ABC has a rather unsettling story about a drastic reduction in funds for treatment of soldier closed-head injuries, also known as traumatic brain injury (TBI):

George Zitnay, a Charlottesville brain injury expert who is a co-founder of the Defense and Veterans Brain Injury Center, told ABC News earlier this year that traumatic brain injury is the “signature injury of the war on terrorism.”

That’s because of the proliferation of roadside bombs in Iraq and improved body armor that shields troops from lethal wounds but can do nothing about the violent jolts to even helmeted heads that can damage the brain as it bounces off the inside of the skull.

As a result, more troops are surviving injuries suffered in Iraq than in previous wars, but more troops are surviving with permanent injuries. According to Pentagon data reported in the New England Journal of Medicine, only about 10 percent of wounds in Iraq are lethal — less than half the rate in the first Persian Gulf War, Vietnam and Korea each, and a full one-third of the rate in World War II.

By one estimate, as many as 10 percent of all troops in Iraq and up to 20 percent of front-line infantry suffer concussions during combat tours.

The shift in injury is tragic, but one would think that this would lead to increases in funding for research and treatment for brain injuries. Further complicating the risk is the fact that soldiers may already suffer from concussions without realizing it and therefore significantly increase their chance of brain damage by exposing themselves to additional blasts.

U.S. troops in Iraq are exposed to hundreds of bombings each month. “We’ve seen patients who have had three deployments and have had some (head) injury on every single one,” [neuropsychologist] Drake says.

The damage from multiple concussions can be irreversible. “Repeated concussions can be quite serious and even lethal,” says Air Force Maj. Gerald Grant, a neurosurgeon who treated troops in Iraq.

Thus, it is hard to understand why funds are being drastically reduced so much at a time of so much need. Spending restraints on treating the injuries of soldiers? Is this a result of Bush administration tax cuts?

A professor of emergency medicine, Stuart Hoffman, calls on Americans to help reverse this decision:

At least 18,000 troops have been wounded in Iraq or Afghanistan to date. Some reports suggest that up to 60 percent of those casualties (as many as 10,000) involve some degree of brain injury. These figures do not include civilian contractors or members of the news media who have suffered brain injuries.

There are signs our government is heading down the same road it followed during the Vietnam War — denying the magnitude of the brain injury problem and thereby depriving soldiers the treatment they need.

[…]

To deal with the influx of brain-injured soldiers returning from combat, these centers requested that their 2007 fiscal year budget be increased from $14 million to $19 million, a paltry sum compared to the billions a month we are spending on the wars. Instead of granting the requested increase, the budget proposed by President Bush and rubber-stamped by both houses of congress eliminates the program.

Citizens of this country should demand answers to these questions:

• Why does the White House want to kill this program, and why is Congress going along?

• Are Bush administration officials embarrassed by the numbers of brain-injured soldiers returning from Iraq and Afghanistan?

• Do they believe that if data collection is stopped, the problem will vanish?

• What will happen to brain-injured troops when they no longer have access to these services?

Military discipline prohibits our troops from speaking for themselves. We must speak for them.

Call, write or e-mail your U.S. senators and representatives. Tell them you are outraged by the decision to eliminate the Defense and Veteran Brain Injury Centers from the 2007 fiscal year budget. Those who repeatedly admonish us to “support our troops” should be willing to do so themselves.

The US air controller crisis might finally get the President’s attention following this admission:

The Federal Aviation Administration admitted it broke its own rules in putting only one controller on duty.

We often forget how important the controllers are, since they are the least noticed when they are doing their best work. For some much needed perspective, I went back and reviewed the 1981 testimony to a US congressional subcommittee by the Air Traffic Controllers Organization President Robert Poli:

Controllers constantly face countless situations which require them to make decisions affecting the lives of thousands of people. … Day in and day out, they must guard against even the smallest error, for a mistake could kill hundreds. There is no room for guesswork, nor is there time to sit back and leisurely consider a traffic situation. Decisions must be swift, positive and correct. … Being able to accept such an intense level of responsibility is at the heart of the controller’s job. However, its residual effects are felt in every aspect of his life. Over time, while dreading the terrible consequences of one incorrect control decision, the controller loses the fight to the knowledge that he is human and, in the long run, fallible. The strain created by this internal war generates insidious effects on the controller’s entire life. They can manifest themselves in physical or mental disorders, social withdrawal, marital trouble or concealed alcoholism.

This was in the weeks and days up to the decision by President Reagan to fire over 10,000 striking controllers and begin private contracting for air traffic control. Fast forward to 2004 when complaints very similar to those in 1981 were again coming from the controllers facing staff shortages. In particular, the National Air Traffic Controllers Association requested in 2003 that an additional 1,000 new air traffic controllers be authorized each year for three years.

The current controller workforce is stretched to the limit and we cannot call up the reserves. There are no reserves. That is why we also ask this Subcommittee to stop the FAA from terminating, removing, transferring or reassigning any air traffic control specialist solely because the agency erred in hiring that individual after he or she reached the maximum entry age.

President Bush instead passed a four-year $60 billion bill that increased the number of privately funded control towers and gave funding for only 302 controllers.

So you might want to take a moment to think about all the money being spent to keep America safe and how it is really working when understaffed and often underpaid controllers have been warning of very clear and present danger. National Air Traffic Controllers Association president John Carr put it this way in his 2003 testimony to a US congressional committee:

The thousands of controllers hired during the post-PATCO recovery period will reach retirement eligibility soon. Based on FAA data, over 50% of the workforce will be eligible to retire by 2010. The Government Accounting Office reports the number is even higher. Currently, there are not enough controllers to fill the gap. A new hire is not a replacement for a full performance level retiree. It takes anywhere from three to five years for a new hire to become a full performance level air traffic controller. Most of this training is on-the-job and requires a certified controller to staff each position along with the trainee.

Therefore, the FAA must immediately begin hiring and training the next generation of air traffic controllers to prepare for the wave of upcoming retirements, the increased traffic and system capacity enhancements. Addressing this issue can no longer be deferred because of the significant time required to train new controllers. If we do not begin to hire and train new controllers today, we will be left with a system that is woefully short staffed and unable to accommodate the demands for air transportation.

Predictable disaster?

Edited to add (8/30/2006):

The Associated Press has provided some more insight into the Kentucky controller and crash. Short-staffed, the controller on the job also appears to have been asked to carry long shifts with little rest:

National Transportation Safety Board member Debbie Hersman said the controller had only nine hours off between work shifts Saturday. That was just enough to meet federal rules, which require a minimum of eight hours off between shifts, Hersman said.

“He advised our team that he got approximately two hours of sleep,” Hersman said.

Abraham Lincoln wrote on February 15, 1848

Kings had always been involving and impoverishing their people in wars, pretending generally, if not always, that the good of the people was the object.

With that in mind, take note of the Hizbullah leader’s reflections on starting a war with Israel:

…Hassan Nasrallah said Monday that had he believed, even one percent, that a war would break out following the kidnapping of two IDF soldiers, the operation would never have been launched.

Kidnapping two IDF soldiers and then firing thousands of rockets into civilian areas…he makes it sound like he made one little mistake and everything afterwards was out of his control. Reminds me of Nasrallah’s apology to his political rivals only a few months ago

for the abusive slogans against [opposition leaders] during a recent pro-Syria Shiite demonstration in South Lebanon’s market town of Nabatiyeh. […] Portraits were raised in the Nabatiyeh demonstration depicting Jumblat as a Jewish Rabbi and Tueni as a bull with long horns.

Rabbi and a bull? Sounds like the start of joke. Nasrallah apparently comes from the political “it’s better to shoot first and ask for forgiveness” school of tactics. But seriously, southern Lebanon is definitely not a bed of roses and it sounds like Nasrallah might be getting the blame for acting foolishly/selfishly. Pride is a huge issue in the region, so if Nasrallah has to back down and ask for forgiveness something must be afoot, perhaps including fractures in his organization. The big question is whether those demanding apologies will radicalize further, or (will be allowed to) pursue political opposition through democratic channels.