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Secretary of the Wisconsin Department of Veterans Affairs, and Colonel in the U.S. Army Reserve, John Scocos, will join us this week. Scocos is a veteran with 26 years of service, and has been an active member of the WI Department of Veterans Affairs since 1997. He is currently advocating for a congressional proposal to create more assessment and treatment in the area of mental health for returning soldiers. Scocos has also been called to duty in Iraq and will be leaving next month. He joins us to talk about his upcoming deployment and his work for better mental health services for combat veterans.
Wisconsin Department of Veterans Affairs
Wisconsin Veterans Affairs - Scocos Biography
Colin Benedict of the We The People/Wisconsin partner station WISC, returns to give his reality check on Supreme Court candidates’ recent campaign ads. Benedict will also be with us next week to co-moderate the debate between Supreme Court candidates Annette Zielger and Linda Clifford.
This week, we will meet with Paul Rusk, the Executive Director of the Alzheimer’s Association South Central WI Chapter. He will be discussing a reported increase in diagnoses for Alzheimer’s disease. In the last year, the prevalence of this disease has increased by 10 percent, taking the national number to more than five million. It is now the fifth leading cause of death for people over the age of 65. Rusk will explain the reasons for this jump in diagnoses, and how it should be addressed.
This week we welcome a new End Insight commentator, Jamie Kuhn. She is Chief of Staff to Sen. Mark Miller (D-Monona), and will join us with a commentary about the future of SeniorCare.
On the fourth anniversary of the war in Iraq, we will include in our show this week a memorial to all the Wisconsin soldiers who have lost their lives in Iraq and Afghanistan.
Frederica Freyberg:
Welcome to “Here and Now.” I'm Frederica Freyberg. On a week that marks the four-year anniversary of the war in Iraq, we hear from a Wisconsin Army reservist who's headed to the Middle East. The race for the open seat on the high court has taken to the airwaves. Later, we'll have a reality check of the State Supreme Court campaign ads. A new report reveals we're experiencing a sharp increase in Alzheimer cases. We'll hear how and why later in the program. And a new “End Insight” commentator makes her debut tonight. Jamie Kuhn goes to bat for SeniorCare.
But first, our first guest works full time for state veterans as the Secretary of Wisconsin's Veterans Affairs Department. John Scocos is also a Colonel in the Army reserve. In that capacity he's preparing to be deployed to the Middle East. He leaves next month. But even as he prepares for his own tour of duty, he's working on behalf of a bill before Congress that would extend the window of time combat veterans are eligible for health screening and treatment. It's aimed at vets whose mental health issues, illnesses like Post Traumatic Stress Disorder are not as quickly identified as physical illness. Welcome to John Scocos.
John Scocos:
Thank you. Pleasure to be here.
Freyberg:
Thank you so much for being here. We should also note that your darling 4-year-old Andreas is here. Thanks for being with your dad. I want to run through some of the provisions of this bill and then get your sense about them. The bill would require post-deployment medical and mental health screenings within 30 days. How different is that from what's happening now?
Scocos:
Well, I think that Lane Evans, again, was probably one of our major advocates for us in the United States in the veterans community. For the 30-day requirement, I think is really important for the healthcare because it takes away the stigma of PTSD that so many of our veterans and newest active and reserve component folks when they come back, it'll give them the opportunity not to worry about what they feel or think, to come in, get the post-treatment that they need, move on with their lives. Let's fix that up front. And seeing over 40% of these young men and women coming back now that are involved in combat with some form of PTSD, we need to do the post, make it mandatory. That's what's important, the mandatory 30-day. Not whether they want to or not. It gives them and their families a tremendous window to take care of needs they might see in the future, they may be dealing with as they redeploy.
Freyberg:
And it takes the stigma away because it's mandatory and across all branches of the military. They don’t have to say, “I need help.”
Scocos:
It takes care of all of service members, some that need help and don't. We hear a lot of folks sometimes feel, really, I'm not going to go in for additional treatment. I don't want to jeopardize my active duty career. I don't want to tell my Reserve or my Guard folks about it. It's something that needs to be done. It's something that the Vietnam veterans, that generation, we're learning so much from their experiences. Now we have an opportunity to help those folks returning.
Freyberg:
I must say that that number, 40%, is awfully high and not one that I've been able to put my finger on. The latest kind of research suggests that it's at least one in four, 25% perhaps. But 40% is super high.
Scocos:
I think with 70% of our folks fighting are involved in combat, even higher than that. The last statistics I saw from the VA was 40%. It could be a little lower. But it's a phenomenal number because we have a tremendous amount of folks serving in harm's way now, a new perspective on the war.
Freyberg:
Another prong of this bill would require that each vet upon discharge would be provided an electronic copy of all military records. Is this something that's not happening? Why is this needed?
Scocos:
Only the Marine Corps is doing it now. What's so wonderful about this is that so many vets come back and they might have ailments, wounds or compensation claims. So, the first thing, you have to send off to St. Louis, or wherever their records are. It might take up to a year. That's up to a year a young veteran or older veteran might have to wait for records, so he can apply to get his adjudication of his claim or to get in to seek service in some cases. I think this is great. It's way overdue. It goes along with their information data collection, because that goes hand in hand with that. How many times someone has been involved in tours overseas in the Middle East now, awards they've seen, really giving a good snapshot of each individual medical, also his deployment record. If you want to look at some of the research that I think is now finally being done for Persian Gulf war vets, this is a great start. Start tracking them so we can help find solutions now for them.
Freyberg:
I think some people might be surprised that this isn't being done.
Scocos:
It's way overdue, especially the records. I mean, you don't know how many veterans. We have a claims office in Milwaukee, Wisconsin. Veterans of all eras and ages fight to get their records. Sometimes it takes up to three years. So when he or she is discharged they get a copy and deal with the needs for the future. I think it's good.
Freyberg:
Now, you yourself are deploying to Iraq. What will your role be there?
Scocos:
Right now I'm assigned to be a Chief of Staff of a support element right around the Baghdad area. I don't know the specifics right now. I look at it as a challenge. I can come back, hopefully, to bring something to our state so we can look at our benefits. I believe we're the most progressive state in the United States. The governor has been great in this last biennial budget. Always, our Legislature and our Chief Executive understand that our veterans when they come home, if we want to grow Wisconsin, we want to give them the tools, healthcare, things they deserve from their service. They've been right there for us.
Freyberg:
What it's like? You have three children, including Andreas, to have to go off to war?
Scocos:
I was telling my wife, I've seen hundreds, literally thousands of young men and women come back. I was on active duty for almost ten years during the Cold War. I was part of the Bosnian call-up and some service I did there. For me it's an opportunity. Obviously, I don't want to be away from my young children. But I see it as an opportunity too to see how we can make the state better for our veterans. So many of them call and talk to me about their experience. Now firsthand I'll get an opportunity to see that.
Freyberg:
John, thanks very much. Thanks for your service.
Scocos:
Thanks for having me here tonight.
Freyberg:
If you didn't catch the name of the veterans health legislation we've been talking about, here it is again. It's called the Lane Evans Healthcare Benefits Improvement Act. In addition to extending the window for veterans health screening, the measure would improve the window for health screening and introduces a data registry. For more information on the bill you can go to our website at wpt.org/hereandnow. Secretary Scocos put the number somewhat higher, but latest official estimates suggest at least one in four returning Iraq War vets will suffer mental health problems. About half of those will be diagnosed at VA facilities with post-traumatic stress disorder. Wisconsin has to date sent some 29,000 guard, reserve and active duty soldiers to the war front. That would put the incidence of PTSD among veterans just in our state at more than 3,000, perhaps many more.
Not many veterans afflicted with PTSD want to share that experience. But some do. As a way of helping others who might be reluctant to seek help or to help the public understand. As a reporter for our sister program “In Wisconsin,” I've had a chance to hear from two such soldiers. Two Wisconsin Army National Guard soldiers diagnosed with PTDS. We are carrying a four-part series of reports reflecting their journey to war and back. Tonight, we bring you an excerpt from Part One. We hear from a physician, the commander of the Waukesha-based 118th Medical Battalion; and from a nurse, a sergeant in the unit. We should warn you this clip about a day in the life of these medics contains graphic images.
Col. Kenneth Lee, MD:
We did a lot of convoys, I mean, two, three times a week we were out on the road taking chances, but you know, that was what our mission entailed. Luckily, we had no deaths, but we did have many injuries. And nine out of the 72 members actually had a purple heart received for combat wounded.
Sgt. Chris Cook:
We had a lot of mortar attacks, rockets on occasion.
Lee:
Did I have enough men? I wish I had more men and women over there to run all these missions. But you know, like every war, the country is strapped for logistics of many different reasons. So we dealt with it the best we can.
Cook:
You know, the citizen soldier, if you will, we have doctors, nurses. The majority of my unit was college students. And you are going into an environment. Granted, we all volunteered, but you are in a war zone and you have to adapt in a hurry.
Lee:
I would have to say body armor-wise, they gave us what we needed. In terms of vehicles, I don't think the medical unit had the types of vehicles that we needed to do the runs. However, you know, again we adapted. We used whatever kits we could find to turn it into an armored vehicle, rather than a typical Humvee that's aluminum sided. But our unit was seeing, on a daily basis, injuries and all that, about 60 to 80 patients a day.
We had probably mass casualty, major trauma cases coming in at least once a week. It's a 24 hours, seven days a week service. It does take a toll on a lot of people. The mental stress of seeing the trauma day after day, working with young and old, such a devastation on a physical body. It is heartbreaking.
A lot of times, you know, we don't think about a person, we think about it as one of the medical triage. But it's usually the afterwards, then it kind of hits you. My God, that kid was really young that I just treated.
Freyberg:
An excerpt from the “In Wisconsin” series on post-traumatic stress disorder. That series continues next Thursday night at 7:00pm. You will find more of our work on this topic at the “In Wisconsin” website at wpt.org/inwisconsin. This week, we asked some of you how we could improve healthcare for returning veterans. Here's what you said.
Woman:
Well, I think there definitely needs to be more support here for them. There's a lot in the news medically that there's a desperate need for more medical attention, at the very least, but certainly a support network for people coming back into the communities would be important as well.
Man:
Just make sure they get the benefits they deserve and, you know, cut through all the red tape.
Woman:
Provide better healthcare and more mental support.
Freyberg:
Now for some medical news. Numbers of Alzheimer cases are growing. Statistics show that a new case of Alzheimer's develops in America every 72 seconds. By mid-century, there will be a new case every 33 seconds. Here to put the increases in some perspective is Paul Rusk, the executive director of the South Central Wisconsin Chapter of the Alzheimer's Association. Thanks for being here.
Paul Rusk:
Thanks for having me.
Freyberg:
So we know about the incidents in seconds. How about how many Americans currently have this disease?
Rusk:
Currently, 5.1 million. The problem is that number is going to soar to such an extent that we will eventually bankrupt Medicaid and Medicare, unless we have some action in form of a cure or effective treatments.
Freyberg:
What accounts for these numbers?
Rusk:
The aging of the babyboom population. The babyboom population is absolutely huge. And as they age, the numbers will soar.
Freyberg:
In the absence of a cure, and we can talk about progress along those lines in a second. But in the absence of that, how much money is needed to help the families and the patients afflicted by this?
Rusk:
Well, as far as research, we just got back from Washington and we need $1.3 million. We want to double what is available now over the next couple of years. As far as families, the amount of stress on them, it's phenomenal. And here in Wisconsin, we do have three chapters of the Alzheimer's Association that are available 24 hours a day to help them. Also, patients were all improving tremendously in our programming for those with early stage dementia.
Freyberg:
What about the numbers in Wisconsin?
Rusk:
It depends. They range from roughly 100,000 on the low end to 116,000. And it just depends on how you do the projections. Our big problem is that people are not being diagnosed. Only one in five are actually diagnosed, even in Wisconsin, a state that has over 30 diagnostic clinics around the state.
Freyberg:
Must be because it's hard to diagnose?
Rusk:
It's extremely hard to diagnose, plus the medical community, quite frankly, doesn't do a good job. In our 50's, they really should start testing for memory, just like they test for so many other diseases.
Freyberg:
And would it be helpful to have an earlier diagnosis, because there are some medical treatments that could help people?
Rusk:
Absolutely. There are four drugs on the market now, that in about 50% of the cases they actually assist people. But the exciting news is that there are nine medications currently in stage 3 clinical trials at the FDA. And those should be out in the next couple of years, hopefully, and some of them hopefully will significantly slow the progression of the disease.
Freyberg:
And very briefly, Wisconsin is on the cutting edge of some of this research, isn't it?
Rusk:
Absolutely. We have phenomenal research going on here at the University of Wisconsin and also the Medical College in Milwaukee.
Freyberg:
All right. Well, may they find something, a cure. Paul Rusk, thanks very much. Yeah. Thank you.
Rusk:
Thank you.
Freyberg:
Healthcare is also the topic of our “End Insight” segment tonight. As we discussed on last week's program, federal waivers are due to expire in June for the Wisconsin prescription drug program called SeniorCare. This has many people at the state capitol concerned, not to mention the more than 100,000 state SeniorCare enrollees. One of the capitol observers is also a new commentator for “Here and Now.” She’s Chief of Staff to Representative Mark Miller. Here's Jamie Kuhn and tonight's “End Insight.”
Jamie Kuhn:
I know people like to talk about problems with government, but I have a success story for you. As you heard on the program last week from Lieutenant Governor Barbara Lawton, Wisconsin SeniorCare is the country's only state prescription medication program for anyone 65 and older. It was created in 2001 to manage the high cost of prescription medication. And in the spirit of the states being the laboratories of democracy, Wisconsin received permission from the federal government to run our program. It's a simple program and a simple application process. Literally you fill out a one-page form to enroll. But apparently the federal government doesn't see it that way.
After more than five years of success serving over 108,000 Wisconsinites, the waiver for SeniorCare expires this June. The president and his administration could end our program, even though there's bipartisan support for it in the legislature. If the waiver ends, participants will have to transfer to the federal program. What's the problem, you ask, with the federal way, besides just a lot for Wisconsin residents to swallow? A recent study by the Kaiser Foundation and Harvard School of Public Health found enrollees, pharmacists and doctors overwhelmingly agree the federal program is too complicated. The complexity of the federal program is so frustrating you may need to take a pill just to maneuver the enrollment process.
Wisconsinites know our program is better. It's easy and it saves Wisconsin seniors and the federal government money. All residents and elected leaders should be fighting until the bitter end to save SeniorCare, our success story. My father always told me quitting is not an option. And as he approaches 65, I'm going to be doing whatever I can to save SeniorCare. Are you?
Freyberg:
Jamie Kuhn works at the state capitol as Chief of Staff to State Representative Mark Miller. Remember, the opinions of our “End Insight” commentators are theirs, and not necessarily those of “Here and Now.”
Before we close tonight with a special presentation, we want to remind you that “Here and Now” will be preempted next week for our live one-hour debate between the candidates for the State Supreme Court. The “We the People” State Supreme Court Candidate Forum gets underway live, 7:00pm, next Friday night on Wisconsin Public Television and Radio.
Finally, tonight, on the four-year anniversary of the war in Iraq, we acknowledge and honor Wisconsin soldiers that have died in that conflict. Here are the names and photos of our state's fallen heroes.
Captions produced by Riverside Captioning Company
www.closed-captioning.com


