Economic casualties of Iraq war Cost of benefits for 185,000 soars; vets, families suffer

The struggles have led at least one retired soldier to the brink of suicide.

TEMECULA, California (AP) — He was one of America’s first defenders on Sept. 11, 2001, a Marine who pulled burned bodies from the ruins of the Pentagon. He saw more horrors in Kuwait and Iraq.

Today, he can’t keep a job, pay his bills, or chase thoughts of suicide from his tortured brain. In a few weeks, he may lose his house, too.

Gamal Awad — the American son of a Sudanese immigrant — exemplifies an emerging group of war veterans: the economic casualties.

More than in past wars, many wounded troops are coming home alive from the Middle East, a triumph for military medicine. But they often return hobbled by prolonged physical and mental injuries from homemade bombs and the anxiety of fighting a hidden enemy along blurred battle lines.

These troops are just starting to seek help in large numbers, more than 185,000 so far. The cost of their benefits is already testing resources set aside by government and threatening the future of these wounded veterans for decades to come, say economists and veterans’ groups.

“The wounded and their families no longer trust that the government will take care of them the way they thought they’d be taken care of,” says veterans advocate Mary Ellen Salzano.

How does a war veteran expect to be treated? “As a hero,” she says.

Awad’s case

In Awad’s case, he needs to think of a reason each morning not to kill himself.

He can’t even look at the framed photograph that shows him accepting a Marine heroism medal for his recovery work at the Pentagon after the terrorist attack.

It might remind him of the burned woman whose skin peeled off in his hands when he tried to comfort her.

He tries not to hear the shrieking rockets of Iraq either, smell the burning fuel, or relive the blast that blew him right out of bed. The memories come steamrolling back anyway.

“Nothing can turn off those things,” he says, voice choked and eyes glistening.

He stews alternately over suicide and finances, his $43,000 in credit-card debt, his $4,330 in federal checks each month. They bring the government’s compensation for total disability from post-traumatic stress disorder. His flashbacks, thoughts of suicide, and anxiety over imagined threats — all documented for six years in his military record — keep him from working.

The disability payments don’t even cover the $5,700-a-month cost of his adjustable home mortgage and equity loans. He owes more on his house than its market value, so he can’t sell it and may soon lose it to the bank.

“I love this house. It makes me feel safe,” he says.

Awad could once afford it. He used to earn $100,000 a year as an experienced Marine with a master’s degree in management who excelled at logistics. Now, he can’t even manage his own life.

There’s another twist. This dedicated Marine was given a “general” discharge 15 months ago for an extramarital affair with a woman, also a Marine. His military therapists blamed this impulsive conduct on PTSD aggravated by his Middle East tours.

Luckily, his discharge, though not unqualifiedly honorable, left his rights intact to medical care and disability payments — or he’d be in sadder shape.

Divorced since developing PTSD, Awad has two daughters who live elsewhere.

He spends much of his days hoisting weights and thwacking a punching bag in the dimness of his garage. He passes nights largely sleepless, a zombie shuffling through the bare rooms of his home in sunny California wine country, not too far from his old base.

Impact of prolonged war

Few anticipated the high price of caring for Awad and other Middle East veterans with deep, slow-healing wounds.

Afghanistan seemed quiet and Saddam Hussein still ruled Iraq one year after the Sept. 11 attacks. That’s when the U.S. Department of Veterans Affairs guaranteed two years of free care to returning combat veterans for virtually any medical condition with a possible service link.

Later, few predicted such a protracted war in Iraq, one in which Iraqi insurgents would rely on disfiguring bombs and bombardment as chief tactics. Better armor and field medicine have kept U.S. soldiers alive at the highest rate ever, according to one study based on government data. However, many are returning with multiple amputations or other disabling injuries.

The Pentagon counts more than 29,000 combat wounded in the Middle East since the terrorist attacks on New York and Washington. Tens of thousands more got hurt outside of combat or in ways that only surface later.

There was no mistaking the injuries of Cambodian-American Sgt. Pisey Tan. Eight months into his second tour in Iraq, a makeshift bomb blasted his armored vehicle and took both his legs.

Still, Tan has had to rely on donations and family, as well as government. The government treated him and paid for his artificial legs. But his brother, Dada, left college to live with him at a military hospital for almost a year.

“That’s how our family is,” says the Woodlyn, Pa., veteran. “We always take care of our own.”