Friday, November 11, 2005

Any Soldier Will Do

Any Soldier Will Do
By Gene C. Gerard

Last week the Government Accountability Office (GAO), the
investigative unit of Congress, released a report indicating that
the Pentagon has been calling up reserve soldiers who are ill or
medically unfit to serve. The reservists are serving primarily in
Iraq and Afghanistan. Although the Office of the Under Secretary of
Defense for Personnel and Readiness is responsible for managing
medical and physical fitness policy and procedures, the report
determined that this office has no way to determine if reserve
soldiers are fit to serve or have pre-existing medical conditions
prior to deployment.

Consequently, the GAO found that the Pentagon couldn't confirm to
the Secretary of Defense or Congress that reserve forces are
medically and physically fit when they are called to active duty.
Yet under federal law reserve forces are required to have a medical
exam every five years and an annual review of their medical status.

The report also found that the Defense Department has not even
determined what type of pre-existing medical conditions would
preclude a reservist from being called to duty. Consequently, it
doesn't track the pre-existing conditions of reserve soldiers being
deployed. According to the surgeon's office of the commander of the
U.S. Central Command "there were many instances of individuals who
deployed into Iraq and Afghanistan with conditions for which they
should have been considered non-deployable."

Given the recruitment shortages that the armed services currently
face, it shouldn't be surprising that reservists in poor health are
being called up. When the 2005 fiscal year ended in September the
Army was 7,000 recruits short of its annual goal. This was the
largest gap in recruitment since 1979 when the draft was abolished.
And it was the first recruitment shortage for the Army since 1999.
The Army National Guard and the Army Reserve had even greater
recruitment shortages this year.

The Army has taken various approaches to its lackluster recruitment
efforts. It increased it advertising budget by $130 million for
2006. Over the course of fiscal year 2005 the Army handed out $207
million in bonuses to recruits and those who re-enlisted. This was a
sizable increase over 2004, when $125 million was distributed as
bonuses. The Army gave a bonus of a least $1,000 to 53 percent of
new recruits between October 2004 and June 2005; the average bonus
was $5,589.

The Army's maximum bonus of $20,000 was distributed to six percent
of new recruits. And the Pentagon has already made a request to
Congress to double the maximum bonus for 2006 to $40,000. The Army
is also handing out bonuses of $400 per month for three years for
soldiers with much-needed skills, such as infantry.

Last Month, Army Secretary Francis J. Harvey announced that due to
the recruitment shortages the Army will now double the number of
recruits it accepts who score the lowest on the intelligence test
administered to all potential recruits. Secretary Harvey also
announced that the Army was decreasing its requirement that the
recruiting class each year be comprised of at least 67 percent of
applicants who scored in the top half of the intelligence test. The
portion has now been lowered to 60 percent.

What has not been known until now is that recruitment shortages have
resulted in the Pentagon calling up reservists who are ill or
medically unfit. According to the GAO report, this includes
reservists who have suffered from heart attacks, those with severe
asthma (weather conditions in the desert exacerbates this
condition), hernias, severe hypertension, and a woman who was four
months into chemotherapy treatment for breast cancer. It also
includes reservists suffering from sleep apnea who need medical
equipment to help them breath, yet large portions of Iraq and
Afghanistan lack the electricity necessary to run the equipment.

Reserve forces that are diabetic and require insulin pumps have been
called to active duty. A soldier was called up only two weeks after
receiving a kidney transplant. Other reservists have required kidney
dialysis. The GAO report also found that reserve soldiers have been
called to active duty that suffer from psychiatric problems,
including bipolar disorder. By one estimate as much as ten percent
of the reservists who have been medically evacuated out of the
Middle East was attributable to pre-existing medical conditions that
could not be treated properly.

The GAO report ominously concluded, "The impact of those who are not
medically and physically fit for duty could be significant for
future deployments as the pool of reserve members from which to fill
requirements is dwindling and those who have deployed are not in as
good health as they were before deployment." The findings of this
report are particularly ironic, considering that one year ago
President Bush won re-election in large part because he convinced
military families that he would protect the armed forces better than
Senator Kerry. Consequently, veterans voted for President Bush by a
16-point margin. Many of them are likely having second thoughts
today.

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