliness and consistency of the exam requirements.                 examine VA transportation programs.
   “DAV has long advocated for all veterans to have               • Expedite the physical examination process for
access to high-quality health care, no matter where they             volunteer drivers serving veterans through the
live,” said Washington Headquarters Executive Director               DAV Transportation Network.
Randy Reese. “We applaud the introduction of this                 • Extend a grant program that allows veterans
legislation, as it would help expand the reach of DAV’s              service organizations and state veterans service
Transportation Network, which provided veterans with                 agencies to explore new approaches to provide
more than 615,000 rides to VA medical centers last                   transportation or travel assistance to rural veterans.
year alone, and to better serve veterans living in rural
areas. We are grateful to Sens. [John] Tester, [Kevin]                  Learn More Online
Cramer, [Patty] Murray, [John] Hoeven, [Joe] Manchin             To follow along with this and other veterans
and [Susan] Collins for their leadership to ensure all           legislation, sign up for DAV CAN (Commander’s
veterans can attend their scheduled VA appointments.”            Action Network) at DAVCAN.org.

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SERVICE Spotlight

          A Marine
          helps his own
          Vietnam veteran turns to DAV for help
          with lasting effects of war

                                                                                         Dennis Reichert, Vietnam veteran

    By Matt Saintsing                                              One day, in particular, stands out as especially
                                                                traumatizing. While passing through the coastal city of

    D   ennis Reichert struggles daily with what he
        experienced in Vietnam. Memories of fierce
    combat haunt the Marine, as do images of the
                                                                Huế, Reichert noticed a distinctive stench filling the air,
                                                                becoming more horrid with each passing step. As his
                                                                element turned a corner, he saw the source of the smell:
    weapons, flak jackets and canteens stacked row              a dead body that had been steamrolled by tank treads.
    after row, each representing an American injured               “That was my first time smelling and seeing real
    or killed on the battlefield.                               death,” said Reichert.
       Reichert enlisted in the Marine Corps in 1966,              It would not be his last.
    after one year of college. He was motivated to go              Going on patrol, coming into enemy contact and
    to Vietnam after learning about the plight of South         calling in air support became routine occurrences.
    Vietnamese civilians.                                       To keep eyes on enemy movement, the noxious
       “I read the stories in the paper, and I was going to     herbicide Agent Orange was sprayed to clear the
    try to save people from being enslaved by communism,”       area of vegetation.
    he said. “That’s the main reason I enlisted in the Marine
    Corps, to save South Vietnamese.”
       After boot camp and infantry training, he got his
    wish and found himself in South Vietnam, not far from
    the North Vietnamese border, which proved to be a                 “In my heart and mind,
    dangerous area.                                                     I feel like I won a battle
       “The enemy would come straight over the border,
    or they would go west through Cambodia and Laos,”                  for this individual.”
    recalled Reichert.                                                       —Michael Franko, national service officer

6            DAV MAGAZINE | MARCH/APRIL 2020 | DAV.ORG
“It would make sense for these areas                                              suspected was Parkinson’s disease—an
to be defoliated, so our jets and other                                              illness linked to Agent Orange exposure.
forces could see the North Vietnamese                                                On the advice of others, he visited DAV
entering South Vietnam,” said Reichert.                                              at the St. Louis VA Medical Center at
“Somewhere along the line, I came into                                               Jefferson Barracks in February 2018.
contact with Agent Orange.”                                                             That’s when he met Afghanistan war
   Reichert was in country for nine                                                  veteran and fellow Marine Michael
months before he was injured in                                                      Franko, who, at the time, was a DAV
combat, ending his time on the front                                                 Department of Missouri service officer.
lines. While approaching a village,                                                  The two quickly bonded over their
the Marines began taking small-                                                      shared familiarity with war, despite
arms fire from enemy troops who                                                      serving decades apart. Although
were exceptionally well dug in. “They                                                Parkinson’s is what brought Reichert into
would hop up,” said Reichert, “and kill           Marine Corps veteran Dennis        DAV, he asked Franko if “it was OK” to
the Marines at the top of the column.”              Reichert had  been  silently     have post-traumatic stress disorder.
                                                  battling post-traumatic stress
   The Marines took cover and called                                                    “When you look at somebody who
                                                   disorder for decades, but it
in close air support.                            wasn’t until he sought help for     has been through the thick of it, they
   After the explosions settled—which           Agent Orange exposure that he        don’t always have the life in their eyes,”
Reichert said were “so intense that               received the care he earned.       said Franko, who submitted claims for
trees would go sideways”—the enemy                                                   VA benefits and compensation.
was still there. The element was lying                                                  After Reichert received a Parkinson’s
prone on the ground when a Marine about 6 feet from                diagnosis in May 2018, Franko walked him through
Reichert was shot.                                                 what to expect with mental health examinations
   “For some reason, I was looking at him when the                 and explained that he was only a phone call away if
bullet hit his head,” he recalled. “He slowly sank into            he needed any help. Reichert would frequently visit
the ground, and I knew he was dead.”                               Franko throughout the claims process, and the two
                  Not long after that, a piece of shrapnel         would swap stories, as veterans often do.
                      flew across the field, hitting                  Franko became a DAV national service officer in
                        Reichert’s leg. He and the other           July of that year, but he still kept up with Reichert’s
                           wounded were evacuated to a             claim and would frequently update him on its progress.
                            medical ship at sea.                   In September, Reichert received his final decision
                                 Reichert was honorably            letter granting him VA benefits and compensation for
                                 discharged from the               Parkinson’s disease, PTSD and his wounded leg.
                                    Marine Corps in                   “He’s finally getting the treatment he deserves,”
                                     August 1968, but              added Franko. “You could tell he walked a little taller
                                       the battle-scarred          and was much happier.”
                                       veteran continues              Franko says he was driven to become a service
                                       to live with the            officer to give back to veterans like Reichert.
                                       effects of the                 “In my heart and mind, I feel like I won a battle
                                        Vietnam War. More for this individual,” he said. “Before Dennis received
                                        recently, he began         the decision, he appeared to be a shell of himself. Once
                                        noticing physical          he got a confirmed diagnosis, you could see he wasn’t
                                        tremors, which he          just going through the motions anymore.” n

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Hope through
                          TECHNOLOGY
                                      VA, veterans test state-of-the-art
                                      equipment to ease symptoms
                                      associated with spinal cord injuries

                                      By Bryan Lett

                                      W      hen an individual sustains a spinal cord injury
                                             (SCI), there is a litany of secondary medical
                                      conditions that can develop from the resulting
                                      immobility, further complicating the road to recovery.
                                         Some of those complications include low
                                      bone density and an increased risk of developing
                                      osteoporosis, poor bowel and bladder function, muscle
                                      atrophy, and an increase of fat tissue. An increase of fat
                                      tissue can bring with it all of the same health issues of
                                      obesity without the patient looking overweight. These
                                      conditions can open up an even wider web of health
                                      concerns, which makes a preventive approach a critical
                                      element of the treatment plan.
                                         Yet there is hope for the estimated 42,000 veterans
                                      who have sustained a SCI—and the solution looks
                                      straight out of science fiction.
                                         The Department of Veterans Affairs is studying
                                      powered exoskeleton technology, which recently
                                      became available as an alternative form of upright
                                      mobility to veterans with SCI, providing an external
                                      framework for support and computer-controlled
                                      motorized hip and knee joints to assist with walking.
                                      The study comes at an important time, as the VA is
                                      currently the largest health provider to individuals with
                                      SCI in the nation, and injuries to the spine are on the
                                      rise among post-9/11 veterans.
                                         According to a recent report, “Epidemiology of War-
                                      Related Spinal Cord Injury Among Combatants: A
                                      Systematic Review,” the frequency of spinal cord injuries
                                      of all war casualties was estimated to be 1.2% in the
                                      Korean War and 1% in both the Vietnam War and the

8   DAV MAGAZINE | MARCH/APRIL 2020
Above: The ReWalk exoskeleton features a wrist-worn
   remote control to assist the user in sitting, standing and
   walking using knee and hip motors and a programmed
   stepping algorithm. Right: DAV life member and Air Force
   veteran Harry Hillen Jr. demonstrates how the ReWalk
   exoskeleton works. Hillen is a part of a VA-funded clinical trial
   to determine if individuals with spinal cord injuries (SCI) can
   use the device to fight off many of the secondary adverse
   medical conditions a SCI can produce.

Gulf War. More recently, it has been reported that more
than 1 in 10 wounded Iraq and Afghanistan combatants
have sustained an SCI. Presently, spine-related disabling
conditions account for 14% of medical discharges from
wartime military service.
   “When people have a spinal cord injury, it’s not just
the ability to move their limbs that is impacted,” said Dr.
Kristi Henzel, who oversees the study at the Cleveland                 of the study is to help figure out how people are using it,
VA Medical Center. “The brain stem, the brain and the                  how much using the device changes their quality of life
spinal cord control all of the body’s organs, so there                 and their activity level.”
are a lot of other things that can become dysfunctional                   In 1993, DAV life member Harry Hillen Jr. was
from an SCI. These additional complications all have a                 medically discharged from the Air Force as a result of
negative impact on the patient’s longevity.”                           his wartime service. In 2008, he was celebrating his
   The study is available to eligible veterans with SCI                third wedding anniversary and the birth of his second
who pass the screening criteria. The targeted enrollment               child when his future as a husband and a father was
is 160 veteran participants across 15 different VA                     threatened by the discovery of a cancerous tumor
medical centers. Half the veteran participants will                    on his spinal cord.
use the exoskeletons, and their progress will be                          “I had a lot to live for, but you never know what
measured against the other 80 participants who will                    could happen to you at that point,” said Hillen, who
use wheelchairs. For initial safety reasons, the veterans              is a member of DAV Chapter 58 in Hopwood, Pa. “It
using the exoskeletons require a trained companion in                  was pretty much a 50-50 chance if I was going to walk
order to use the devices at home.                                      again, or even wake up from the surgery.”
   “The veterans in the study group take the device home                  Hillen successfully had the tumor removed, but it
for 16 weeks, and during that time, they use the device                returned in 2011. He again had it removed and is now
as little or as much as they want,” Henzel said. “The goal             cancer-free and participating in the study.

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Even if I can never walk again, it is
                        amazing to be able to use it and be more
                        active. It definitely gives you hope.
                                                                —Harry Hillen Jr., Air Force veteran

        “I did physical therapy for three months after                  Deputy National Legislative Director Adrian Atizado.
     surgery,” Hillen said. “I was able to get to the point             “Especially as we’re seeing such a significant increase
     of walking with a walker, but I never progressed past              in SCIs among this current generation of warfighters,
     that point. Then I got something in the mail about this            we must continue advancing technology that will give
     opportunity and thought this could be something that               them the greatest quality of life possible.”
     really benefits me.”                                                  “This study is particularly exciting because, while
        Hillen’s final diagnosis is classified as an “incomplete        others have had very encouraging results, this is the
     spinal cord injury.” Put simply, an incomplete SCI                 first to study individuals with SCI using these devices
     occurs whenever a survivor retains some feeling below              at home for a multi-month period,” Dolan said. “The
     the site of the injury.                                            VA’s funding and execution of this study is a crucial step
        “It has improved my ability to play with my kids,               in understanding the impact exoskeletons can have on
     because my legs have gotten stronger,” Hillen said.                a person’s quality of life and the reduction of their
     “When my daughter was born, one of my big things                   secondary medical complications.”
     was that I wanted to be able to walk her down the                     For Hillen, the ultimate goal is to be able to walk
     aisle one day. That was my motivation that kept me                 again and do more with his kids.
     going, and this device is helping ensure that happens.”               “Even if I can never walk again, it is amazing to be able
        All of the participants in the study are using                  to use it and be more active,” Hillen said. “It definitely
     a powered exoskeleton, ReWalk 6.0, which is                        gives you hope. It has given my kids hope also to go
     customized to fit each veteran properly.                           through it with me. I think it has made them stronger.”
        “To begin use of the device, a person would                        The study has an estimated completion date of
     transfer into it while it is seated,” said Andy Dolan,             Sept. 30, 2021, but Hillen’s wife, Heather, said she
     vice president of marketing at ReWalk.                             has already seen improvement.
        Users buckle in and use a set of crutches positioned at            “The device gave him the help he needed to be able
     their sides. The ReWalk takes physical cues from the user,         to stand up and take actual steps,” she said. “The look
     as well as prompts from a wrist-worn remote control, to            on his face when he is using the ReWalk is a look
     assist the user in sitting, standing and walking using knee        of accomplishment. The pride he showed when he
     and hip motors and a programmed stepping algorithm.                learned how to operate it was a face I had missed
        “It’s difficult at first,” Hillen said. “The first time I put   seeing. I have felt our family getting closer to him
     it on, it was a little scary. You know, it is new. You get         as a husband and a father.”
     a little bit nervous, wonder if you’re going to fall, but             Hillen is hopeful that the study will prove to be
     being able to make the leg movements that you would                beneficial and therefore help more of his fellow veterans
     normally make is pretty amazing. It gives you the hope             in the future.
     to keep going. I can see and feel my legs being able to               “It’s all about seeing what it can do for other
     do more than before.”                                              veterans,” Hillen said. “It’s about other veterans and
        “Studies like this show us what an important impact             improving their lives. Many veterans are worse off than
     VA research has on the lives of disabled veterans,” said           I am, and I think this technology is pretty awesome.” n

10            DAV MAGAZINE | MARCH/APRIL 2020 | DAV.ORG
GI Bill changes now in effect
New regulations may hurt student veterans’ bottom line
By Ashleigh Byrnes                                          housing allowance based on the geographic location
                                                            of the main campus.

T   hose using the Forever GI Bill through the
    Department of Veterans Affairs may have noticed
a change to their monthly benefit.
                                                                Schools will be required to resubmit enrollment
                                                            information for students who took courses outside the
                                                            main branch or campus between Aug. 1, 2018, and Dec. 1,
   Recently, the Forever GI Bill made two important         2019, in order to process claims in accordance with the
changes to how the VA calculates monthly housing            new regulations. The VA has stated they will send letters
allowance (MHA)—and subsequently, the amount                to all students informing them of whether they have been
some student veterans will see in their benefits            overpaid, underpaid or not impacted by the change.
payments. Some beneficiaries may now receive lower              “The VA was in the process of updating its IT system
housing payments, even though they have previously          to accommodate these rate changes and has, as a result,
entered into leases or mortgages based on the higher        been overpaying some beneficiaries since August
rate. Others may see their housing benefit rise and         2018,” said Villanueva. The resulting debts from these
may be due retroactive back pay that the VA will            overpayments, according to the VA, will not require
work to allocate over the next several months.              repayment by the beneficiary.
   “January was the first month veterans would have             According to literature distributed by the VA, if a
seen the change, based on adjustments made to the           beneficiary was overpaid because of these changes,
calculations beginning in December,” said Assistant         the VA will automatically review the overpayment for
National Legislative Director Jeremy Villanueva. “We        the debt waiver and provide additional information
want to ensure veterans are aware of the potential          on the process for the beneficiary.
impacts these changes will have on their benefits.”             The VA has provided forms and instructions
   First, the housing allowance was based on the Defense    to those impacted so they can begin the housing
Department’s housing allowance rates, which were            relief request through the Ask a Question portal
capped in 2015. Post-9/11 GI Bill housing payments were     at https://gibill.custhelp.va.gov/app/home.
exempt from the cap, meaning the VA continued to pay            “Now that the new rates have gone into effect,
slightly higher housing rates than the DOD. For students    it’s a good idea to check out the VA’s site and verify
who began using the GI Bill prior to Jan. 1, 2018, the      you are receiving the correct amount based on the
higher rate will still apply. Those who began using the     new calculations, to avoid problems down the road,”
benefit after that date will now be paid at the DOD’s E-5   said Villanueva. n
with dependents Basic Allowance Housing rate.
   Second, MHA will now be determined based on the                  Learn More
location of the campus (ZIP code) where a student             The new MHA rates can be found online using
physically attends the majority of their classes, as          the GI Bill Comparison Tool at va.gov/gi-bill-
opposed to the main branch or campus where a student          comparison-tool. If you have additional questions
is enrolled. This change mainly impacts students who          about the change to this benefit, call the VBA
attended extension campuses but have received a               Education Hotline at 1-888-442-4551.

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Help mark 100 years
                                         Aug. 1–4, 2020
                                         Hilton Anatole, Dallas

     T   his year, we’ll kick off our centennial celebration at
         the 2020 DAV and Auxiliary National Convention in
     Dallas—where you’ll find big hats and big hair, as well
                                                                     If you’re interested in history, start your visit off
                                                                  at the Fort Worth Stockyards before touring Dealey
                                                                  Plaza and its Sixth Floor Museum in downtown Dallas.
     as a hotbed of history, art and sports. There will also be   Meanwhile, culture buffs can divvy up their time
     special events and displays that honor the 100 years of      between Fort Worth’s Kimbell Art Museum and the
     service DAV marks this year.                                 Dallas Museum of Art. And if you’ve brought the kids
        The convention is a time for us to recognize our          along, you can devote some time to both the Fort Worth
     top volunteers and hear from department and chapter          Zoo and the Dallas World Aquarium, or keep cool in
     leaders while providing useful training. It’s also an        the Hilton Anatole’s lazy river and splash pad.
     opportunity to advocate for ill and injured veterans,           Make your time in the “Big D” even better by taking
     enjoy the camaraderie of fellow DAV members, and             advantage of free transportation options throughout
     take ownership of the organization by choosing our           the city. Jump on the M-Line Trolley in Downtown
     leadership and setting our yearly legislative agenda—        and head out to explore Uptown and the Dallas Arts
     all while allowing for a hearty dose of fun in this          District. Or find your seat on the D-Link, the Dallas
     premier vacation destination.                                Area Rapid Transit free shuttle service, to begin
                                                                  discovering Downtown and Oak Cliff in no time.
                                                                  No matter where you’re headed, Dallas makes it easier
       TRAVEL ASSISTANCE
                                                                  than ever to start exploring all of the amazing places
       The Transportation Security Administration can
                                                                  the city has to offer.
       facilitate the screening of injured or wounded
                                                                     Our special room rate at the Hilton Anatole
       veterans. After making flight reservations,
                                                                  is $149 per single or double. Additional hotel
       veterans or their care coordinators should
                                                                  information is available by calling 800-445-8667 or
       contact a TSA Cares representative by calling
                                                                  visiting www.dav.org/events/2020-national-convention
       toll-free 855-787-2227 weekdays from 8 a.m. to
                                                                  and clicking “Reserve Online.” Be sure to say you
       11 p.m. and weekends and holidays from 9 a.m.
                                                                  are reserving under the DAV room block if making
       to 8 p.m. Eastern time. A representative will either
                                                                  reservations by phone. n
       provide screening information relevant to the
       veteran’s disability or refer the veteran to experts               Learn More Online
       at TSA for help through the screening process.
                                                                    www.dav.org/events/2020-national-convention

12           DAV MAGAZINE | MARCH/APRIL 2020 | DAV.ORG
Hear

                                                                     AR
her
RO                                                               The first enlisted women National Guard
                                                                 soldiers prove they have what it takes to
                                                                 call themselves Army Rangers
PHOTO ILLUSTRATION / SHUTTERSTOCK

                                                                 By Matt Saintsing

                                    DAV |   @DAVHQ |   DAVHQ |     COMPANY/DAVHQ |   DAVETERANS |   DISABLEDVETERANS   13
S
                                      PHOTO BY STAFF SGT. HAILEY HAUX/AIR FORCE

                       taff Sgt. Jessica Smiley joined the
                        Army at a time when women
                         were barred from holding combat
                         jobs and participating in elite
                         training, like Ranger School. But
                         a lot has changed in the 13 years
                         since she first enlisted, and this
                         past December, Smiley became
                         one of the first enlisted female
                         National Guard soldiers to earn
                         the coveted Ranger tab.                                  Army Sgt. Danielle Farber (left), Pennsylvania National Guard
        Smiley and fellow soldier Sgt. Danielle Farber join                       166th Regional Training Institute Medical Battalion Training
                                                                                  Site instructor, and Army Staff Sgt. Jessica Smiley, South
     the ranks of dozens of women who now wear the
                                                                                  Carolina National Guard military police noncommissioned
     signature black-and-gold Ranger tab after completing                         officer currently serving with the Army Training and Doctrine
     the grueling course designed to develop combat                               Command, graduated Army Ranger School at Fort Benning,
     leaders and prepare them for special missions.                               Ga., Dec. 13, 2019, as the first National Guard enlisted
        “I’ve always tried to push myself to not only meet                        women to complete the leadership school. Smiley and
     the standard but to exceed it,” said Smiley, a military                      Farber completed the mentally and physically challenging
                                                                                  course, which focused on squad and platoon operations
     police officer in the South Carolina National Guard,
                                                                                  designed to prepare soldiers to be better trained, more
     “not just for myself, but to the benefit of the soldiers                     capable and more resilient leaders. (Photo by Sgt. Brian
     beneath and beside me.”                                                      Calhoun/Army National Guard)
        The path for the enlisted Guard duo was paved
     in 2015 by Army 1st Lt. Shaye Haver and Capt.
     Kristen Griest—the first of their gender to graduate                           The monthslong course, however, took a toll.
     the formidable 61-day course. The first female Army                          The allure of a good night’s sleep and hot meal was
     officer reported to the 75th Ranger Regiment two years                       tempting, particularly so when scaling the arduous
     later. Then, in 2018, the first enlisted female soldier,                     and unforgiving north Georgia mountains carrying
     Staff Sgt. Amanda Kelley, received her tab.                                  a pack weighing anywhere from 65 to 90 pounds.
        To prepare for Ranger School, Smiley underwent                              “There were several times I thought about quitting,
     an intense 18-month physical fitness regimen,                                but then I told myself I’d quit the next morning,”
     incorporating ruck marches, running and                                      Smiley said. “It was a time where I could just quit,
     weightlifting into her routine. And laying the                               and I’d receive no repercussions, because I didn’t
     groundwork paid off, as Smiley found herself                                 ‘need’ the school.”
     shoulder to shoulder with the other graduating                                 But each time, when morning’s first light came,
     Rangers at a life-changing ceremony near Victory                             she returned to the task at hand, and the thought of
     Pond at Fort Benning, Ga.                                                    quitting withered away.

14           DAV MAGAZINE | MARCH/APRIL 2020 | DAV.ORG
I’ve always tried to push myself to not only meet the
                  standard but to exceed it—not just for myself, but to
                   the benefit of the soldiers beneath and beside me.
                                          —Staff Sgt. Jessica Smiley, Army Ranger

  Her spot alongside other Ranger candidates was                care and support for women veterans when they
made possible in 2015 when then-Defense Secretary               transition to civilian life.
Ashton Carter announced that all combat roles and                  Women are the fastest-growing demographic
specialized training would be open to women.                    among all veterans in the United States today. About
  “There will be no exceptions,” Carter said at the             9% of the roughly 9 million veterans treated by the
time. “They’ll be allowed to drive tanks, fire mortars          VA are women, a percentage the Department of
and lead infantry soldiers into combat. They’ll be              Veterans Affairs expects to double by 2040. To meet
able to serve as Army Rangers and Green Berets,                 this demand, the House Veterans Affairs’ Committee
Navy SEALs, Marine Corps infantry, Air Force                    announced the creation of the Women Veterans Task
parajumpers and everything else that was previously             Force last year to identify and eliminate barriers
open only to men.”                                              women face when trying to access VA care—including
  The new policy meant changes, not just for the                reproductive health for women veterans, residential
military, but also for the way the nation structures            treatment programs and economic opportunity.
                                                                   Specifically, the task force is focused on four areas:
                                                                ensuring a welcoming and inclusive VA; providing
                                                                equity and access to VA health care, including women-
                                                                specific care such as gynecology and obstetrics;
                                                                improving economic opportunities for women veterans
                                                                and their families; and guaranteeing that women
                                                                veterans have equal access to VA benefits, including
                                                                education, disability and pension benefits.
                                                                   “We have this growing population of women
                                                                veterans who served during a time of war, and we
                                                                know that they’re experiencing the same impact
                                                                on their health as men,” said National Legislative
                                                                Director Joy Ilem, who has been participating with
                                                                the task force. “When they receive VA care, one
                                                                apparent truth is a lot of these services and programs
                                                                were designed for men; some of the nuances don’t
                                                                shine through for women.
                                                                   “It’s an exciting and important time to witness
Staff Sgt. Amanda F. Kelley, assigned to the 1st Armored        the evolution of gender roles in the military,” said
Division’s combat aviation brigade at Fort Bliss, Texas, gets
                                                                Ilem. “Our charge now is to make sure we support
her Ranger tab pinned on by a family member during her
Ranger School graduation at Fort Benning, Ga., Aug. 31,         that evolution by putting in place the appropriate
2018. Kelley was the first enlisted woman to earn the Ranger    measures to provide all veterans the care they need
tab. (Photo by Patrick A. Albright/Army)                        and deserve.” n

  DAV |       @DAVHQ |        DAVHQ |         COMPANY/DAVHQ |        DAVETERANS |         DISABLEDVETERANS                  15
Service
     wherever                                                Charles Burns, a senior national service officer with the DAV

     you are
                                                             office in Fort Snelling, Minn., conducts an information seminar to
                                                             a gathering of veterans in Elk River, Minn., on Feb. 8. In the back
                                                             of the room, Assistant Supervisor Matthew Jahn assists veterans
                                                             with their benefits claims. (Photos by SnowGlobe)

     DAV information seminars provide benefits guidance
     and assistance to veterans in their local community
     By Matt Saintsing                                             of benefits and claims assistance. DAV chapters,
                                                                   departments and volunteers are the lifeblood of the

 F       or nearly a century, DAV has helped America’s
         war-wounded and their families access a wide
     range of veterans benefits, including health care
                                                                   important events, bringing veterans face to face with
                                                                   DAV members who can help them get justice and the
                                                                   compensation they earned in service.
     and compensation. While a robust network of service              “Essentially, we can now advocate for veterans
     officers and benefits counselors is accessible at             from anywhere,” said Marszalek. “We have a lot more
     more than 100 sites nationwide, some veterans find            flexibility and can operate more efficiently.”
     it challenging to contact a DAV representative or                Alex Martinez, who supervises DAV’s national
     travel to a national service office.                          service office in Guaynabo, Puerto Rico, makes it a
        “For many years, we used our Mobile Service                point to conduct information seminars inland, to reach
     Office program to help reach these veterans by                veterans who are isolated from the DAV and VA offices
     sending service officers in specially outfitted vans          along the island’s coast.
     out into the community,” said National Service                   “It isn’t just going there and standing in line looking
     Director Jim Marszalek. “But the vehicles were costly         at each other,” Martinez said of the seminars. “Veterans
     to maintain, difficult to maneuver and restricted             will come in so they can be seen at the VA hospital,
     where we could set up shop, so to speak. So we opted          and we’ll try to take care of any claims they may have.”
     to replace the program this year with information                Veterans also have the chance to meet with officials
     seminars to reach more veterans at a time in                  from the VA National Cemetery Administration and
     different venues.”                                            receive blood pressure screens and flu shots, according
        DAV information seminars are designed to educate           to Martinez.
     veterans as they navigate the often murky waters                 “It is quite an event,” he added.

16            DAV MAGAZINE | MARCH/APRIL 2020 | DAV.ORG
Layton Lamphere, who supervises the DAV service
office in Muskogee, Okla., said information seminars
attract anywhere from 20 to 150 people, depending
on the area.
   “We really try to reach people who don’t typically
have face-to-face contact with DAV representatives,”
said Lamphere. “We also go into large cities for
veterans who don’t have the time or resources to
travel to Muskogee to speak with us.”
   The seminars also allow DAV advocates to discuss
localized benefits, as well as changes to policies and
laws governing VA benefits.
   “We hit really hard on the Blue Water Navy issue
during our last seminar,” Lamphere explained. “That
was a huge change we wanted our veterans and their
families to be aware of.”
   Both Martinez and Lamphere said department-
level leadership involvement is critical to making the
information seminars a success.
   “Our service officers and staff, from the national level
down to the chapters, are trained to spot what veterans
in their communities need,” said Marszalek. “What we
do is not one size fits all, and the information seminars
help us get out there and meet the unique needs each
veteran has.”
   Like all DAV services, information seminars are always
                                                              Information seminars
free for veterans and their families. Membership is not         bring veterans face
required to take full advantage of DAV’s programs. n
                                                                 to face with DAV
         Learn More Online
                                                                members who can
  You can find a schedule of upcoming information
  seminars at www.dav.org/wp-content/uploads/                  help them get justice
  InformationSeminarCalendar.pdf, or learn more
  from your local national service office by reaching
                                                              and the compensation
  them at benefitsquestions.org.                              they earned in service.

  DAV |     @DAVHQ |        DAVHQ |       COMPANY/DAVHQ |     DAVETERANS |   DISABLEDVETERANS   17
Mefloquine
     miscues
     Despite known risks of antimalarial medication,
     the Department of Defense issued mefloquine
     to U.S. troops for nearly a quarter century. Now,
     VA disability examiners may be misattributing
     its chronic adverse effects to PTSD.
     By M. Todd Hunter

18
U.S. Marine Corps Cpl. Timothy Dobson, a fire team leader with 2nd Platoon, Ground Combat Element, Security Cooperation
Task Force Africa Partnership Station 2011 (APS-11), takes doxycycline, an antimalarial drug, in Toubakouta, Senegal. (Photo
by Lance Cpl. Timothy L. Solano/Marine Corps)

F  rom nuclear testing to Agent Orange to burn pits,
   the American military has a decadeslong history
of inadvertently exposing service members to a range
                                                                  “It was recognized around the time of its U.S.
                                                               licensing that there were very significant problems with
                                                               this drug,” said Dr. Remington Nevin, a board-certified
of harmful toxicants responsible for myriad long-term          physician epidemiologist and former Army preventive
health issues. But there are certain exposures—those           medicine officer who has authored more than 30
which have known dangers—that, as a matter of                  scientific publications on malaria and antimalarial
policy or apparent necessity, have been purposefully           medication. “It was clearly known that some people
introduced to military personnel. This is true of the          became psychotic and some people became very
antimalarial drug mefloquine, which was administered           violent, but at the time, it wasn’t appreciated just how
to hundreds of thousands of deployed U.S. troops               serious these neuropsychiatric effects could be in terms
despite the Pentagon’s and health professionals’               of causing lasting disabilities.”
awareness of its adverse effects.                                 Nevin noted that the known dangers of mefloquine
   Mefloquine, a pill taken weekly, was developed in the       (previously marketed in the U.S. as Lariam) were
1960s and 1970s by the Walter Reed Army Institute of           such that its manufacturer, Swiss multinational
Research after a drug-resistant strain of malaria sickened     pharmaceutical company Roche Holding AG (Roche),
troops in Vietnam. It was widely prescribed to U.S.            and the FDA agreed to language in the initial product
service members from 1989, when it was approved by             insert that warned certain symptoms—anxiety,
the Food and Drug Administration, until 2009, when             depression, restlessness or confusion—should be
the Department of Defense issued directives effectively        considered as early signs of a “more serious event” and
making it a last-choice drug for troops.                       the drug must be immediately discontinued by its user.

  DAV |      @DAVHQ |        DAVHQ |       COMPANY/DAVHQ |            DAVETERANS |           DISABLEDVETERANS                  19
However, according to Nevin, most troops didn’t         throwing an Iraqi man in the Tigris River in 2004.
 receive those warnings or have logistical access to           In a 2013 publication, Nevin and other military
 alternative medications while deployed. There was also     medical professionals argued that mefloquine can
 no way for DOD medical personnel to identify ahead         produce “derealization and depersonalization,
 of time who was susceptible to the drug’s neurotoxicity,   compulsions toward dangerous objects, and morbid
 estimated to be anywhere from one-quarter to two-          curiosity about death.” It can also produce dissociative
 thirds of its users.                                       effects that make someone performing violent acts
    “Instead, the military said, ‘Here’s your mefloquine,   think someone else is committing the crime.
 you’re getting on the plane, you may have some crazy          Unfortunately for veterans affected by mefloquine,
 dreams, but suck it up and drive on,’” said Nevin,         the Department of Veterans Affairs does not recognize an
 who now serves as executive director of The Quinism        association between the drug and negative mental health
 Foundation, a group dedicated to supporting research       outcomes. This is, in part, because of a joint VA-DOD
 on quinoline drugs. “So, we systematically ignored         study that notes there are no significant associations
 and undermined the critical safety warnings in the         between mefloquine and mental health issues.
 product insert.”                                              The 2018 publication, using data from a records
    After various international studies confirmed           study of 60,000 U.S. veterans who served between
 mefloquine’s potential for causing psychological           2001 and 2008, found that reported negative physical
 illness, and a growing list of its neuropsychiatric        and mental health outcomes are largely due to combat
 adverse effects—including vertigo, tinnitus, insomnia,     deployment exposure.
 vivid nightmares, visual and auditory hallucinations,         However, context is key. Not only did the joint study
 paranoia, seizures, mood swings and suicidal               rely solely on record reviews of self-reported symptoms,
 ideations—became more well known, Roche pulled             which is problematic since most troops don’t report
 the drug off U.S. shelves. Eventually, in 2013, the        psychiatric issues, but it was also not based on scientific
 FDA issued its strongest “black box” warning, that         diagnoses and did not have specific test subjects with a
 mefloquine can cause long-lasting and even permanent       control group.
 damage, bringing an end to the DOD’s nearly quarter-          Alarmingly, a 2015 clinicians book focusing on
 century use of the drug.                                   post-traumatic stress disorder and related diseases in
    Exposure to antimalarial drugs has been introduced      combat veterans does note that the acute symptoms of
 as a possible factor in several cases of violent murder    mefloquine intoxication may mimic and be mistaken for
 over the past two decades. Cases include Army              a number of acute psychiatric disorders, including PTSD.
 Staff Sgt. Robert Bales, who pleaded guilty to avoid          “It’s really a hidden epidemic, because so few people
 the death penalty for slaying 16 Afghan civilians in       attribute these problems to the drug—there’s always
 Kandahar Province, Afghanistan, in March 2012, as          something else they attribute it to because it’s taken
 well as four soldiers who killed their spouses over a      during deployment, where there’s so many other
 six-week stretch in 2002 at Fort Bragg, N.C. This factor   things happening,” said Nevin, who warned that VA
 was also discussed when a group of soldiers from Fort      disability examiners may be misattributing mefloquine
 Carson, Colo., were charged with manslaughter after        intoxication to PTSD.

20       DAV MAGAZINE | MARCH/APRIL 2020 | DAV.ORG
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