Tuesday, July 12, 2011

House Veterans Affairs Subcommittee on Health hearing

Tuesday. A lot to cover for a light post.

The House Veterans Affairs Subcommittee on Health held a hearing yesterday about whether or not the VA's improving on the issue of caregivers and the caregiver act that the Congress passed. The Chair of the Subcommittee is Ann Marie Buerkle and the Ranking Member is Michael Michaud. I told C.I. I would grab the third panel.

That was the VA's Deborah Amdur and I think the key moment was when Chair Buerkle asked Amdur about the money in terms of backdating payments? Buerkle pointed out the long time the VA took to implement what Congress passed. What should happen?

A straight forward question. Amdur couldn't answer. Maybe she was afraid offering her opinion would force the VA's hand? I don't know.

But she went on about how "we have had that issue reviewed and it has been discussed and under consideration" and blah, blah before saying that possibly they could backdate it to when the application was first filled out.

"We are taking those very seriously," she insisted but her answer didn't say that to me.

Chair Buerkle wanted to know if it was case-by-case or everyone should be retroactively reimbursed and Amdur insisted it would most likely be across the board for all.

She offered to brief the Subcomittee regularly and she seemed very on message. But I kept thinking about the problems that had been listed in the hearing and how someone as on-the-ball as she self-presented should have been aware of problems and have dealt with them before the hearing. For example, Debbie Schulz takes care of her son Iraq War veteran Steven Schulz who was injured by a bombing in Falluja. Amdur looked at Schultz' testimony that her inspection was done by someone who didn't know if she (or her son) was the veteran and hadn't even read the file, Amdur looked on this as an opportunity she said. It allows her, she said, to go back to that facility and review what needs to be done.

Why aren't those reviews already taking place?

The VA just started implementingthe caregiver program. And they don't think they need to be reviewing it and evaluating it?

It takes Debbie Schulz explaining a problem to Congress for the VA to learn about it? What about all the families Congress will never hear from?

The other thing that stood out?

Jon Runyan is a Republican member from New Jersey. I meant to ask C.I., "Are those two young men behind him his staff?" Whoever they were, I kept waiting for Runyan to turn around and tell them to sit still.

I do understand that Congress doesn't stop for a hearing. I do understand that someone will need to whisper something to a senator or representative during a hearing.

But the two guys behind Runyan were just having a conversation. Not once but throughout the hearing. And okay, I'm not saying, "RUDE!" It might have been important and work related. But they knew they were right behind Runyan and their talking and head jerks and moving was especially distracting when Runyan was speaking. So you'd think they would have at least gotten silent when he was speaking since they knew everyone was looking at Runyan when they were right above his head and they could so easily distract.

But they didn't get quiet.

I don't know that he had a statement that would make the news (or that did). But if there was some New Jersey media in the room (maybe there was, maybe there wasn't, I don't know) and they had shot some footage, I think that most angles would have included those two guys. And they never shut up. I just really kept waiting for him to turn around and say, "Can you take this outside?"

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

Tuesday, July 12, 2011. Chaos and violence continue, Iran and Iraq have 'issues,' withdrawing the withdrawal, caregivers continue to struggle in the VA system, Iraq gets its first new church in 8 years, and more.
Debbie Schulz: Steven's life has changed since his injury and, of course, my life has too. I had been working as a special education teacher when he was injured. My husband and I, 51 and 49 [years-old], were preparing to become empty nesters. Instead, I became Steven's primary caregiver, advocate, lifeskills coach, chauffer, secretary, bookkeeper, teacher, drill instructor, medical assistant, physical-occupational-speech therapist and on and on. Leaving the workforce has created a financial hardship and our world and that of our then-18-year-old daughter and 15-year-old son has changed profoundly.
Debbie Schulz is the mother of Steven K. Schulz who was serving in Iraq when he was severely injured in a Falluja attack on April 19, 2005. She was testifying to the House Veterans Subcommittee on yesterday afternoon.
"Four months ago today, this Subcommittee held our first hearing of the year to discuss why the Department of Veterans Affairs (VA) had failed to implement the caregiver assistance program as required by Public Law 111-163," declared Subcommittee Chair Ann Marie Buerkle yesterday afternoon. "At that hearing, it was clear to me that VA must go back and address serious deficiencies with the Department's initial implementation plan, particularly the strict eligibility requirements, and get this important program up and running." The Subcommittee heard from three panels, Debbie Shulz was the first panel, Wounded Warrior Project's Anna Freese and VA Caregiver Support Coordinators Cheryl Cox and Mary Fullerton made up the second panel while the third was composed of the VA's Deborah Amdur with Keith A. Welsh.
As Ranking Member Michael Michaud explained, the hearing was a follow up to the March 11th hearing by the Subcommittee. On the Senate side, the Senate Veterans Affairs Committee March 2nd hearing (covered in that day's snapshot and Kat covered it in "Burr promises VA 'one hell of a fight'" and Ava covered it at Trina's site with "The VA still can't get it together"). What both Senate and House Committees learned in the two March hearings was that they had passed legislation that was very different from what the VA was implementing. Senator Patty Murray, Chair of the Senate Veterans Affairs Committee, noted, "VA's plan on the caregivers issue was overdue and once submitted it hardly resembled the billt hat unanimously cleared this Congress. Three weeks ago, my Committee staff requested information on how that plan was developed and to date no information has been provided. Rather than following the law, the administration set forth some overly stringent rules, bureaucratic hurdles, that would essentially deny help to caregivers."
Schulz explained she was now rated by the VA for providing 40 hours a week of caregiving. She probably does a great deal more than that but it's not recognized. She did want it understood that when a wounded veteran returns, there's nothing so simple as 40 hours a week of care. She reviewed how, in her case, a great deal of time was taken with reorienting and dealing with confusing on the part of her son as to where he was and what was going on. There were sleep and other issues that had to be addressed including bathroom issues and the first weeks contained a great deal of work on reorientation. It's an important point but it's sad that she had to underscore it. A veteran with no apparent disabilities or challenges will need time to reorient themselves and they may require help on that. That a wounded veteran would need it should have been obvious to the VA with no caregiver having to point it out.
"I couldn't understand that," Debbie Schulz told the Subcommittee of disparities for caregivers and gave an example of "another caregiver" in Texas who cares for her son suffering from TBI with a spinal cord injury and unable to transfer himself out of his wheel chair is judged of doing only 25 hours of care a week. "How can that be right?" Schultz wondered.
Part of the determination of how much care is being provided is supposedly based upon a home visit (it's not clear whether that's the case or not and that's a failure on the VA's part -- it is supposed to be part of the determination).
Ranking Member Michael Michaud: You mentioned that the home visit wasn't what you expected it to be. What did you expect the home visit to be? And why -- is there anything that stuck out that they did that they should not have done?
Debbie Schulz: Well my understanding of the home visit was to make sure that the home was appropriate and to also assess my needs as well as Steven's needs. And being a social worker in another life, I know sort of how assessments should go so that may have jaded me. But he came in and didn't know who the veteran was. He thought I was the veteran at first. And I was like, "No, Steven." So he had not read the chart which was sort of a red flag to me. The second thing was after he's doing, going through making sure I know about infection control, nutrition, all these things that I've been doing for six years now, and Steven has obviously been healthy and happy and at a good weight -- not overweight or underweight, then he asks me if I know about catheter care? And Steven has never been at home with a catheter. Now for some veterans, that's an issue and I would need to know that. But I would like the VA to realize that those home visits are a real chance to come out and see what the needs of the veteran and the caregiver are. That's what I was expecting.
[. . .]
Ranking Member Michael Michaud: My last question, if you had to make one change within the system what would be the change that you would suggest?
Debbie Schulz: One change? You're going to limit me. I think I would really tighten up those disparities so that that artifical cap of hours because there are a lot of veterans that need more than 40 hours and what are we doing for them and how can you -- I mean that disparity is so discouraging. And so really working on that rule to get that right. So that it's not an artificial and so it's right across the country.
Chair Buerkle asked Wounded Warriors Project's Anna Frese, "What if you could change one thing with this program, where do you see a deficiancy or something that needs to be changed?"
Anna Frese: I think one of the issues is one that Debbie -- Ms. Schulz mentioned previously in dealing with the determination of the stipend and the range of hours. So I won't be redundant on that but I think that's something that attention definitately needs to be brought to. I think the second thing is the elegibility, the mental health elegibility criteria. The IFR [interim final rule] sets a much higher standard for elegibility with the current GAF score [a measure to assess functioning] in cases involving psychological trauma or other mental health conditions then for any other condition and there seems to be a disparity in the needs for a mental health compared to the different physical disabilities that others may be having. The amount of hours the family caregivers are providing regardless of either a physical disability or a mental health condition remain the same. There is a need there. I also here from others because seeing that GAF score and eligibility criteria, it has dissuaded many from applying -- just not understanding that they still might be eligible -- and it also can create a misunderstanding with some of the VA professionals that they work with. The education with that eligiblity criteria would be greatly helpful for the family members applying but also for some of the VA personnel that come into contact with the families where there is a need and they would benefit from this program.
We could highlight more of Frese with no problem but I'm not interested in the VA witnesses. I couldn't tell whether US House Rep Dan Benishek grasped that their very, very smiley face presentation or whether he bought into it. But when family members are telling you there's a problem and the VA's insisting that there's not, it may not be an issue of problems in one area of the country, it may be that the VA is putting a happy stamp on what's actually going on.
I found it appalling that Cheryl Cox and Mary Fullerton were asked about anyone being turned down but were not expected to explain why they were turned down -- either those specific unnamed people or families in general and in abstract. Cox spoke of one family that was turned down. And they were fine with it, she swore. Really? Can you think of anything you've ever applied for -- be it a loan, a college, a job, whatever -- that you were turned down for and you were happy? Fullerton apparently has had many more turn downs -- no one thought to ask her for a number but she was speaking in plural terms -- and if they wanted to appeal, she insisted, they knew she would be happy to help them.
If they wanted to appeal the person they chiefly interacted with before would be in charge of the appeal? How fair does that seem? Would you waste your time appealing in such a case? I don't think most people would unless they had the time to really fight.
I'm not interested in the garbage the VA spewed and, not being a member of the Subcomittee, I don't have to pretend to be. I thought the Chair and the Ranking Member did a strong job. Other than that, the only bright spot was when US House Rep Phil Roe (also a medical doctor) showed up and asked questions near the end of the second panel. Still on veterans issues, Senator Patty Murray's office notes the following:
VETERANS: Murray to Hold Hearing to Discuss Closing the Gaps in VA's Mental Health Care

(Washington, D.C.) --Thursday, July 14th, U.S. Senator Patty Murray, Chairman of the Senate Veterans' Affairs Committee, will hold a hearing to discuss access to mental health care services, including waiting times and staffing levels, outreach to veterans, integration of mental health care into primary care, suicide prevention and problems identified by VAOIG at mental health residential rehabilitation treatment programs. During the hearing, the committee will question professionals from the VA's various mental health programs, a Veterans Council Representative for the National Alliance for the Mentally Ill, the caregiver and spouse of U.S. Army Sgt. Loyd Sawyer, the Assistant Inspector General for Health Care, and the head of a private sector health care delivery system. A full list of witnesses is available HERE.

WHO: U.S. Senator Patty Murray, Chairman Senate Veterans' Affairs Committee

WHAT: Hearing to discuss VA's mental health care services

WHEN: Thursday, July 14th, 2011
10:00 AM ET

WHERE: Russell Senate Office Building
Room 418
Washington, D.C.
The editorial board of the Intelligencer and Wheeling News-Register notes US President Barack Obama's claims that combat operations ended August 31, 2010 in Iraq and that all troops will be out of Iraq at the end of this year, "None of it is true. Fifty thousand U.S. troops remain in Iraq. Combat deaths, including that of an Elm Grove native in late June, continue to occur regularly. And U.S. officials have said they are willing to keep combat troops in Iraq after the Jan. 31 withdrawal 'deadline,' if the government in Baghdad approves. But even if all troops are pulled out, the U.S. military role in Iraq will continue for years, perhaps decades, under an Obama administration plan." And the editorial board becomes one of the first in the country to explain the backup plan if Iraq doesn't agree to extend the US presence in Iraq under a SOFA or similar arrangement. They do so by using the public hearings in which the State Dept testifies. This isn't a secret, why so much of the media has treated it as such is a question to ask. But the editorial board walks you through how the war continues. Chris Toensing (Foreign Policy In Focus via Antiwar.com) notes that while extension "is a burning political issue" in Iraq, "there's precious little debate in Washington on the date for withdrawal. Even though President Barack Obama campaigned on a pledge to leave Iraq, his administration isn't telling Maliki that the troops are decamping come what may." Toensing offers his take on what the US government was hoping for and what Nouri al-Maliki was hoping for back in 2008 (in the final days of the Bush administration) when both signed off on the SOFA:
Washington wagered that Maliki would widen his coalition to embrace enough political opponents that his government would be stable without an American prop. The Iraqi premier gambled that, with U.S. funding and training, his security forces would grow strong enough to defeat his domestic foes by the end of 2011.
Both bets were foolish, but Washinton's was more so. Maliki and his circle have no serious record of concilatory politics, and indeed have played upon and exacerbated the country's sectarian, ethnic, and ideological divides to remain in office. In such partisan maneuvers, they have felt secure in the knowledge that tens of thousands of heavily armed Americans are their formidable first line of defense.

How might an extenions go over within the US? Timothy Monroe Bledsoe writes the Augusta Chronicle to share his thoughts on such an outcome, "Now, the overpaid, underworked and clueless government officials in Washington, D.C., are continuing to force tens of thousands of American Troops into harm's way for absolutely no good reason! It is well past time for our so-called government officials to stop being war-mongers and bring all our troops home to safety and to their families, where they all belong."

However, the US government has a different focus. Al Mada reports that Iraqi government sources confirm US Secretary of Defense Leon Panetta's visit to Iraq was about extending the presence of US troops in the country. Al Mada reports he was told that at Iraqi President Jalal Talabani's house last Saturday, political blocs signed onto an agreement to provide an answer as to whether or not to request the US military to stay beyond 2011 and to provide that answer within two weeks. MP Ibrahim Rikabi tells the paper that Panetta was most focused on what number of US troops would remain in Iraq and that other concerns included "Iranian extremists in Iraq." The article also references the memorandum between the US and Iraqi governments which Al Mada reported on yesterday -- a working memo which would allow US forces to remain in Iraq through the end of 2016. The World Tribune notes the two week deal but says Nouri has stated it will be August before any request is or is not made.

Of the two-week arrangement, Laith Hammoudi, Roy Gutman and Nancy A. Youssef (McClatchy Newspapers) report, "Yet Iraq's political impasse appeared no closer to resolution after Panetta met Prime Minister Nouri al Maliki and other Iraqi leaders. Over the weekend, during heated, top-level talks that lasted about four hours on Saturday, Maliki was unable to secure the agreement of Ayad Allawi, his key political rival, for a decision on whether to ask the U.S. to keep any of the 46,000 troops still in the country — all of whom are due to depart by Dec. 31 under a security agreement. Instead, the Iraqi leaders agreed only to meet again in two weeks and hold lower level talks in the meantime." Mohammed A. Salih (Rudaw) reports on the mood in Kirkuk:

Kirkuk officials are divided over whether US troops should remain stationed in Iraq's disputed areas, a key concern as US President Barack Obama's administration presses Baghdad to decide whether they want a limited American military presence in Iraq in 2012.
Rakan al-Jibburi, an Arab member of Kirkuk's Provincial Council, is one official opposed to keeping US troops in his oil-rich province, which is claimed by Arabs, Turkmen and Kurds. If they stay, US troops are likely to be stationed in Kirkuk and other disputed areas.
Some Iraqi and Kurdish officials argue that the presence of US troops in the disputed territories will guarantee stability, but Jibburi told Rudaw that the presence of US troops only worsens the situation.

Turning to the ongoing violence in Iraq, Reuters reports a rocket attack on the Green Zone, a Mussayab roadside bombing injured a Sahwa and last night an Abu Ghraib car bombingclaimed the lives of 2 Sawha and left four more injured. On the rocket attack, Al Jazeera's Rawya Rageh Tweeted:
Rawya Rageh
RawyaRageh Rawya Rageh
Aswat al-Iraq reports, "A U.S. Army patrol had been attacked by an explosive charge in the city of Kut, the center of southern Iraq's Wassit Province on Monday night, but losses were not known, an Iraqi police source reported" and "two Iraqi soldiers were killed in an attack against a checkpoint east of Mosul."
Meanwhile the residents of Camp Ashraf (known as the MEK, Mojahedin-e-Khalq Organization, MKO and People's Mujahedin) remain in limbo. Saddam Hussein granted the Iranian dissidents asylum in Iraq. They lived there with no known hardships to Iraq or Iraqis. In 2003, the US-led illegal war began and the US military told Camp Ashraf to disarm, promising them protection if they did so. Protection was granted more or less until 2009. The Barack Obama administration does not appear to feel they are bound by the agreement made earlier -- nor do they seem aware that they are bound by the Geneva Conventions to provide protection to the residents. The White House has looked the other way as Nouri al-Maliki has repeatedly ordered attacks on Camp Ashraf. A US Congressional delegation in June angered some Iraqi politicians when US House Rep Dana Rohrabacher noted that an investigation was needed into the April 8th assault on Camp Ashraf (by Nouri's forces).
Shi'ite politicians in Iraq with close ties to Iran seem especially upset when anyone infers that the residents of Camp Ashraf are in fact human beings and should be treated as such. That subgroup of Shi'ite politicians also work overtime to attack Iraqiya politicians and they especially enjoy attacking Iraq's Sunni vice president. Which brings us to the Tehran Times which reports, "The remarks made by Iraqi Vice President Tariq Al-Hashimi about the terrorist Mojahedin-e-Khalq Organization are illogical, Iranian ambassador to Iraq Hassan Danaeefar has said. Al-Hashimi has recently said that MKO members should be officially recognized." But Iran's not just bothered by al-Hashimi or the residents of Camp Ashraf.
Dropping back to the June 21st snapshot:
Over the weekend, Jalal Talabani got Punk'd and Ashton Kutcher was no where in sight. Al Mada reported that Iraq's president presided over a terrorism conference. At the conference -- the paper says it's the first calling for a boycott on terrorism in the entire world -- Jalal insisted that, "We in Iraq have suffered the most terorrism." Apparently, Talabani's never heard of Gaza, Pinochet's Chile or assorted other examples. He spoke of the People's Mujahedeen Organization (Iranian dissidents in Iraq at Camp Ashraf) and stupidly claimed they were trying to destabilize Iraq. Even the Iranian government hasn't made that ridiculous claim. But it's part of Talabani's efforts to close the camp. Possibly Talabani's looking for an internal enemy to blame for Iraq's problems in an attempt to divert the Iraqi people? If so, Camp Ashraf is closely guarded and the approximately 3,000 residents are confined to that area.
How seriously a conference on terrorism will be taken around the world is further thrown into doubt when the conference takes place in Iran. It's cute too that the PKK didn't come up in Jala's speech. The PKK is a group that advocates -- with violence -- for a Kurdish state. Some say the Kurds are said to be the only people in the world without their own homeland. (Again, have these people never heard of the Palestinians?) They regularly attack Turkey from the northern mountains of Iraq where they set up bases -- and have allowed many reporters to tour and report on those bases -- from which to launch their attacks. Northern Iraq is the KRG -- Kurdish Regional Government. Jalal Talabani is a Kurd. Possibly calling out a Kurdish group labeled as a "terrorist" group by not just Turkey and the US but also by the Iraqi govenrment is too much?
Talabani thundered about the MEK (and also lied that the International Red Cross was working with the Iraqi and Iranian governments on relocating the residents of Camp Ashraf -- the International Red Cross quickly clarified the public record noting that they were doing no such thing). Kuridsh groups are now a sore spot for Iran and Iran considers them to be terrorist groups. Mitra Amiri and Tim Pearce (Reuters) report, "Iran threatened Monday to take military action against the Iraq-based Kurdish rebel group PJAK, saying the head of Iraq's Kurdistan region had handed the group land without telling the government in Baghdad." They note PJAK (Party of Free life of Kurdistan) is "an offshoot of the Turkey-based Kurdistan Workers Party (PKK) which took up arms in 1984 for an ethnic homeland in southeat Turkey and northwest Iran."
Still on relations between Iraq and Iran, today the Iranian Student News Agency notes, "Iraqi ambassador to Iran Mohammed Majid al-Sheikh said on Tuesday 70 percent of Iraq-Iran shared land borders have been specified." However, Sunday AFP reported on "dozens of Iraqi farmers" who were preventing Iranian pilgrims from entering Iraqi "in protest at its diversion of a river which helps irrigate one of their country's main agricultural regions."
Also on Sunday Asia News reported, "A new Chaldaen parish church was inaugurated yesterday in Sikanayan, a village some 10 kilometres from Kirkuk. It bears the name of Saint Paul the Apostle because the village's Kurdish name means 'Three Fountains', like the Three Fountains Church in Rome built on the site where the apostle was martyred. The small settlement has about 200 homes, some still under construction. [. . .] Provincial leaders as well as sheikhs and imams attended yesterday's official inauguration. The choir sang hyms and psalms. A joint prayer was read by an Arab Muslim sheikh, a Kurd and a Turkmen." Catholic Culture notes that the Church "was built with the help of government support as well as private donations." DPA notes it is the first Christian church built in Kirkuk "in eight years" and quotes Fawziya Hanna, "This church, and our presence here to celebrate its birth, is the strongest message that we are staying in our land. We do not want to be strangers in our own world, and the forces of extremism are the ones which must change their approach and stop targeting us." Archbishop Louis Sako notes that among the donations to build the church was $10,000 from Iraqi President Jalal Talabani. Marwan Ibrahim (AFP) notes, "The new Kirkuk church serves a housing community of about 200 Christian families who fled to Kirkuk and nearby regions from other parts of the country, Sako said."

The big Iraq story for tomorrow's news cycle? Barring major violence on Wednesday, it should be Tim Arango's article on Iraqi refugees which runs in tomorrow's New York Times. Excerpt:
Terrorism fears in the United States are all but halting visas for Iraqis, even those who risked their lives aiding the American war effort, making them especially vulnerable ahead of the planned American military withdrawal.
[. . .]
Advocates say that the administration is ignoring a directive from Congress to draft a contingency plan to expedite visas should those Iraqis who worked for the United States government, especially interpreters for the military, come under increased threat after American forces are drawn down at the end of the year.
We'll note the article again tomorrow and address the topic of refugees. We're including it now as a favor to a friend with the paper who praised the article through the roof. (It is a good article.)
Turning back to the US where only one declared candidate currently calls for an end to all the wars and occupations, US House Rep Ron Paul. The libertarian is running for the Republican Party's presidential nomination. He gave a lengthy interview to John Tompkins (The Facts) today in which he announced he would not be seeking re-election to the House and would instead be focusing on his run for the presidential nomination. Comparing this year's run for the nomination to his 2008 run, Paul declares, "We have a lot more support right now. Things are doing well for us." Continuing ABC News slide from news, Amy Walter today terms Paul's run as a "long-shot presidential bid in 2012." The primaries will not be this year. It is far too early for the idiots to be handicapping a race but I do understand that calling him a "long-shot" does allow you to ignore where he stands on the issues. And isn't that the real point of this garbage 'horse race' coverage passed off as reporting. They dumb down everything, they should be ashamed of themselves. Doubt it? Paul has called for an accounting of the gold in Fort Knox which shouldn't be that controversial. But Mark Gongloff (Wall St. Journal) avoids the issues (basic inventory) to make fun of Paul -- apparently not realizing that he (Gongloff) is the one coming off like an ass. US House Rep Lynn Woolsey has also decided not to seek re-election to the House (but she is not running for the Democratic Party's presidential nomination -- at least not yet). Her office notes she delivered the following remarks on the House floor today (and link has video option):

"Madam Speaker, in April 2004 my staff gave me a memo, asking if I wanted to give a special order speech on some long-forgotten issue. My answer was no, I didn't want to speak on that issue. But I did want to deliver a speech, that day and every other day we were in session -- to express my opposition to the wars in Iraq and Afghanistan, and my belief that there is a smarter way to achieve our national security goals.

"And so since that day, I've stood here in this spot to say over and over again that these wars are eroding our spiritual core; bankrupting us morally and fiscally; teaching our children that warfare is 'the new normal.'

"I have delivered these speeches as a member of the majority and the minority…when the President was a member of my party and when he was not. And today, I am doing it for the 400th time.

"When I began, we were just one year removed from the invasion of Iraq. The war was still quite popular, as was the president who launched it. But we spoke out anyway, refusing to bend on principle. My colleagues Barbara Lee, Maxine Waters and I --'the Triad', we called ourselves -- started the Out of Iraq Caucus, and we forced the first House vote to bring our troops home. Along the way, I visited Iraq, a trip that confirmed my feelings about the war, even as it increased my admiration for our troops.

"Gradually, the tide of public opinion turned. President Bush lost the confidence of the American people and eventually had to start winding down the war. I don't believe that would have happened unless a few lonely voices had dared to be heard in those early days.

"I'm proud of what we've accomplished, but I'm also frustrated. Because nearly a decade after the first American boots hit the ground in Afghanistan…here we are. Still at war. Still occupying sovereign countries, on missions that aren't making us safer or advancing our interests.

"The cost has been devastating. Over 6,100 Americans are dead. Thousands more civilians have died for the cause of their so-called liberation. Thousands of U.S. servicemembers have come home alive but may never be the same, either because of physical wounds or mental health trauma, which can destroy lives just as well.

"In addition to the staggering $3.2 trillion price tag that has piled up over the last 10 years, I don't think we've even come to grips with the resources the V.A. will need for the next 50 years to meet the responsibility we have to our veterans as a result of these wars.

"I'm not suggesting we abandon the people of Afghanistan or Iraq. Anti-war doesn't mean anti-engagement or anti-security. The underlying principle behind my 400 speeches has been that we need a completely different approach to protecting America, one that emphasizes diplomacy, reconciliation and peaceful conflict resolution.

"From the beginning, I've been pushing my own solution called Smart Security-- fighting terrorism with better intelligence and multilateral cooperation; with a stronger nuclear nonproliferation program; with humanitarian and economic aid that will give hope to people around the world; with less spending on weapons systems and more on homeland security, human rights monitoring and energy independence.

"Most importantly, Smart Security insists that war be an absolute last resort. Because, for the sake of the future of the human race, we must – and we can – figure out a way to resolve our differences without resorting to violence and warfare.

"I will continue to do this for my remaining year and a half in Congress, giving as many of these speeches as I can. Madam Speaker, I will not rest until we finally bring all our troops home and we adopt a Smart Security approach to preventing war and preserving peace."