Thursday, May 17, 2012

Princess Brat Campaigns


Princess Brat Campaigns

From December 21, 2008, that's "Princess Brat Campaigns."  She really thought the US owed her a Senate seat.  The illustration is her trying to carry off Marilyn Monroe's Seven Year Itch pose.

She seemed to think what her father did meant she should be in the Congress so I thought she should also try to use Marilyn Monroe in her campaign. 



Here's C.I.'s "Iraq snapshot:"


Thursday, May 17, 2012.  Chaos and violence continue, a new political entity emerges in Iraq, the political crisis continues, Turkey and Iraq clash again, the VA speaks to unions about policy changes on veterans prosthetics but doesn't feel the need to seek input from veterans, and more.
 
 

Yesterday, the House Veterans Affairs Subcommittee on Health held a hearing. 
 
WASHINGTON, D.C. -- Today, the Subcommittee on Health held a hearing to examine VA's current capabilities to provide state-of-the-art care to veterans with amputations. The Committee heard testimony concerning VA's proposal to change procurement processes for prostheses, potentially hindering a veteran's ability to acquire the latest prosthetic and corresponding care and support.
"VA has been struggling to keep pace with the rising demands of younger and more active veterans with amputations," stated Rep. Ann Marie Buerkle, Chairwoman of the Subcommittee on Health. "VA must continue to provide multi-disciplinary care to maintain long-term and life-time quality of life. Placing prosthesis procurement into the hands of contracting officers is alarming. VA needs to match the determination and spirit demonstrated by our wounded warriors and recommit themselves to becoming a leader once again in prosthetic care."

Currently, VA provides care to approximately 42,000 veterans with limb loss. As of August of 2011, 1,506 servicemembers had experienced amputations on active duty from Operations Enduring and Iraqi Freedom. An additional 2,248 veterans underwent major amputations at VA in 2011. VA prosthetic costs have more than doubled in the past five years, yet, VA's care has fallen behind that of the Department of Defense (DoD).
"Prosthetics are a truly individualized extension of one person's body and mobility, not your typical bulk supply purchase," stated Jim Mayer, a Vietnam veteran, double amputee, and wounded warrior advocate and mentor. "When today's warriors are referred to VA and seek the newer, cutting-edge, technologically superior prosthetics they have been accustomed to [through DoD], will VA be able to meet that demand? DoD centers of excellence provide state-of-the-art and often newly evaluative prosthetics that have allowed warriors to thrive, not just in walking, but also run competitively, compete in the Paralympics, rock climb, play myriad sports and other endeavors."
"Prosthetic technology and VA have come a long way from the Civil War era. Following World War II, veterans dissatisfied with the quality of VA prosthetics stormed the Capitol in protest. Congress responded by providing VA with increased flexibility for prosthetic options and federally funded research and development," said Buerkle. "As a result, VA has been a leader in helping veterans with amputations regain mobility and achieve maximum independence. This is why I am troubled by VA's proposed changes in procurement policies and procedures which shifts the emphasis from the doctors to contracting officers."
 
 
So what kind of change is being discussed?
 
 
Jonathan Pruden:  Under the change, only a contracting officer could procure a prosthetic item costing more than $3,000.  This policy would effect essential items including most limbs like mine and wheel chairs.  It would require the use of a system designed for bulk procurement purchases that involves manually processing over three hundred -- that's 300 -- individual steps to develop a purchase order.  This system may be great for buying cinder blocks and light bulbs but it is certainly not appropriate for providing timely and appropriate medical care.  Equally troubling, this change offers no promise of improving service to the warrior.  Instead, it would mean greater delays. The change could realize modest savings but at what cost?  A warrior needing a new leg or wheel chair should not have to wait longer than is absolutely necessary.  I know warriors who have stayed home from our events, stay home from school, from work, can't play ball with their kids or live in chronic pain while they wait for a new prosthesis.   I know first hand what it's like to not be able to put my son into the crib while I'm waiting for a new prosthetic, to live in chronic pain and to have my daughter ask my wife once again, "Why can't Daddy come and walk with us?"   With VA moving ahead on changing procurement practices, wounded warriors need this Committee's help.  A prosthetic limb is not a mass produced widget. Prosthetics are specialized, medical equipment that should be prescribed by a clinician and promptly delivered to the veteran.  We urge this Committee to direct VA to stop implementation of this change in prosthetic procurement.
 
At the start of yesterday's hearing, Subcommittee Chair Ann Marie Buerkle noted the hearing was entitled "Optimizing Care for Veterans With Prosthetics."  The Subcommittee heard from four panels.  The first one was featured Gulf War Veteran John Register and Vietnam Veteran Jim Mayer.  Disabled American Veterans' Joy Ilem, American Orthotic & Prosthetic Association's Michael Oros, Paralyzed Veterans of America's Alethea Predeoux and Southeast Wounded Warrior Project's Jonathan Pruden made up the second panel (we covered the second panel in yesterday's hearing).  The third panel was the VA's Office of Inspector General's Linda Halliday accompanied by Nicholas Dahl, Kent Wrathall and Dr. John D. Daigh Jr. and Dr. Robert Yang.  The fourth panel was the VHA's Dr. Lucille Beck accompanied by Dr. Joe Webster, Dr. Joe Miller and Norbert Doyle. 
 
We're going to stay on the issue of the proposed change.  And we're going to go to the fourth panel. The VA is just eating up time in the excerpt below.  They have no idea what they're saying -- I don't think Dr. Beck even knows what "impetus" means judging by her answer -- and you would think, "At last they're done" but then they'd launch back in.  I really think that Congress needs to address the issue of witnesses whose words wander all over but never arrive anywhere.  Yes, some people speak that way.  But with government employees, it always seem to be an  attempt to run out the clock.
 
 
Chair Ann Marie Buerkle:  I have a lot of questions.  A lot of it is based on what we heard from the three previous panels -- especially the veterans and the veterans service organizations.  I think they provide for us a reliable source of information and they identify needs for us.  My first question is: What was the impetus behind the change?  You heard the concern from the previous panels.  What was the impetus behind the change in the procurement policy?  And did you consult with the veterans service organizations and/or veterans?  Who did you talk to to make this change?
 
 
Dr. Lucille Beck: The impetus for the change, uhm, is an impetus from the department to assure compliance with federal aquistion regulations.  I have with me Mr. Norbert Doyle who is VHA's chief procurement logistics officer today.  We were anticipating some of these questions.  And he's available to provide more information about  the change and what's happening.
 
 
Chair Ann Marie Buerkle: And just if you would, before you start, so does that mean heretofore the VA was not compliant?  I mean if that's the basis for your change -- that compliance is an issue -- maybe you could make that clear to us.
 
Norbert Doyle:  Yes, ma'am.  Thank you, Dr. Beck.  I -- Ma'am, yes, the impetus was to bring VA contraction -- to include VHA and all the other VA contracting organizations and veteran alignment with the federal aquistion regulations.  We also, uh, it's my understanding the department recognized several years ago that they were weakened in certain areas, in contract administration and the awarding of contracts and this was also to bring it inhouse to ensure proper stewardship of the government dollars. In reference to your question "did we talk to veteran service organizations?" Uh, actually last, uh -- before -- I don't believe we did before we started the process;however, last week -- And I'm happy to meet with any organization to discuss what we're doing.  I heard the complaints from the veterans service organizations that they feel out of the loop.  I met last week with Dr. Beck, with the Secretary's Advisory Committee on Prosthetics and Special Disabilities.  We spent a great deal of time with them.  And I think that group has representatives from many veterans service organizations to east -- address their concerns that they may -- that they may have.  Again, I make that offer that I would be happy to meet with any group to discuss these.
 
Chair Ann Marie Buerkle: Thank you.  I think it would be in the best interest as we go forward to do what's best for our veterans and to hear from the veteran service organizations and from the veterans themselves and from those who have gone through this process who understand it intimately as did the first two panelists.  That -- It would seem like very basic to meet with them and have them identify needs and concerns.  You heard Wounded Warriors say, "We're asking you, Congress, to please freeze this change." And the other point I wanted to bring up was the pilot.  You heard Paralzyed veterans, their organization asked or mentioned a pilot.  Have you done a pilot?  If so, what were the findings?  Is that the justification for this change?
 
Norbert Doyle: Yes, ma'am, I actually have a number of issues to address along these lines.  First, uh, to put it in context -- and, granted, we're talking about the more expensive items that we're talking about today -- the transfer of authority from prosthetics to contracting only impacts those procurements above $3,000 which is the mandated federal aquistion -- or federal, uh, micropurchase threshold. So only 3% of orders that we estimate fall in that realm.  So 97% of prosthetic orders will stay with prosthetics.  Uh, as I said we-we are doing this to bring us more in line with federal acquistion regulations and also to address many of the issues that the IG has mentioned although those were identified, I think, previously.  Now I want to assure everybody that if a clinician  specifies a specific product for a veteran, contracting will get that product for that individual. I-I do not, as a-a-a chief -- as a chief contracting person in-in the Veterans Health Administration I do not want my contracting officers making a decision as to what goes in a veterans body or gets appended to it.  That is clearly a clinician decision. And how we, uh, going to get that, uh, product the clinician specifies for the veteran and we're going to do it under the auspices of the federal aquisition regulations.  We're going to cite the authorities of 8123 which one individual mentioned that, the broad latitude given by Congress to the veteran -- to the Veterans Administration.  We're going to do that by properly preparing justifications for approvals for sole source citing in paragraph 4 the authorities granted under 8123.  There are seven exceptions in part six of the FAR [Federal Acquistion Regulation] to full and open competition.  Exception 5 is the one that  as authorized by statute and that's the one that we will -- we will use.  We have gone through great pains to ensure success in this transfer.  And a little bit of history, even starting last summer when we started this process under the direction of the department, Dr. Beck's and my folks, uh, we formed a team.  And that team included field personnel -- both prosthetics and contracting which we thought was critical.  They developed a plan on the transfer.  It was a very detailed plan.  The plan, actually, as we got into it, got more detailed as we identified other issues.  We then worked with our union partners to make sure that they did not have issues and we could proceed successfully.  There were pilots as part of the plan which is probably the best part other than bringing field people into the planning process, the pilot was a great aspect.  We did pilot in three VISNs -- in VISN 6, 11 and 20 -- and that's the Virginia, North Carolina area, the Michigan area and the Pacific northwest.  We piloted beginning in January for about 60 days.  Those pilots concluded in March.  We did learn from those pilots and we're implementing changes to ensure that care is not impacted.  Some of the things that we learned is that our staffing models are incorrect in the number of procurements that we could do in a day.  In the contracting office, we are hiring.  We have received approval to hire additional people to ensure we can keep up.  We are streamlining the process by, I mentioned, justification approvals, by templating that process so it becomes more fill-in-the-blank with the clinicians prescription.  Those are the type process.  We're slowly now implementing in the rest of the Veterans Health Administration.  I think four more VISNs are starting that process now and the rest of the VISNs will be coming on in June and July.  The goal is to have all of this done by the end of July. There is a contingency plan that we have discussed.  Uh, we still have the legacy procurement system if something does not go right or something unexpected happens that we can fall back on.  But we don't expect-expect that to happen.
 
Dr. Lucille Beck:  I would like to add that this has been -- has been a very strong collaboration and partnership prosthetic and sensory aid services very concerned that we can continue to provide the services to the veterans that, uhm, they deserve and that we have always been able to do and so our prosthetics organization at our local medical centers and at the VISN level remain the eyes and ears so all orders still come through prosthetics.  Prosthetics is managing them and we're working with contracting officers to achieve the, uh, placement of the order in, uh, uhm, uh, as it's required to be, uh, meeting all of our acquisition requirements and, uhm, we-we are as Mr., uh, Doyle has said, very aware of the ability to use 8123 and have spent a significant amount of time developing justifications and approvals that allow us to use that and really reflect the needs of our -- the individualized rehab needs of our veterans.  We're very much aware that we customize these products and services, that they are selected based on an individual, uhm, veterans needs and that has been our goal as we have managed this transition.  We're coming into a critical time as we move the transition forward and extend it to other VISNs.  And, uhm, we, uh, have very, uh-uh-uh, very well developed and exact procedures in place to monitor this as we go.  And we are prepared,  I think, Mr. Doyle and I, as a team, to -- and our offices as teams to uhm, uh review this very carefully and make recommendations on the way forward based on how this process affects veterans.
 
Norbert Doyle:  And, uh, I'm sorry, ma'am
 
Chair Ann Marie Buerkle: Go ahead, Mr. Doyle.
 
Norbert Doyle:  I add that when I met with the Advisory Committee on Prosthetics and Special Disability uh, uh, last week, they had many of these same concerns.  I think after spending a degree of time with them, uh, they at least understood what we were doing. They're still very interested in ensuring that we do achieve success but I'll let Dr. Beck comment. I don't think we left there with a burning issue -- at least, I did not -- that we needed to address. Also as-as-as a veteran myself who made several trips to Iraq and Afghanistan both in a military and civilian capacity, you know, I am very sympathetic to the needs of the veterans population.  And I will do no -- I can assure you I will do nothing that hurts the veterans because, you know, there but for the grace of God go I actually and that's the way I look at it.
 
Chair Ann Marie Buerkle: Thank you.  My time is way run over. However, if my colleagues will indulge me, I just have a couple of quick follow up questions and then I'll allow you to have as much time as you need.  My first concern is that you said that with the procurements it just only pertains to those over 3,000 and you said only 3% of the orders are over 3,000.  How many requests do you have?
 
Norbert Doyle: Uh, that is still not an insignificant number. Uh, based on our planning estimate, our planning figures for Fiscal Year '10 in which we planned the transfer over it was, uh, 3% of the orders equals roughly 90,000 orders.
 
Chair Ann Marie Buerkle:  So I would suggest that because we're talking about 1500 warriors with amputations that proably are in need of prosthetics that that is probably going to be a small percentage of what you are doing; however, all of those are going to exceed that $3000 threshold.  We heard earlier about a $12,000 limb.  And if it's $25,000 that doesn't matter because the veterans need prosthetics and need state of the art prosthetics.  So that concerns me, that piece right there. But the other thing that concerns me, you mentioned you talked with your union partners.  It would seem to me more appropriate to talk to your veteran partners and to the veterans who have gone through this and be more concerned with their thoughts about this being a program that works versus talking to the union partners. And, lastly, the pilot information, the results of those pilots?  If I could respectfully request that you provide us with -- I think you said that you did three: 6, 11 and 20 VISNs. If you could provide us with the findings for those pilot programs, I would greatly appreciate it.
 
 
Tomorrow's snapshot will include US House Rep Mike Michaud's questions.  Right now, whether you're pro-union or not (I am pro-union), the VA really doesn't get it or thought everyone would overlook that.  They failed -- failed -- to speak to veterans about this change but spoke to unions?  That just doesn't look or sound right.  You're talking about, as Chair Buerkle noted at the very end of the hearing, something more than isn't a sock or a pair of pants.  Why would you leave veterans out of this discussion?  It makes no sense at all.
 
The pilot program that Doyle babbled on about?  That pilot program was a failure.  By his own description, it was a failure.  You can't fine tune 'we're overwhelmed.'  When that's the case, you need another pilot program to see if your adjustments worked.
 
There are so many problems with what was said.  And while you could pan for bits of gold with Doyle, someone needed to tell Dr. Beck that she had nothing worth saying and she really wasted everyone's time.  I do get that there's a temptation to think, "I have to speak!  The other person's gone on forever! So let me rattle something off!"  Like many temptations, that one can be resisted.  And, in fact, it should be.
 
From the House Veterans Affairs Committee to the Senate where Senator Patty Murray is the Committee Chair.  Her office notes:
 
FOR IMMEDIATE RELEASE
Thursday, May 17, 2012
CONTACT: Murray 202-224-2834
                 Burr 202-228-1616
 
VETERANS: Murray, Burr Introduce Bill to Ensure Dignified Burials
Comes after veteran's remains were discovered to have been buried in cardboard box

(Washington, D.C.) – Today, U.S. Senator Patty Murray (D-WA), Chairman of the Senate Committee on Veterans' Affairs, and U.S. Senator Richard Burr (R-NC), Ranking Member, introduced legislation to help ensure every veteran receives a dignified burial. The Dignified Burial of Veterans Act of 2012 would authorize the U.S. Department of Veterans Affairs (VA) to furnish a casket or urn to a deceased veteran when VA is unable to identify the veteran's next-of-kin and determines that sufficient resources are not otherwise available to furnish a casket or urn for burial in a national cemetery. This bill would further require that VA report back to Congress on the industry standard for urns and caskets and whether burials at VA's national cemeteries are meeting that standard. Under current law, VA is not authorized to purchase a casket or urn for veterans who do not have a next-of-kin to provide one, or the resources to be buried in an appropriate manner.
 
 
Chairman Murray and Ranking Member Burr, joined by U.S. Senators Bill Nelson (D-FL) and Marco Rubio (R-FL), introduced this legislation after a veteran, with no known next-of-kin, was buried in a cardboard container at a VA National Cemetery in Florida. The exposed remains were discovered during a raise and realign project at the cemetery. The veteran's remains were later placed in a bag and reburied with what was left of the cardboard box.
"When America's heroes make a commitment to serve their country, we make a promise to care for them," said Chairman Murray. "That includes helping to provide them with a burial honoring their service. I was deeply disturbed when I heard this news. There is no reason why the remains of a veteran should ever be treated with this lack of dignity. I am pleased we are taking the appropriate steps to right this indescribable wrong."
"Those who have served our country in uniform deserve our honor, appreciation, and respect, and that responsibility does not end when they pass away," said Senator Burr. "My heart goes out to those affected by the problems at the Florida National Cemetery in Bushnell. We must ensure that the remains of veterans and servicemembers are treated with dignity and respect and that the families of those who have passed away have no doubts as to the quality of the final resting place of their loved ones."
"All veterans deserve a dignified final resting place," said Senator Nelson. "A cardboard box certainly isn't one. That's why we've got to make sure this doesn't happen again."
"Those who serve our nation in uniform deserve our respect and support, from the moment they commit to serve through their deaths and even beyond as we honor their legacies," said Senator Rubio. "Providing dignified burials for veterans is a solemn pledge we must uphold. Cases like this are outrageous and need to be corrected so that no deceased veteran is ever dishonored in this way again."
 
 
Meghan Roh
Deputy Press Secretary | Social Media Director
Office of U.S. Senator Patty Murray
202-224-2834
 
 
 
Changing topics and dropping back to the December 29th snapshot:
 
Pinar Aydinli (Reuters) reports that Huseyin Celik, spokesperson for Turkey's ruling political party, has declared, "It has been determined from initial reports that these people were smugglers, not terrorists.  [. . .] If mistakes were made, if there were flaws and if there were shortcomings in the incident that took place, by no means will these be covered up."  That incident?  A bombing that took place near the border Turkey shares with Iraq.  BBC News (link has text and video) reports on last night's bombing, "An air strike by Turkish warplanes near a Kurdish village close to the border with Iraq has left 35 people dead, officials say. One report said that smugglers had been spotted by unmanned drones and were mistaken for Kurdish rebels." Reuters quotes Uludere Mayor Fehmi Yaman explaining that they have recovered 30 corpses, all smugglers, not PKK, and he declares, "This kind of incident is unacceptable. They were hit from the air." AFP adds, "Local security sources said the dead were among a group smuggling gas and sugar into Turkey from northern Iraq and may have been mistaken for Kurdistan Workers' Party (PKK) rebels." Uludere is in the Turkish province of Sirnak which borders Iraq.  CNN notes, "The [Turkish] military statement claimed the the strike was in the Sinat-Haftanin area of northern Iraq, where many militant training camps are situated and there are no civilian settlements."  Peter Beaumont (Guardian) reports, "The donkeys had been sent across Turkey's south-eastern border with Iraq to ferry vats of smuggled diesel and cigarettes. On Thursday when they came back it was with bodies wrapped in carpets lashed to their sides: the victims of a Turkish air raid that killed up to 35 villagers from this remote region."

The attack demonstrates yet again how drones are not answers and how futile the Turkish government's response to the PKK has been. 35 people are dead, not one of them PKK. All were killed by the Turkish government in what the government insists (and believes) was a worthwhile action.
 
 
Today Mike Mount (CNN) reports that the attack decisions were based on "video surveillance provided by a U.S. drone"  and "The airstrike also raises questions on how U.S. partners use information given to them by U.S. drones."  Remember that as the government presses to distribute drones throughout the US.  35 people dead as a result of that 'intel.'
 
Still on the topic of Turkey, Reuters reports:
 
An official from Iraq's foreign ministry met Turkey's ambassador, Younis Demirer, to complain about the Turkish diplomats in the cities of Basra and Mosul, a statement on the foreign ministry website said on Thursday.
"Some activities conducted by the two Turkish General Consuls in Basra and Mosul ... are far from their Consular duties and obligations stated in the Vienna Convention for Consular Relations of 1963," the statement said, without elaborating.
 
This incident is part of a long back and forth as Nouri al-Maliki seems determined to prove that he can alienate all neighboring countries except Iran.  Among other issues, Nouri's furious that Turkey -- like Qatar and Saudi Arabia -- refused to turn over Iraqi Vice President Tareq al-Hashemi to Baghdad.  al-Hashemi's kangaroo trial started this week but he remains in Turkey.  In addition, Nouri has repeatedly insisted that Turkish officials comments are 'interfering' with his ability to rule. 
 
The latest conflict might be worrisome if Iraq didn't have so many internal problems -- including the continuing violence.
 
 
Alsumaria reports that the home of a member of the "military personnel" was blown up in Mosul by unknown persons andd that the house collapsed.  No one was killed or injured. In addition, police have closed down streets and are conducting a search in Kirkuk after a peshmerga was leaving his home this morning when two cars with unknown assailants pulled up and kidnapped him.  That's one of two searches and raids going on in Kirkuk today.  In addition, a neighborhood was raided after rockets attacked the Kirkuk airbase. At least one person was detainedAlsumaria reports that the mass arrests continued today with 118 people arrested and at least twenty-four 'suspects' were injured while 2 were killed. Today's wave of mass arrests follows yesterday's.  Al Sabaah reports 57 people were arrested Wednesday.  Alsumaria notes that attorneys staged a sit-in today in Diayala in protest against the random mass arrests taking place. The arrests came on the same day Nouri gave a speech promising to punish the 'Ba'athists.' Al Mada notes Nouri is promising to avenge the crimes of the Ba'ath Party. He declared that the uninformed and the intellectually deviant were participating in the political process and, sadly, he wasn't confessing to his own issues. He spoke of "mass graves" and how he will expose the crimes of the Ba'ath and that he's called on the Minister of Human Rights to assist with that.   Iraq Body Count counts 14 killed yesterday: "Kirkuk: 11 bodies. Mosul: 1 by gunfire, 1 body.  Shirqat: 1 pharmacist, by gunfire."

As the violence continues, so does the political crisis.  May 28th is supposed to be the deadline for Nouri al-Maliki to announce he is implementing the Erbil Agreement or face a no-confidence vote.  Moqtada al-Sadr publicly announced the deadline.  If you don't stick to a deadline, there's no point in announcing one.  And Nouri may believe that this is just one of many deadllines he's been given (such as the one regarding Article 140, the Constitutionally mandated deadline) which he can actually blow off.  And he may be right.

March 7, 2010, Iraq held parliamentary elections.  Iraqiya, led by Ayad Allawi, came in first, State of Law, led by Nouri, came in second.  Nouri did not want to give up the post of prime minister and, with support from the White House and Tehran, Nouri dug his heels in creating eight months of gridlock, Political Stalemate I.  This only ended in November 2010 when the US brokered a deal known as the Erbil Agreement.  At a big meet-up in Erbil, the various political blocs signed off on the agreement.  Nouri got his second term as prime minister in exchange for concessions to other political blocs.  But once he became prime minister, Nouri refused to honor the agreement.  By the summer of 2011, the Kurds were publicly demanding that Nouri return to the Erbil Agreement and Iraqiya and Moqtada al-Sadr joined in the call.  More recently, April 28th, another meet up took place in Erbil.  Participants included KRG President Massoud Barzani, President of Iraq Jalal Talabani, Speaker of Parliament Osama al-Nujaifi, Ayad Allawi and Moqtada al-Sadr.  The demands coming out of that meet-up were a return to the Erbil Agreement and the implementation of 18-point plan by Moqtada.

Who would replace Nouri?  A number of names have been floated.  Ibrahiam al-Jaafari has been the most promiment.  al-Jaafari has held the post before and, in 2006, the Iraqi Parliament wanted to name him to anotehr term; however, the US refused to allow that to happen and demanded that their puppet Nouri al-Maliki be given the post instead.  Just as Bush protected Nouri in 2006, Barack did in 2010.


Al Rafidayn reports today that Kurdish leaders say they are comfortable with the choice of al-Jaafari to replace Nouri as prime minister.  They also report that if Nouri doesn't meet the deadline, the plan is for Moqtada to meet with the National Alliance (Shi'ite slate that includes Nouri's State of Law, Moqtada's bloc, the Supreme Islamic Council of Iraq and more) and to address the issues and options.  Alsumaria reports State of Law's Bahaa Jamal al-Din has declared in an interview with them that withdrawing confidence from Nouri would pull the country into a series of crisies.  The obvious follow up to that would be: Is that really a warning because it sounds like a threat?  Alsumaria also notes that al-Din states Moqtada's meeting with the National alliance today.  Al Mada reports National Alliance MP Jawad Albzona confirms the meet-up but places it more up in the air with details not nailed down yet about issues such as the time of the meet-up.  Dar Addustour notes the National Alliance has already postponed one meet-up on this issue this week (they cancelled the planned May 15th meet-up).  Alsumaria reported earlier today that Moqtada al-Sadr is waiting on formal response from the National Alliance and it's expected to be in written form.  Moqtada  tells Alsumaria that the response will determine the next move. Did he receive the reply?  Alsumaria reports Moqtada's not speaking now about a no-confidence vote and, when they last spoke with him, he stated he hadn't received any response from the National Alliance.   Al Sabaah reports that  Nouri's calling for a face-to-face sit-down with political blocs.


Al Rafidayn reports on rumors that include threats to publish "secret documents" in an attempt to stop and/or start a no confidence vote.  The latest round of whispers today follow yesterday's allegation by Iraqiya that State of Law was intentionally circulating false rumors as part of a disinformation campaign.  (It's an allegation many will believe because State of Law has been doing that for weeks now.)  Still on the political scene, Khaled Waleed (Niqash) reports a new
group emerging on the political scene:
 
A leading Sunni Muslim authority has launched a new initiative to bring together extremist groups in a political alliance. What makes the alliance unusual is that the extremists, who laid their weapons down after US troops withdrew from the country late last year, come from the two major sects of Islam in Iraq: Shiite and Sunni. In practice, these sects are often rivals in a political, and sometimes a social, sense. During several years of unrest between 2005 and 2007, that rivalry turned violent in Iraq with extremist Sunni Muslim groups like al-Qaeda targeting Shiite Muslims and vice versa. 
 
But now leading Sunni Muslim religious leader, Mahdi al-Sumaidaie, a hardline cleric who is well known for issuing fatwas, or religious decrees, calling upon followers to fight the US forces in Iraq and who is also known to represent the Salafist jihadists, is not only bringing the extremist factions to the debating table, he is also planning to unite the two sides within one political party.
 
What will unite the various groups from different sects is the fact that they all fought against US troops in Iraq, after that country invaded Iraq in 2003. Al-Sumaidaie believes that, now that the US military has left Iraq, it is time for these groups to lay down their weapons and to participate in the political process.
 

In what Nouri hoped would be an easy political victory,  May 7th, Nouri's government  acknowledged that it can't protect the people, Al Rafidayn reported that Nouri's agreed to allow every Iraqi household to keep one gun provided they register it with the nearest police department.  Dar Addustour added that Nouri's spokesperson Ali al-Dabbagh has explained the one gun can be either a rifle or a pistol.  Al Sabaah noted that the Ministry of the Interior will issue guidelines on how the new procedure will be implemented.  Kitabat explained that the current policy had been for the Iraqi forces to confiscate any weapon they found during a house raid.  May 10th, the pushback began.  Alsumaria reported that State of Law MP Shirwan Waeli is questioning the wisdom of the decision and stating State of Law shouldn't be giving legitimacy to arming people and that, futhermore, it suggests that the government is unable to protect Iraqis so it is now the direct responsibility of the citizens to protect themselves.  Supporters argue that the move was an attempt to limit guns and that the one-gun rule will greatly reduce the number of firearms in each home. Alsumaria noted that objections to Nouri's one-gun policy are also coming from the Islamic Supreme Council of Iraq and the Kurdistan Alliance.  Ala Talabani, spokesperson for the Kurdistan Alliance, spoke publicly today about the issue and declared that they fear making each household register their one gun with the nearest police station in their areas will provide temptation for corruption.  Talabani also states that they fear the rule could lead to an increase in so-called 'honor' killings as well as an increase in domestic violence.  Today
  Al Mada reports that his proposal of one firearm per household continues to be criticized.  Women for Peace's Shaza Nagi declares that a group of NGO members met to discuss the proposal and to put forward various counter-proposals.  The biggest concern remains, according to Nagi, the presumed acknowledgment of this move: That the government's making clear it cannot protect the citizens. 
 

 
 
 
Read on ...

Thursday, May 10, 2012

Political Relations




Political Relations




From December 18, 2008, that's "Political Relations."  That's Barry O with his convicted felon friend Rod.  Remember when the press covered for Barry on that in 2008? Remember how they covered for him so many times?  Yet we're hearing about what Mitt Romney did  in high school?  50 years ago? 

That's ridiculous.  The press has always covered for Barack.  They should be ashamed of themselves.

Here's C.I.'s "Iraq snapshot:"


Thursday, May 10, 2012.  Chaos and violence continue,  Nouri has plenty of money to spend on some things (none apparently on basic services), Nouri targets academia again, the political crisis continues, a meet-up excludes Nouri, Josh Rogin expose the White House spin on the release of a prisoner suspected of killing 5 US service members, and more.
 
 
Nouri al-Maliki's Iraq still can't provide more than six hours of electricity a day or potable water in most parts of the country but Al Mada reports the government has announced they will spend $50 million over the next three years to launch a satellite into space.   According to a press release issued by the Ministry of Communications' Amir al-Bayati the government seems to see itself in a satellite competition with Israel.  While Nouri frets over satellites, he still can't provide needed sanitation.  Alsumaria reports that a Karbala garbge dump borders residential areas resulting in people being exposed to waste and fumes and to disease and germs.  Dr. Ahmed Haidari states he is seeing respiratory issues -- including some breathing problems -- as well as skin and eye issues.  Residents complain that the smell is akin to that of rotting corpses.  As Michael Peel (Financial Times of London) observes, "Iraq's economic story after more than four decades of dictatorship and almost nine years of US occupation is a contradictory one of oil boom heavy debts and chronic problems with basic services."
 
 
Meanwhile Kitabat reports on an art exhibit in Amman, Jordan which focuses on Iraqi refugees and how the International Organization for Migration's Mike Bellinger hopes the exhibit will bring attention to the continued Iraqi refugee crisis. The Iraq War created the largest refugee crisis in the MidEast since 1948. Millions have been displaced internally, millions have left the country. Concerns over the crisis really began with the ethnic cleansing of 2006 and 2007; however, the term "brain drain" had already been in use for years by then and referred to the Iraqi professionals who fled the country due to direct threats as well as the violence. This resulted in what Dr. Souad al-Azzawi (Beyond Educide) has termed "educide" ("a composite of education and genocide to refer to the genocide of the educated segments of the Iraqi society") and Dr. al-Azzawi notes:
 
 
During the American occupation of Iraq, well-trained professors, often graduates of highly qualified American or European universities, were replaced by pro-occupation young freshly graduated faculty members. This policy is pursued with grimness by the current puppet government. Educide is still going on.
The minister of high education Ali Aladeeb turned the Iraqi universities into sectarian show-offs. No real attendance of classes, no real learning and teaching processes, and no real scientific advancements. All what he cares about is turning Iraqi universities and youth into sectarian institutes that look like Iranian regime revolutionaries.
 
 
And it continues. Dr. Souad al-Azzawi (Beyond Educide) explains last week Nouri ordered the arrest of Baghdad College of Economical Sciences' Professor Muhammad Taqa who has been in his post since 1996 and is widely published and the author of six books. Professor Taqa was born in Mosul in 1948, received his doctorate in economics in Germany and is a member of the Iraqi Economics Society and the Union of Arab Economists. All Iraqi News notes that the political movement Iraqiya has decried the arrest and quotes spokesperson Khadija al-Wa'ily stating, "The Movement warned from the arbitrary arrests according to malicious charges which means that the democracy is no longer available and replaced by the dictatorship. The Professor, Mohammed Taqa was arrested by a military force which is considered as evidence on the governmental terrorism where the terrorists must be arrested rather than the national figures such as Taqa." Azzaman reports that "both students and legislators" have protested the arrest and the news outlet notes, "No reasons are given for the arrest and the security forces who stormed his office are declining comments." MP Abdudhiyab al-Ujaili heads Parliament's Higher Education Commission and he notes, "The arrest of Professor Taqa is a slap in the face of our efforts to persuade academics who fled the country to return home. There was even no warrant or order by the judicial authorities to carry out the arrest."  Today at Beyond Educide, an Iraqi professor explains how the academic system is being destroyed by the government:
 
 
The most important indications of the higher education collapse could be generally summarized as follows:
1- The most significant indication is assigning the Ministry of Higher Education to a person who has no academic qualifications, whose feet never stepped in campus, only after he was appointed as a minister. This appointment was not based on any skill or efficiency, rather on being a member of the governing political party, and on his Iranian origin (his mother for example does not speak Arabic), and on being Shiite. Of course there is nothing wrong with being of this or that origin, or being from this or that sectarian group, but this identity has become an exclusive passport for anyone to assume any (high) position, especially for none Iraqis.
2- Academic, scientific and administrative positions in public universities are assigned and shared according to sectarian affiliations, not expertise or efficiency. All the universities' presidents and faculties' deans are from a specific sectarian group; and their academic and administrative assistants are from other group in order to achieve a supposedly balanced share in power positions. Thus the criterion for appointment is not academic, but exclusively sectarian.
3- Admissions in universities are again based on sectarian affiliation, especially in post graduate studies. Norms of admission that are based on academic record are totally neglected, and exceptions have become the rule. In addition to that, channels of admission are numerous now: seats for political prisoners of the previous regime, seats for families of the martyrs(1) , seats for graduates of religious schools in Iran, seats for deserters during the Iraqi-Iranian war who sought refuge in Iran (the latter were rewarded pieces of land and 10 million Iraqi dinars- more than $10.000). What remains of seats are assigned to what is called "special" admission, which means those who pay higher and who are admitted outside the rules that are based on academic record. What remains of seats, if at all, are assigned to "real" students who compete on honest rules of marks and academic reports. The result of all these discriminations is that opportunities are given to those who do not deserve them, and are normally not interested in academic research, while serious students are deprived.
4- There is also a familiar criterion now, which is (exception from rules) in other areas, apart from the exceptional admission. For example: transfer from one university to another, or transfer from one specialization to another(2) . To explain this point I tell you the following story that took place to me personally: A person came to me asking that his nephew be transferred from X University to another one. I apologized saying that: we all know that this is impossible, because transferring a student from (an academically) lesser to a higher university is not allowed according to the rules, and advised him to look for another college that admits his nephew's academic degree (marks). Few days later, the uncle came back to me saying (sarcastically): "so you are a well known professor but you could not do such a 'small' thing. I told the butcher in our neighborhood about this story, and he just made a call by his mobile, and my nephew is immediately transferred to the college of Administration and Economics". May be this story can tell about the collapse of the whole system.
5- The public universities are "distributed" between the political parties who control, make decisions and admit students in them. Baghdad University for example is allocated to the Islamic Supreme Council in Iraq, while Al-Mustansiriah U. is allocated to the Sadr Group. The Nehrein U. (which was one of the most prestigious academic institutions) is allocated to Al-Da'wa party that totally destroyed it.
 
 
Those are five of 14 examples.  And so it goes in Nouri's Iraq, where everything crumbles and collapses including justice -- even if so many Western outlets 'forget' to inform the world of what's taking place.  Kitabat reports that the trial against Tareq al-Hashemi that was supposed to start last Thursday but was then postponed to this Thursday has been postponed to next Tuesday.  This delay is said to be due to an appeal Hashemi's attorneys have filed to move the case from the Criminal Court to the Federal Court.  Currently al-Hashemi is in Turkey.  Al Rafidayn notes that he has the support of the Turkish government.  Alsumaria reports that a number of Iraqi politicians and triabal leaders protested outside the Turksih consulate to lodge their demand that Turkey hand Tareq al-Hashemi over to Baghdad.  That's not at all surprising or reflective of anything.  In the 2010 elections, with over 800,000 voters, Basra awarded almost two-thirds of their seats (14) to Nouri's State of Law (al-Hashemi's Iraqiya won only 3 seats in the province).  The Journal of Turkish Weekly quotes Turkey's Prime Minister Recep Tayyip Erdogan stating, "We gave him all kinds of support on this issue and we will continue to do so."  Deputy Prime Minister Bekir Bozdag is quoted stating, "We would not hand in someone who we support."  Press TV reports Nouri "lashed out at his Turkish counterpart, saying Erdogan's remarks did not show 'mutual respect'."  Nouri's not thrilled with Turkey's response to the red alert so he took time out from terrorizing academics to make a little statement.    
 
The Journal of Turkish Weekly actually explains the INTERPOL Red Notice posted about Tareq al-Hashemi, "Sources said that red notices were based on national warrants, and published at the request of a member state as long as the request did not violate Interpol regulations.  Sources noted that red bulletin was not an international warrant of arrest, adding that there was not a certain verdict about al-Hashemi.  Sources stressed that al-Hashemi was still the vice president of Iraq and he had diplomatic immunity." 
 
Al Mada reports that the National Alliance held a meeting yesterday that they self-described as important and that they state was part of their efforts to resolve the country's political crisis; however, State of Law was not invited to the meet-up.  The National Alliance is a Shi'ite grouping.  Among the members are the Supreme Islamic Iraqi Council (Ammar al-Hakim is the leader), Moqtada al-Sadr's bloc, the National Reform Trend (Ibrahim al-Jaafari is the leader), the Bard Organization (Hadi al-Amir is the leader) and the Iraqi National Congress (led by Ahmed Chalabi).  The National Alliance backed Nouri al-Maliki for prime minister in 2010.  Nouri's political slate was State of Law.  It came in second in the March 2010 elections.  Iraqiya, led by Ayad Allawi, came in first.  Eight months of gridlock followed those elections (Political Stalemate I) as a result of Nouri refusing to honor the Constitution and his belief that -- with the backing of Iran and the White House -- he could bulldoze his way into a second term. The Erbil Agreement allowed Political Stalemate I to end.  Nouri's refusal to honor the agreement created the ongoing Political Stalemate II.  Marina Ottaway and Danial Kaysi's [PDF format warning] "The State Of Iraq"  (Carnegie Endowment for International Peace) notes the events since mid-December as well as what kicked off Political Stalemate II:

Within days of the official ceremonies marking the end of the U.S. mission in Iraq, Prime Minister Nouri al-Maliki moved to indict Vice President Tariq al-Hashemi on terrorism charges and sought to remove Deputy Prime Minister Saleh al-Mutlaq from his position, triggering a major political crisis that fully revealed Iraq as an unstable, undemocractic country governed by raw competition for power and barely affected by institutional arrangements.  Large-scale violence immediately flared up again, with a series of terrorist attacks against mostly Shi'i targets reminiscent of the worst days of 2006.
But there is more to the crisis than an escalation of violence.  The tenuous political agreement among parties and factions reached at the end of 2010 has collapsed.  The government of national unity has stopped functioning, and provinces that want to become regions with autonomous power comparable to Kurdistan's are putting increasing pressure on the central government.  Unless a new political agreement is reached soon, Iraq may plunge into civil war or split apart.


The Erbil Agreement allowed Nouri to have a second term as prime minister.  That was a concession other political blocs made.  In exchange, Nouri made concessions as well.  These were written up and signed off on.  But once Nouri got his second term, he refused to honor the Erbil Agreement.  Since the summer of 2011, the Kurds have been calling for a return to the Erbil Agreement.  Iraqiya and Moqtada al-Sadr joined that call.  As last month drew to a close, there was a big meet-up in Erbil with various political blocs participating.  Nouri al-Maliki was not invited.  Among those attending were KRG President Massoud Barzani, Ayad Allawi, Moqtada al-Sadr, Iraqi President Jalal Talabani and Speaker of Parliament Osama al-Nujaifi.  Since December 21st, Talabani and al-Nujaifi have been calling for a national convention to resolve the political crisis.

Nouri spent the first two months dismissing the need for one, arguing that it shouldn't include everyone, arguing about what it was called, saying it should just be the three presidencies -- that would Jalal Talabani, Nouri al-Maliki and Osama al-Nujaifi -- and offering many more road blocs.  As March began, Nouri's new excuse was that it had to wait until after the Arab League Summit (March 29th).  The weekend before the summit, Talabani forced the issue by announcing that the convention would be held April 5th.  Nouri quickly began echoing that publicly.  However, April 4th it was announced the conference was off.  Nouri's State of Law took to the press to note how glad they were about that.

Today, Alsumaria reports that Nouri al-Maliki is stating that a national meet-up is necessary to resolve the issues and that this cannot be done via backdoor deals or under the table agreements.  He declared the Constitution dead and said that it needs to be revived.  He also argues that he is all for a meet up but others have something to hide and they are attempting to prevent a meeting.  Nouri also claims that he is looking for a real partnership.
 
 
 
Earlier this week, Nouri al-Maliki announced that every home in Iraq could have one pistol or one rifle.  Alsumaria reports that State of Law MP Shirwan Waeli is questioning the wisdom of the decision and stating State of Law shouldn't be giving legitimacy to arming people and that, futhermore, it suggests that the government is unable to protect Iraqis so it is now the direct responsibility of the citizens to protect themselves.  Supporters argue that the move was an attempt to limit guns and that the one-gun rule will greatly reduce the number of firearms in each home. Alsumaria notes that objections to Nouri's one-gun policy are also coming from the Islamic Supreme Council of Iraq and the Kurdistan Alliance.  Ala Talabani, spokesperson for the Kurdistan Alliance, spoke publicly today about the issue and declared that they fear making each household register their one gun with the nearest police station in their areas will provide temptation for corruption.  Talabani also states that they fear the rule could lead to an increase in so-called 'honor' killings as well as an increase in domestic violence. 
 
In today's reported violence, AFP reports that 7 corpses were discovered between Fallujah and Ramadi ("all handcuffed, blindfolded and shot in the head").
 
In Mosul, Alsumaria reports, a woman who had issues with her husband has turned up dead and the assertion is that she hanged herself however an autopsy is being performed and no official cause of death has yet been declared.
 
 
 
 
Turning to the US, Tuesday the House Veterans Affairs Committee held a hearing on mental health care staffing.  
 
Joy Ilem:  We must stress the urgency of this commitment.  Sadly, we have learned from our experiences in other wars, notably in the post-Vietnam period, that psychological reactions to combat exposure are not unusual:  they are common.  If they are not readily addressed at onset, they can easily compound and become chronic and lifelong.  The costs mount in personal, family, emotional, medical, financial and social damage to those who have honorably served their nation, and to society in general.  Delays or failures in addressing these problems can result in self-destructive acts, including suicide, job and family loss, incarceration and homelessness.  Currently, we see the pressing need for mental health services for many of our returning war veterans, particularly early intervention services for substance-use disorder and evidence-based care for those with PTSD, depression and other consequences of combat exposure.  As we have learned from experience, when failures occur, the consequences can be catastrophic.  We have an opportunity to save a generation of veterans, and help them heal from war, but decisive action is essential.
 
 
That's from the third panel.  The second panel was noted in Tuesday's snapshot, in Kat's "Congress Member Gone Wild" and in "Congress is supposed to provide oversight."  The witnesses were Dr. Nicole Sawyer,Group Health Cooperative's Diana Birkett Rakow, Dr. James Schuster and Health Net Federal Services' Thomas Carrato.  The first panel was Shinseki and the VA's Robert Petzel, Mary Schohn, Antonette Zeiss, Annie Spiczak and, from the Office of Inspector General, John Daigh and Linda Halliday.  That panel was covered in yesterday's snapshot.  The third panel was the Disabled American Veterans' Joy Ilem, Paralyzed Veterans of America's Alethea Predeoux and Wounded Warrior Project's Ralph Ibson and we're going to note a little of  that panel today.
 
 
In her prepared statement, Alethea Predeoux observed:
 
 
On April 25, 2012, the Senate Veterans Affairs' Committee held a hearing entitled, "VA Mental Health Care:  Evaluating Access and Assessing Care."  During this hearing a veteran and former VA mental health professional testified that too often the VA mental health system places a burdensome emphasis on having staff meet numerical performance goals at the expense of providing veterans with the best care possible.  PVA believes that VA leadership must make certain that policies and regulations are developed to provide safe, quality health services for veterans, without compromising the professional integrity of the qualified providers who deliver the care.  VA policies must be pragmatic and attainable, and improve the delivery of care by creating benchmarks and measures that help assess strengths and weaknesses of health care services and delivery. 
 
And from Joy Ilem's prepared remarks we'll note this:
 
The OIG conducted its own analysis and projected that in VHA only 49 percent of patients (versus 95 percent) received full evaluations, to include patient history, diagnosis, and treatment plan, within 14 days and for the remainder of patients, it took 50 days on average.  Additionally, VHA could not always provide existing patients their treatment appointments within 14 days of their desired dates.  DAV began an informal, anonymous online survey for veterans in December 2011, asking about their experience seeking and receiving VA mental health services.  To date, nearly 1,050 veterans from all eras of service have responded to the survey, and our findings were close to those reported by the OIG on waiting times for follow up appointments.  A complete report of DAV's survey results can be found on line at http://www.standup4vets.org.  The OIG report also noted that several mental health providers whom inspectors interviewed had requested desired dates for patients for follow up care based on their personal schedule availabilities rather than the patients' requests, or based on observed clinical need in some cases.  Likewise, VHA schedulers did not consistently follow VHA policy or procedures but scheduled return clinic appointments based on the next available appointment slots, while recording the patients'  "desired" and actual dates as if they were compliant with VA policies.  Since the OIG had found a similar practice in previous audits nearly seven years earlier, and given that VHA had not addressed the long-standing problem, OIG urged VHA to reassess its training, competency and oversight methods and to develop appropriate controls to collect reliable and accurate appointment data for mental health patients. The OIG concluded that the VHA  "... patient scheduling system is broken, the appointment data is inaccurate and schedulers implement inconsistent practices capturing appointment information."  These deficiencies in VHA scheduling system have been documented in numerous reports.  After more than a decade, VA's Office of Information and Technology has still not completed development of a state-of-the-art scheduling system that can effectively manage the scheduling process or provide accurate tracking and reporting.
[. . .]
I must also report that many VA facility executives seem to tacitly support current bureaucratic practices in HR as a means to conserve facility funding and stretching health care budgets.  Almost every VA facility operates a "resources committee" or similar function to examine every vacancy occurring and then to require selecting officials to justify in writing (and sometimes by making personal appearances and appeals before the Committee) why vacancies should be filled at all.  This grueling process that constitutes a "soft freeze," can consume months, all the while allowing the facility to "save" the personal services funds that would have been paid in salary and benefits associated with those unencumbered positions.  It is common practice for resource committees to deny authorization to fill mental health and substance positions, creating "ghost" positions that are listed in the Service FTEE allocations but can never be recruited.  We understand that in many locations, the 1,600 newly allocated FTEE will not even be sufficient to fill these vacancies.  We believe, certainly now in the face of inadequate mental health access, that such practices should be halted.  With the massive and rising unmet needs being reported today, VA must become very sensitized and make every effort to quickly fill all mental health provider vacancies and their support staff positions as a high priority in HR offices.  VHA Central Office and VA Medical Center leadership should be accountable to ensure that this occurs.
 
 
 
The second paragraph above, the one on "ghost positions," was explored in the questioning.
 
Chair Jeff Miller:  Miss Ilem, I was struck in your testimony where you said it was a common practice for resource committees to deny authorization to fill mental health and substance positions creating ghost positions that are listed in the service FTEe allocations but can never be recruited and we understand that in many locations, the 1900 newly allocated FTEEs will not even be sufficient to fill these vacancies.  Would you elaborate on the idea of ghost positions?
 
Joy Illem:   Sure. You know as part of preparing for the hearing, we reach out to different mental health providers around the system and we feel that their input is extremely important.  They're the people that are on the ground facing the challenges that they are.  And these are just some of the information that a couple of folks have shared with us.  And we've heard that repeatedly.  In the independent budget, I know we've worked on some HR issues and asking, "What are these very long delays?  Why is it taking so long?"  And it seems to be maybe perhaps certain facilities  because of budget -- budget concerns -- that is a way to delay hiring someone although it's an authorized position. 
Chair Jeff Miller: I'd like to ask if any of you have heard reports that women whose combat experience is termed "unofficial" are being barred from group therapy sessions dealing with Post-Traumatic Stress because they are reserved for combat veterans?  The first question, has it been brought to your attention? If so, do you think that VA needs to change the elegibility requirements for group therapy to include all patients diagnosed with combat related PTS?  And I ask any of you who have heard of that, if you would comment.  If you haven't, that's fine too.
 
Joy Ilem: have not heard that regarding women veterans specifically but certainly this has been an ongoing problem that we hear.  There's a number of films that have brought to light the recognition or the lack of recognition that women are participating in combat or their exposure to combat is very -- is very real.  And when they're coming back, they need the same type of services as male veterans.  And often times we're told that "I'm not believed" or "They just don't  understand.  They just can't comprehend that as a woman I've been exposed to these, you know, realities of combat.  So I think VA needs to work very hard and I know there's a number of ongoing research projects in women's health specifically about combat-related PTSD. I mean there's some small groups and ongoing research that we've been very closely monitoring.  And we think that we're going to see more and more of that and that it absolutely has to be adjusted to accomodate women veterans as all veterans.
 
Chair Jeff Miller:  Thank you.  Miss Predeoux, have you heard that?
 
Alethea Predeoux:  The same as my colleague Joy.  It has not been reported to me but I've heard it through attending other sessions involving women veterans and if that is the case with regard to VA policy than I whole heartedly do think that the policy needs to be inclusive of all veterans regardless of gender and generation.
 
 
Chair Jeff Miller:  Mr. Ibson.
 
Ralph Ibson:  Yes, Mr. Chairman, I believe one of the responses we got in our surveys suggested that was the experience at that particular facility.  I would not be able to represent that that was widespread, sir.
 
Ideally, we'll note the hearing again in tomorrow's snapshot.  If so, the plan is to note a line of questioning US House Rep Timothy Walz pursued.  This isn't that line but the brief exchange is worth noting.
 
 
US House Rep Timothy Walz:  In this country there's 340 people for every medical doctor.  There's 3400 for every psychologist or mental health practioner.  We're graduating about 18,000 to 20,000 doctors per year -- and we're already experiencing a great shortage in general practioners.  We're graduating about 4,000 psychologists.  It's just impossible to keep up with those numbers.  I think it goes back to what Ms. Brown and others were talking about, of how we build this model to collaborate to try and draw upon the resources that we have.  There's both a shortage in the private sector and as well as the VA.  My concern is, and I'll start with you Mr. Ibson, and maybe just ask each of you.  I for one do believe there's an opportunity here to use some other people outside the system.  I've seen it happen. I also know that one of the problems is how do we ensure that these providers are providing evidence based care and the outcomes that we want to see too?  Because if we're going to ask the VA to take tax payer dollars and fund it out then we're going to be asked to be accountable for every penny of that just like we're doing today .  How do we know that we're going to get the care there also if we have to draw upon outside resources?  I don't know, Ralph, if you've had any thought on that or how that moves forward because I think -- I just don't see the numbers here for the ability on us to deliver care because there's just not that many mental health care providers for the need that's going to be there.  We can't even keep our head above water and it's going to get worse.
 
Ralph Ibson:  Well at the risk of ducking your question, I did want to observe the importance of your earlier emphasis and re-emphasis on outcomes because it is one thing that VA is not measuring. And given a department that's so committed to being a leader, this is an area where leadership is desperately needed in terms of developing measures of outcomes because utlimately -- utlimately having performance measures which-which give us indicators of inputs and through puts and numbers and percentages but don't tell us whether veterans are getting better are not going to advance -- are not going to advance our veterans well being.
 
 
Finally, Foreign Policy has a scoop.  For background, US Senator Kelly Ayotte's office issued this statement earlier this week:
 
 
WASHINGTON, DC - U.S. Senator Kelly Ayotte (R-NH), a member of the Senate Armed Services Committee, released the following statement today regarding an Iraqi court's ruling to release Ali Mussa Daqduq - a Hezbollah member who was transferred to Iraqi custody when U.S. forces withdrew last December:
"This confirms my fears that transferring Daqduq to Iraqi custody would result in his release. Daqduq is a member of Hezbollah who served as a key liaison with Iran. He trained Iraqi extremists who targeted U.S. troops, and he is suspected of planning the operation in 2007 that resulted in the deaths of five U.S. military personnel.  If Daqduq is released, there is little doubt that he'll resume terrorist activities. This case highlights the need for a designated terrorist detention facility to detain, interrogate, and try foreign terrorists."
In addition to questioning senior Defense Department officials about Daqduq in Senate Armed Services Committee hearings last year, Senator Ayotte joined 19 other Senators in sending a letter to Secretary Panetta on July 21, 2011.  The letter expressed the Senators' concerns that transferring Daqduq to Iraqi custody might result in his release and a return to terrorist activities. 
 
 
This week Suadad-al Salhy, Patrick Markey and Andrew Heavens (Reuters) reported this morning, that Iraq's 'justice' system has cleared Ali Mussa Daqdug of all charges related to the "2007 kidnapping attack that killed five U.S. troops."  what are we talking about?  This was "the Special Groups network," US term, which later became the League of Righteous.  For more on that, refer to [PDF format warning] Marisa Cochrane's "Asaib Ahl al-Haq and the Khazali Special Groups Network" (Institute for the Study of War).  The five Americans killed?  They were last seriously reported on when US President Barack Obama released some of the alleged murderers of the 5 Americans to make England happy.  That was back in June 9, 2009:




This morning the New York Times' Alissa J. Rubin and Michael Gordon offered "U.S. Frees Suspect in Killing of 5 G.I.'s." Martin Chulov (Guardian) covered the same story, Kim Gamel (AP) reported on it, BBC offered "Kidnap hope after Shia's handover" and Deborah Haynes contributed "Hope for British hostages in Iraq after release of Shia militant" (Times of London). The basics of the story are this. 5 British citizens have been hostages since May 29, 2007. The US military had in their custody Laith al-Khazali. He is a member of Asa'ib al-Haq. He is also accused of murdering five US troops. The US military released him and allegedly did so because his organization was not going to release any of the five British hostages until he was released. This is a big story and the US military is attempting to state this is just diplomacy, has nothing to do with the British hostages and, besides, they just released him to Iraq. Sami al-askari told the New York Times, "This is a very sensitive topic because you know the position that the Iraqi government, the U.S. and British governments, and all the governments do not accept the idea of exchanging hostages for prisoners. So we put it in another format, and we told them that if they want to participate in the political process they cannot do so while they are holding hostages. And we mentioned to the American side that they cannot join the political process and release their hostages while their leaders are behind bars or imprisoned." In other words, a prisoner was traded for hostages and they attempted to not only make the trade but to lie to people about it. At the US State Dept, the tired and bored reporters were unable to even broach the subject. Poor declawed tabbies. Pentagon reporters did press the issue and got the standard line from the department's spokesperson, Bryan Whitman, that the US handed the prisoner to Iraq, the US didn't hand him over to any organization -- terrorist or otherwise. What Iraq did, Whitman wanted the press to know, was what Iraq did. A complete lie that really insults the intelligence of the American people. CNN reminds the five US soldiers killed "were: Capt. Brian S. Freeman, 31, of Temecula, California; 1st Lt. Jacob N. Fritz, 25, of Verdon, Nebraska; Spc. Johnathan B. Chism, 22, of Gonzales, Louisiana; Pfc. Shawn P. Falter, 25, of Cortland, New York; and Pfc. Johnathon M. Millican, 20, of Trafford, Alabama." Those are the five from January 2007 that al-Khazali and his brother Qais al-Khazali are supposed to be responsible for the deaths of. Qassim Abdul-Zahra and Robert H. Reid (AP) states that Jonathan B. Chism's father Danny Chism is outraged over the release and has declared, "They freed them? The American military did? Somebody needs to answer for it."

No one ever did answer for it and, as last year drew to a close, the last suspected murderer of the 5 Americans was released by the US military.  Liz Sly and Peter Finn (Washington Post) reported on the US handing Ali Musa Daqduq over to the Iraqis:


He was transferred to Iraqi custody after the Obama administration "sought and received assurances that he will be tried for his crimes," according to Tommy Vietor, spokesman for the National Security Council in Washington.
This week, Jack Healy and Charlie Savage (New York Times) reported, "Although military officials said he confessed freely and that his interrogation had not included any harsh techniques, his statements to American military interrogators would probably be deemed inadmissible in Iraqi court.  But the Obama administration had hoped that he would instead face charges of illegally entering Iraq, a crime that could result in a 10-year prison sentence." And
Kitabat reported that Nouri caved to pressure from Tehran and that's why the suspect was released.   It's also noted that a number of US Senators were asking the White House not to turn Daqduq over to Iraq but to move him to Guantanamo or another facility.  However, the White House insisted that they knew best and they had these assurances. 
 
 
Josh Rogin (Foreign Policy) reports today on the White House spin effort to make the above seem normal.  He does so via "the internal talking points prepared by the National Security Council and approved by Deputy National Security Advisor Denis McDonough just yesterday."

Finally, on what the administration is doing now, the talking points say only, "As with other terrorists who have committed crimes against Americans, we will continue to pursue all legal means to ensure that he is punished for his crimes."
That's not going to be enough for the U.S. lawmakers and officials who are angry that the administration didn't figure out a way to keep Daqduq in U.S. custody [and are w]orried that he will return to the battlefield soon.


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