Full Description
U.S. military conflicts abroad have left nine million Americans dependent on the Veterans Health Administration (VHA) for medical care. Their "wounds of war" are treated by the largest hospital system in the country-one that has come under fire from critics in the White House, on Capitol Hill, and in the nation's media.
In Wounds of War, Suzanne Gordon draws on five years of observational research to describe how the VHA does a better job than private sector institutions offering primary and geriatric care, mental health and home care services, and support for patients nearing the end of life. In the unusual culture of solidarity between patients and providers that the VHA has fostered, Gordon finds a working model for higher-quality health care and a much-needed alternative to the practice of for-profit medicine.
Contents
Acknowledgments
List of Abbreviations
Introduction: What Kind of Care for Veterans?
1. Promises Broken and Kept: A Short History of the VHA
2. Those Who Have Borne the Battle: The VHA's Patient Population
Profile—What It Means to Be a VA Volunteer
3. Primary Care the Way It Should Be
4. Healing Minds and Bodies: Integrated Mental Health Care and Primary Care
5. Dealing with a World of Hurt: VHA Treatment of Chronic Pain
6. When Wounded Warriors Are Women: Caring for Female Veterans
7. Mental Health the Way It Should Be
8. Unpacking PTSD: From Diagnosis to Effective Treatment
Profi le—Karen Parko: A Special Kind of Professional Development at the VA
9. Returning to Civilian Life: Veterans on Campus
10. Suicide Prevention: VHA Programs That Save Lives
11. Overcoming Disability: VA Rehabilitation Services
Profile—Mark Smith: No Ordinary Bike Shop
12. Transcending Trauma: The Martinez Cognitive Rehabilitation Program
13. Off the Streets: Reducing Veteran Homelessness
14. Alternatives to Jail: Veterans' Justice Programs
Profile—Cops and Vets: The Memphis Crisis Intervention Model
15. Specializing in Elder Care: The VA and Geriatrics
16. Knocking on Heaven's Door: The VA and End-of-Life Care
17. Better Care Where? The VHA Compared to the Private Sector
Conclusion: A System Worth Saving—and Making Even Better
Epilogue: Thank You for Your Service?
Notes
Index
About the Author
