Showing posts with label VA. Show all posts
Showing posts with label VA. Show all posts

Thursday, October 23, 2008

washed the dirt off our intentions

Some days I think the only thing keeping me from selling my soul for half an hour of physical comfort- rested, warm, free of pain- is that the devil isn't interested in buying. I start to wish I could remember what it's like to not be in pain, and I get to feeling sorry for myself, and tell myself stories about how brave and determined I am just because I make an effort to stay alive.

Days like this, I don't get a lot of writing, or thinking, done. Obviously. But I have been reading books by Terry Pratchett (Hogfather most recently) and its possible that someday I may be out of this funk.

Yesterday I got a postcard from Elizabeth, which brightened my day. I also had an appointment with VA Voc Rehab in Seattle to see if they'll agree that being able to work ten hours a week as a tutor or something is a goal worth paying my college tuition to achieve, and they didn't say no outright. Which is sort of good, although it means I have to go in for another appointment next week after gathering information on certifications and employment prospects, which, quite frankly, sounds exhausting enough that I almost want to cry. Driving into Seattle for any reason is a horrible horrible task. But hey, its still a good thing, and maybe I'll take the bus.

I just wish I wasn't so tired.

Tuesday, July 15, 2008

pull the tricks out of our sleeves

For various boring personal reasons, I'm looking into creative ways to live under a roof with an income of about $750/month. So far I've come up with:

  • Working as a nanny for a family with one or two quiet school age kids in exchange for room and board. This plan hinges on the kids being extremely easy to take care of and no one needing me to clean or cook anything on a regular basis, but I think if there was a family out there who understood chronic pain... so basically its a very long shot.
  • Living in the projects. Specifically these projects. The major drawback to this plan is the huge waiting list for spaces. That, and the fact that making my way through government paperwork gives me a blinding headache just thinking about it.
  • Buy some cheap rural land and live in my car while slowly building a tiny house like this one from the Tumbleweed Tiny House Co. Making this affordable might be impossible, and living in my car would be uncomfortable, but this is the solution I like best in the long term. My dad has done a lot of renovations on his house, and I know he and my brothers would help me were I to try to build a house like this, so building it might not actually be that hard. Just the money would be the issue, really, and the VA does cheap-ish home loans... but this one is a bit far-fetched.
  • Living with my parents while I fight the VA for the full benefits to which I am entitled. This is what my parents want me to do, but I have to say, I'm not enthusiastic.
My other real option is to forget about the roof over my head, take off in my car and live in a Walmart parking lot somewhere. It would be an interesting life experience, I'm sure, but I think it would freak out my parents a little bit, and I'm actually afraid that if I do the homeless thing I'll get too separated from normalcy and I might have some trouble getting back to normal if the situation ever improved. Also, being homeless is quite dangerous for women, or so I hear.

If anyone has any ideas to add to the list, feel free to share.

Saturday, June 28, 2008

Cold Hard Reality

In the past couple of days I've read Molly Ivins' Bill of Wrongs and John Grisham's The Innocent Man, and I think I've had my dose of cold hard reality for a little while. But before I retreat to my hammock to read pulp fantasy novels, I just have to comment on this post at Obsidian Wings, "Unless a Solder Has a Personal Fortune...". The post quotes an Army Times articles to emphasize how little disabled vets are left with after they're discharged; it amuses me that the article gets it so wrong, like while the writer wanted to bring some light to how vets are treated, she couldn't bear to actually admit just how bad it can be. Hence, this quote:

(I)njured service members are discharged on just a fraction of their salary and then forced to wait six to nine months, and sometimes even more than a year, before their full disability payments begin to flow. (...)

Most permanently disabled veterans qualify for payments from Social Security and the military or Veterans Affairs. Those sums can amount to about two-thirds of their active-duty pay. But until those checks show up, most disabled veterans draw a reduced Army paycheck.
It gives the impression that a disabled veteran, upon leaving her military base with discharge papers, receives a reduced paycheck until the VA and/or SSA get their shit together to evaluate that veteran. And once the VA does evaluate that vet, which happens within a year, she can expect to actually get two-thirds of her active duty pay. And this is supposed to be an example of the system failing- which I guess it is. It makes me wonder if the writer even realizes that this horrible scenario of hers is orders of magnitude better than what happens to many, many vets.

Just to be clear: I have never heard of a vet receiving a reduced Army paycheck after discharge. Maybe that happens if you get a certain disability rating from the Army on discharge; when I was discharged, I got a zero rating from the military board although I was only able to work part-time at a civilian desk job at the time, and I was told that the military board often gave soldiers zeros when they deserved much higher disability ratings. The policy was to give soldiers as little as possible from the Army and just let the VA deal with them. So maybe you get a bit of an Army paycheck if you're a combat amputee or something, but your average disabled vet doesn't.

So you get out of the Army with maybe some severance pay, a few thousand dollars or so, and it takes the VA 3-4 months to get you into the system so you can apply for disability benefits from the VA, and then the VA takes a year or so to decide your claim. But the VA also has a policy of minimizing payments for disability, and so its quite likely that if the VA even admits that your medical problems are service-connected, they'll minimize your symptoms, and therefore your payments, as much as possible-or more. (The most recent example of this in the news was the hearing on VA administrators directing their subordinates to find that vets with PTSD had "adjustment disorder" in order to save on compensation costs.)

So you've been out of the military for a year, not working because of your disability, and you get a disability rating of 30% or 40%. So you appeal, but appeals don't have a time limit at the VA- they have no incentive to process your claim, so it gets tossed on a pile, and maybe a couple years later someone looks at it. If you're lucky, that someone will take the facts into account and get you the compensation you need; if you're not lucky, they won't, so you appeal again and the wait starts all over- and you're still living on $512/mo.

This is what really happens, this is how vets are really treated. It destroys people's lives and is an absolute disgrace; it irritates me that all anyone talks about are best case scenarios.

Friday, April 18, 2008

I'll be here quite a while

Some days it just seems like everything I can think of to say has already been said better by someone else, and I find that it feels more rewarding to sit on my ass and watch bootlegged episodes of grim crime shows.

Some things that people have said about how stupid our political process is getting: the funny, by publius at Obsidian Wings, and the angry, by Brad at Sadly, No!

Suzie at Echidne of the Snakes proves that I'm actually a man, because I'm argumentative and I don't like shoes.

I'm kind of in love with Wheelchair Dancer. Also with Cuttlefish.

And in the best news I've had in a long time, my physical therapist today had me try a paraffin bath for my hands, because heat sometimes decreases the amount of pain I feel. These things are absolutely wonderful, and not only do I get to look forward to episodes of the absence of pain in my hands once a week when I go to physical therapy, but she may be able to help me get the VA to buy me my very own paraffin warmer, like this one. If all this positivity keeps up, I may have to abandon my belief that the VA is run by a demon overlord straight out of Buffy who feeds on human suffering.

Friday, March 07, 2008

When I am king

Sitting in my email inbox right now is a letter from a caseworker at the VA Regional Office of Vocational Rehabilitation and Employment, St Louis (Voc Rehab). This is the office that works with veterans who are disabled by a condition caused by their military service in order to retrain them for the workplace and help them find employment by providing things like assistive devices: voice recognition software, specialized wheelchairs or whatever you need in order to get back to work. They also do things like paying for college if they think that's what you need to be a productive member of society, or small business planning advice and loans. Voc Rehab interviewed me in January to see if there was anything they could do for me, a disabled veteran.

The letter in my inbox confirms that a paper copy of my official rejection letter will be sent to me as soon as possible so I can add it to my medical and employment history. The VA office here has found that I am unemployable, not rehabable, not worth spending tax dollars on, so I am not eligible for their program at this time. Incidentally, they made this decision in January, told me they sent me the letter in January, and are only now getting around to resending it.

There is another VA office in town, Disability Compensation and Pension (Comp & Pen). This office is tasked with taking care of veterans who have been disabled by their service; and by 'taking care of' I mean 'giving money to.' This is the branch that gives out disability payments, which are scaled based on the severity of disability from almost negligible, something like $110/month, to completely disabling, over $2k/month. If your disability is so severe that you can't find any kind of employment, you are officially entitled to the full 100% disability payments, which gives you about $25k a year to live on. It's not money that anyone would call riches, but at least it's above the poverty line.

You would think, that since the branch of the VA responsible for helping veterans find employment has found that I am unemployable- and this particular office is the fourth in two states, on the state, federal, and nonprofit levels, to find this- the Comp & Pen branch of the VA would be obligated to also find me unemployable, and therefore give me disability payments that I can live on. Well, you would think that IF you don't know the way the VA works. So here I am, poking at my library account online, bored because someone else has all the Buffy DVDs checked out and I can't afford to buy them so I must wait, contemplating the day when I am no longer able to access the internet from my home because my savings will have run out and I will no longer be able to afford internet access. In my bleaker moments, I contemplate a day when I will no longer have a home from which to not access the internet; but I know that this will probably never happen, because I have family. But if I didn't have family... it already would have. The VA provides me with enough to have a nice car to live out of.

All of which leads me to comment on this article that's been floating around, from the Christian Science Monitor: "Homeless: Can you build a life from $25?" Basically some former athlete white boy with a college degree and rich parents went out to prove that it's possible to go from being homeless to renting a place, even if you're ... a young, healthy, rich white boy with a college degree. Some choice quotes:

To make his quest even more challenging, he decided not to use any of his previous contacts.

Ten months into the experiment, he decided to quit after learning of an illness in his family.

"I was getting by on chicken and Rice-A-Roni dinner and was happy."

"I had a credit card in my back pocket in case of an emergency. The rule was if I used the credit card then, "The project's over, I'm going home.""

[In response to a question about whether his game would have been more difficult if he had child support payments or was on probation] "The question isn't whether I would have been able to succeed. I think it's the attitude that I take in."

"This isn't a "rags-to-riches million-dollar" story. This is very realistic. I truly believe, based on what I saw at the shelter ...that anyone can do that."

Speaking as someone who doesn't have the luxury of "quitting" my life when someone gets sick, who doesn't have an emergency credit card or any "previous contacts" that would do me any good, I just have to say that eating chicken and Rice-a-Roni for dinner sounds like the lap of luxury to me (meat is expensive, even chicken), and I deeply resent the implication that the reason I'm in the situation I'm in is because my attitude isn't focused enough on tugging at my own bootstraps. Yeah, I made some stupid decisions. I joined the Army- that was, in hindsight, blindingly stupid. But I'm not sick and unemployed because I'm lazy, and this kid's condescension makes me want to punch him in the face. Knowing that in the future people are going to point to the book he wrote as "proof!" that poverty is a choice that the government shouldn't subsidize with things like food stamps makes me want to puke.

There's a more eloquent takedown of this at Resist Racism: Playing at poverty.

Monday, March 03, 2008

if you go straight long enough

I keep trying to write a post and every time it turns into a rant about how much I hate the VA. So instead of a real post, here's some links to things I've been reading.

driftglass writes about Orwell's 1984 and the modern Republican Party's doctrine of endless war.

John McCain apparently is an alternative medicine sucker: according to this article, "McCain said, per ABC News' Bret Hovell, that "It’s indisputable that (autism) is on the rise amongst children, the question is what’s causing it. And we go back and forth and there’s strong evidence that indicates that it’s got to do with a preservative in vaccines."" The 'mercury in vaccines' theory of autism origin has been pretty thoroughly debunked, but I guess being a Republican means you just have to be against scientific evidence no matter what.

Also, here's some awesome leopard cubs.

Friday, December 28, 2007

you can't see the thin air

I had a medical appointment today. I was under the impression that it was supposed to be a referral for Cognitive Behavioral Therapy, so I went in all ready to explain that techniques for correcting irrational beliefs in order to improve one's outlook on life are all well and good, but if my beliefs are rational CBT isn't going to be helpful. I firmly believe that my expectation that my health is not going to significantly improve in the future is realistic, and furthermore, that accepting this hard truth is more helpful and healthy than continuing to deny it in the hope that positive thinking will magically cure me.

Turns out this referral wasn't actually for CBT, it was for drugs. The doctor I saw wasn't at all interested in hearing about my memory, concentration, or comprehension problems, and she wasn't at all interested in my history of extremely bad reactions to ridiculously low doses of various medications. What she was interested in was writing me a prescription for Prozac.

I'm not excited about the prospect of taking Prozac, although I agreed to it, of course; I don't ever feel comfortable not agreeing to a suggested course of treatment, because I'm very afraid that if I am ever the least bit non-compliant, for ever after every doctor will point to it and say "Well, it's too bad you didn't agree to this treatment, or you'd be well now. It's your fault you're ill." I'm not sure how rational this fear is, although it has some basis in how I was treated in the Army. Anyway, taking Prozac isn't that big a deal. I am fairly certain it will make me ill just like Effexor did, and I will vomit for a few days, lay about in bed feeling like I'm dying and then I'll recover and not take it anymore. I just wish that I could hurry up and get past the phase of treatment where doctors insist that making me more ill is the best way to treat me.

When going through my medical history with this most recent doctor, we discussed previous medications' lack of benefit on the pain relieving front. She was concerned that I may not be taking medication with the right attitude; her worry is that my cynicism is actually preventing the medication from working like it's supposed to, causing medications that would otherwise relieve my pain to do nothing.

This philosophy that attributes supernatural powers to my emotions is, I think, the worst thing about going to the doctor. I'm not a religious person, nor am I superstitious. I let go of my childhood faith when I could no longer convince myself to pretend to believe in a gigantic Santa in the sky causing good things to happen to good people and bad things to happen to the bad; I couldn't even believe in fate. Things happen because they are caused to happen by real things that exist in the real world, not because you wish they would happen, or pray for them to happen, or believe that they will happen, or deserve for them to happen. This is true of disasters and good fortune alike, and it's true whether I like it or not. It's also true whether you like it or not, which is why mostly I don't give a crap what other people believe about the world. I recognize that there is a human inclination to assign causation to things, and as this seems to be a fairly universal trait (that even I haven't missed out on) I might as well accept it.

It does get to be a problem, though, when it interferes with my health care. I wish I knew how to change things.

Monday, September 03, 2007

Serving Your Country

Sometimes, when I feel like making myself feel sick- you know, when my GERD/IBS isn't doing that for me already- I contemplate my outstanding disability claims.

It's been two years now since I was medically discharged from the Army. As soon as I got out, I put in a disability claim for the stomach problems I had pretty much the whole last year I was in (and which I still suffer from). Throwing up all the time, cramps, bloating, gas and heartburn aren't enough to make you totally disabled, of course (although the esophageal cancer GERD can cause will often actually kill you), but the VA, unlike Social Security, grades disability on a percentage scale, and will often give small payments for minor things. A retired Sergeant Major I used to know gets 10% disability for a tiny scar on his ear; visible scarring is considered disabling, even if you can barely tell it's there. So I had a legitimate hope that even though I was not a Sergeant Major, someone in power would think that I was entitled to something for my constant illness.

It's been two years, and I still haven't heard back from the VA about whether or not I am entitled to disability on this matter. First they told me that because I didn't have a clear diagnosis, I didn't actually have anything wrong with me. I was tempted to go and vomit on the desk of the person who made that decision, but instead just appealed it. They got my appeal paperwork and treated it like a brand new claim, telling me that I would have to prove that I'd had the condition since I was in the military. Never mind that all of my medical records are either military or VA, I had to request copies- from them- and then provide them with those copies.

I'm back in the waiting phase, again. I suppose sometime they will have to make a decision, and I assume that if they even glance at my medical records, they will see that I'm entitled to compensation, because I am. I joined the military in good faith and got wrecked while trying to serve my country, and I know that that's true no matter how many bureaucrats deny it.

When I'm not vomiting bile (ha!) over frustration with the system, I daydream about what I could buy with the back pay I would get if the VA found in my favor. I am fully disabled by my fibromyalgia and unable to obtain or keep employment, according to two government agencies and one non-profit tasked with helping disabled people find work, but VA regulation only allows a finding of 40% disability for fibromyalgia, so I live on $556 a month. A finding of only 20% disability for my GERD/IBS, just one step up from a tiny scar on your ear, would net me back pay of $5400 for the two years I've been waiting.

There are a lot of things I could spend $5400 on, but I think my highest priority is dental care. I daydream about getting my teeth cleaned; I could even get a few cavities filled before that money ran out! Screw new clothes and a tattoo and a haircut from someone other than my mother, dental care is my big dream.

Sometimes I wonder what life would have been like if I hadn't joined the Army. I probably would have finished university a couple years ago, maybe gone on to post-graduate work if I found something that I found more interesting than the rest of the world. Maybe I'd be working at a real job, with health insurance and so on. Maybe not. Maybe I would still worry about not being able to save my teeth, maybe I would still be disabled in some way. There is definitely enough doubt in me, though, that whenever I see ads enticing young people to join the military, it makes me see red.