Andrea Mazzarino - Author at Fair Observer https://www.fairobserver.com/author/andrea-mazzarino/ Fact-based, well-reasoned perspectives from around the world Thu, 22 Aug 2024 12:43:35 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.1 America the Unwell: The Corporate Greed Threatening Our Stability https://www.fairobserver.com/politics/america-the-unwell-the-corporate-greed-threatening-our-stability/ https://www.fairobserver.com/politics/america-the-unwell-the-corporate-greed-threatening-our-stability/#respond Thu, 22 Aug 2024 12:43:34 +0000 https://www.fairobserver.com/?p=151907 One thing the US government doesn’t like doing is challenging the greed of health insurance companies. I can speak with some authority about holes in the ever-fraying safety net of our healthcare system, including Tricare, the military health insurance plan used by most troops, veterans and their families, other employer-sponsored health insurance, state-sponsored care like… Continue reading America the Unwell: The Corporate Greed Threatening Our Stability

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One thing the US government doesn’t like doing is challenging the greed of health insurance companies. I can speak with some authority about holes in the ever-fraying safety net of our healthcare system, including Tricare, the military health insurance plan used by most troops, veterans and their families, other employer-sponsored health insurance, state-sponsored care like Medicare and Medicaid, and individually purchased plans. After all, I’m the spouse of a veteran who uses military healthcare and a clinical social worker. I serve military families that rely on a variety of health insurance plans to pay for their care and believe me, it’s only getting harder.

To take one example: At least in my state of Maryland, Tricare (if it pays at all) compensates clinicians like me far less for mental healthcare than Medicaid (government medical assistance for low-income Americans). It also misleads military patients by referring them to me even after Tricare has acknowledged that I’m unable to take more of them. Other healthcare plans serving Americans go months without reimbursing me for services they authorized.

Over the years, I’ve written for TomDispatch about many things that military families go through — most similar to what other Americans experience, although almost invariably a little more so. That includes the struggle to feed their families and stay out of debt, the search for childcare, a growing sense of loneliness and pain, and, of course (to mention something so many other Americans haven’t experienced) exposure to the violence of war and its weaponry.

Private companies — and not just medical ones — shape the contours of American life in so many ways, even if we don’t know those companies’ names. Take arms contractors who have contributed so much to the spillover of military-grade weaponry into the hands of civilian killers. Just as all too many Americans, including schoolchildren, have found themselves forced to stare into the barrel of an AR-15 rifle, so have distressed soldiers stared into the “barrels” of companies few of us have heard of that can decide whether they’ll ever get the opportunity for therapy.

Sadly, in my world, greed all too often shapes how we live, just as it’s shaped the world of… yes, the Supreme Court. And for that, you can thank the magnates who so generously gifted lavish trips and perks to Justices Clarence Thomas and Samuel Alito while they handed down morally devastating decisions on so many issues, gun control and abortion among them, that will determine the nature of life and death in this country.

In a moment, I’ll tell you a bit about my own experiences as a clinician. But let me start by saying that, for me, as a therapist, wife, and mother, nowhere is the relationship between corporations and everyday life more impactful than in the ways our government allows health insurance companies of every kind to avoid truly paying for the care Americans need. (Ask me, for instance, whether Tricare paid for my family to get flu shots this year. I’ll bet you can guess the answer to that one.)

Americans, who are getting sicker, sadder, and ever more anxious, are so often unable to access necessities like healthcare because all too many legislators, judges, and administration officials refuse to hold large companies accountable to the rule of law — when, that is, significant laws related to such corporations even exist.

An uphill battle to provide affordable mental healthcare

As a therapist, I accept most major insurance plans in the Washington, DC, area, where I operate a small private practice out of my rural home. I set out to make care accessible to middle- and lower-income Americans, particularly those who fought in America’s wars, were impacted by them, or grew up in a military family — groups where suicide rates are significantly higher than in the general population and where depression, anxiety, and violence are rampant.

I have a social science PhD that has helped me figure out how complicated systems work, yet our insurance system (if it can even be called that) confounds me. I find myself turning away dozens of people every month because I can’t afford to lose more time and income dealing with the complications of their insurance.

My standard line for those who come to me seeking care is too often: “I’m so sorry, I wish I could help, but I’m unable to take any new patients with [insert here major healthcare plan, most of them state-sponsored or, in the case of Carefirst, DC’s version of Blue Cross Blue Shield, contracted by the federal government for its employees].” I then wonder what will happen to that suicidal three-times-deployed Afghanistan and Iraq veteran with young kids at home, who’s been referred to me by this country’s downsized, on-base healthcare system; or the single mother whose State Department job is supposed to offer her an insurance plan to help her manage the stress of aid work in combat zones; or unnerved asylum seekers from Russia, Ukraine, and so on (and on and on and on).

Meanwhile, in a separate area of my mind, I’m starting to try to lay the groundwork for a time when my own ability to support my family won’t suddenly be thwarted because one link in some part of our country’s fragile chain of companies that finance health care breaks for months on end.

The Change Healthcare outage

Most people I talk to around my affluent town aren’t aware that, in late February of this year, the US healthcare system suffered a major setback: BlackCat, a ransomware group, hacked into Change Healthcare, a subsidiary of the corporate behemoth UnitedHealth Corporation, which (until recently at least) processed about 40% of the nation’s healthcare claims annually, including from therapists. For months after that, some major insurance companies lacked a clear route to receive medical claims from providers like me. They also lacked a way to transfer money from their own banks to doctors. Other claims payment systems take weeks or months to establish because you have to make sure they’re in sync with the chain of companies you work with in healthcare (if you accept insurance). There’s your encrypted patient data system, your payment-processing system, the insurance company itself, and maybe a company you hire to help you with your billing. In short, the Change outage left many providers like me without a way to get paid for what we do.

Nationally, over these months, more than 90% of hospitals and many group practices (especially smaller ones) lost money — to the tune of somewhere between hundreds of millions of dollars and $1 billion daily. Tens of millions of dollars in insurance payments to providers were delayed indefinitely. Doctors, nurses, and therapists were forced to close their doors, cut staff, forego needed supplies such as chemotherapy drugs, for example, or stop seeing patients. A survey by the American Medical Association of 1,400 medical practices found that 80% had lost revenue, 55% had to use their own personal funds to cover practice expenses, and about a third were unable to pay staff. Eighty-five percent of those practices had to commit extra time to the revenue cycle. The only reason I was able to see patients is because I have a spouse with a job that covers some of our bills (as well as our mounting credit card debt).

I had a particularly difficult time getting the insurance companies that are supposed to cover the healthcare of our troops to cough up funds. Tricare took three months to begin paying me because the requirements of its subcontractor, Humana, Inc., to enroll with a new payment system were opaque even for my professional biller. Then, it took weeks more after they figured it out for Tricare to formally approve the new arrangement.

Johns Hopkins Family Health Plan, another insurance plan for military families sponsored by the Department of Defense, didn’t start paying me the thousands of dollars it owed me in backpay until late June. Maryland Medicaid went weeks or even months without covering services for three of my patients. (Lest anyone think this is unrelated to the way we treat our military families, note that Medicaid serves millions of troops, in addition to many other populations.) The only reason those patients of mine continued to receive care was because I volunteered to do it, a choice that a medical professional living in the largest economy on Earth shouldn’t have to make. A country of wealthy healthcare corporations enabled by the government, who let clinicians choose between volunteer work or turning sick people away is its own kind of banana republic.

Should we be surprised? Not in a for-profit healthcare system, where companies stand to gain by hoarding premiums long enough to garner yet more interest on them. Why would any of them feel compelled to fix such an outage in a timely fashion unless someone made them do it? — and no one did.

The Devil’s in the details (and there are so many details)

After the Change Healthcare outage, UnitedHealth’s CEO Andrew Witty testified before Congress for the first time in 15 years — a noteworthy (if insufficient) first step in raising public awareness and pressuring companies to improve their data security and prevent disruptions to healthcare. What I didn’t see was any significant discussion of why Americans need little-known companies like Change to begin with.

Change’s role is essentially to take the notes saying what we did that therapists and doctors like me write after we see patients and pass them on to insurance companies like Tricare/Humana, Medicaid/Optum, or DC Medicare (administered by the Pennsylvania-based Novitas, Inc.) in a format those payers are most likely to accept. If you ask me, were Change the character in the 1990s parody Office Space asked by downsizing consultants, “What would you say you do here?,” instead of responding, “I deal with the customers so the engineers don’t have to,” it might say, “I deal with the insurance companies so the providers don’t have to.” Essentially, Change takes my notes and sends them to the computer systems of insurers, which then (maybe) pay me. For a company that electronically dispatches healthcare claims from providers to payers, it’s done remarkably well. It was the most profitable of UnitedHealth’s thousands of subsidiaries and UnitedHealth was itself one of the Fortune 500’s top 25 companies in 2023.

So many cooks in the kitchen amount to confusion and lack of accountability for providers like me.

Prior to the Change outage, the reasons companies didn’t pay out to medical workers were often as arbitrary and unrelated to health care as you could imagine. UnitedHealth went months without paying me for therapy I did with several of its members because I wrote the number “11,” not “10,” on claim forms to indicate that I saw patients online. No matter that both numbers stood for the same thing. Worse yet, its representatives refused to tell me that this was the problem until government officials intervened on my behalf. Honestly, I don’t think we live in a “deep state” as much as in (and yes, I would capitalize it!) Deep Corporate America.

Deep corporations

Much is said these days by folks on the far right about the “deep state” and Donald Trump’s plans to gut it should he return to the White House in 2025. Speaking from the bowels of the healthcare industry, I’d say that what we have on our hands are many layers of companies (like those beneath Tricare, Medicaid, and Medicare) that decide whether and how to administer funds in ways too complicated and inhuman to truly explain. Consider it an irony then that, in 2022, the healthcare version of all of that was deepened by — yes! — a Trump-appointed judge who struck down a Justice Department lawsuit attempting to prevent UnitedHealth from acquiring Change.

Many failed states rot from the inside before they collapse, when people get so fed up with not having their basic needs met that they take to the streets. Maybe before something akin to another January 6th happens in America, more people should begin to question the assumption that private is better, that billionaires are the embodiment of the American dream, and that government, on principle, is not to be trusted. Instead, isn’t it time to hold the feet of government officials to the fire and begin a genuine crackdown on corporate greed in this country?

If that doesn’t happen, our healthcare system will prove to be just one disastrous layer in a genuine American house of cards. Unless our public officials begin to place our human rights and the rule of law first, count on one thing: somewhere along the line that house of cards, medical or otherwise, is headed for collapse.

[TomDispatch first published this piece.]

The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy.

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The New American-Style Privatization of War https://www.fairobserver.com/american-news/the-new-american-style-privatization-of-war/ https://www.fairobserver.com/american-news/the-new-american-style-privatization-of-war/#respond Thu, 25 May 2023 05:56:23 +0000 https://www.fairobserver.com/?p=133630 The way mercenary leader Yevgeny Prigozhin and his private army have been waging a significant part of Vladimir Putin’s war in Ukraine has been well covered in the American media, not least of all because his firm, the Wagner Group, draws most of its men from Russia’s prison system. Wagner offers “freedom” from Putin’s labor… Continue reading The New American-Style Privatization of War

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The way mercenary leader Yevgeny Prigozhin and his private army have been waging a significant part of Vladimir Putin’s war in Ukraine has been well covered in the American media, not least of all because his firm, the Wagner Group, draws most of its men from Russia’s prison system. Wagner offers “freedom” from Putin’s labor camps only to send those released convicts to the front lines of the conflict, often on brutal suicide missions.

At least the Russian president and his state-run media make no secret of his regime’s alliance with Wagner. The American government, on the other hand, seldom acknowledges its own version of the privatization of war — the tens of thousands of private security contractors it’s used in its misguided war on terror, involving military and intelligence operations in a staggering 85 countries.

At least as far back as the Civil War through World Wars I and II, the Korean and Vietnam Wars, and the first Gulf War, “contractors,” as we like to call them, have long been with us. Only recently, however, have they begun playing such a large role in our wars, with an estimated 10% to 20% of them directly involved in combat and intelligence operations.

Contractors have both committed horrific abuses and acted bravely under fire (because they have all too often been under fire). From torture at Abu Ghraib prison in Iraq to interrogations at the Guantánamo Bay detention camp, from employees of the private security firm Blackwater indiscriminately firing on unarmed Iraqi civilians to contractors defending a U.S. base under attack in Afghanistan, they have been an essential part of the war on terror. And yes, they both killed Afghans and helped some who had worked as support contractors escape from Taliban rule.

The involvement of private companies has allowed Washington to continue to conduct its operations around the globe, even if many Americans think that our war on terror in Afghanistan, Iraq, and elsewhere has ended. I tried looking for any kind of a survey of how many of us realize that it continues in Iraq and elsewhere, but all I could find was pollster Nate Silver’s analysis of “lessons learned” from that global conflict, as if it were part of our history. And unless respondents were caring for a combat-wounded veteran, they tended not to look unfavorably on sending our troops into battle in distant lands — so scratch that as a lesson learned from our forever wars. 

None of this surprises me. American troops are no longer getting killed in significant numbers, nor are as many crowding the waitlists at backlogged Veterans Affairs hospitals as would be the case if those troops had been the only ones doing the fighting.

At points during this century’s war on terror, in fact, the U.S. used more civilian contractors in its ongoing wars than uniformed military personnel. In fact, as of 2019, according to Brown University’s Costs of War Project, which I co-founded, there were 50% more contractors than troops in the U.S. Central Command region that includes Afghanistan, Iraq, and 18 other countries in the Middle East, as well as Central and South Asia. As recently as December 2022, the Pentagon had about 22,000 contractors deployed throughout that region, with nearly 8,000 concentrated in Iraq and Syria. To be sure, most of those workers were unarmed and providing food service, communications aid, and the like. Even more tellingly, roughly two thirds of them were citizens of other countries, particularly lower-income ones.

In 2020, retired Army Officer Danny Sjursen offered an interesting explanation for how the war on terror was then becoming ever more privatized: the Covid-19 pandemic had changed the Pentagon’s war-making strategy as the public began to question how much money and how many lives were being expended on war abroad rather than healthcare at home. As a result, Sjursen argued, the U.S. had begun deploying ever more contractors, remote drones, CIA paramilitaries, and (often abusive) local forces in that war on terror while U.S. troops were redeployed to Europe and the Pacific to contain a resurgent Russia and China. In other words, during the pandemic, Washington placed ever more dirty work in corporate and foreign hands.

(Not) Counting Contractors

It’s been a challenge to write about private security contractors because our government does anything but a good job of counting them. Though the Defense Department keeps quarterly records of how many civilian contractors it employs and where, they exclude employees contracted with the Central Intelligence Agency or the State Department.

When Costs of War first tried to count contractor deaths by searching official government sources, we came up short. The spouse of a gravely wounded armed contractor directed me to her blog, where she had started to compile a list of just such deaths based on daily Google searches, even as she worked hard caring for her spouse and managing his disability paperwork. She and I eventually lost touch and it appears that she stopped compiling such numbers long ago. Still, we at the project took a page from her book, while adding reported war deaths among foreign nationals working for the Pentagon to our formula. Costs of War researchers then estimated that 8,000 contractors had been killed in our wars in the Middle East as of 2019, or about 1,000 more than the U.S. troops who died during the same period.

Social scientists Ori Swed and Thomas Crosbie have tried to extrapolate from reported contractor deaths in order to paint a picture of who they were while still alive. They believe that most of them were white veterans in their forties; many were former Special Forces operatives and a number of former officers with college degrees).

Limited Choices for Veterans

How do people of relative racial, economic, and gendered privilege end up in positions that, while well-paid, are even more precarious than being in the armed forces? As a therapist serving military families and as a military spouse, I would say that the path to security contracting reflects a deep cultural divide in our society between military and civilian life. Although veteran unemployment rates are marginally lower than those in the civilian population, many of them tend to seek out what they know best and that means military training, staffing, weapons production — and, for some, combat.

I recently spoke with one Marine infantry veteran who had completed four combat tours. He told me that, after leaving the service, he lacked a community that understood what he had been through. He sought to avoid social isolation by getting a government job. However, after applying for several positions in law enforcement agencies, he “failed” lie detector tests (owing to the common stress reactions of war-traumatized veterans). Having accidentally stumbled on a veteran-support nonprofit group, he ultimately found connections that led him to decide to return to school and retrain in a new profession. But, as he pointed out, “many of my other friends from the Marines numbed their pain with drugs or by going back to war as security contractors.”

Not everyone views contracting as a strategy of last resort. Still, I find it revealing of the limited sense of possibility such veterans experience that the top five companies employing them are large corporations servicing the Department of Defense through activities like information technology support, weapons production, or offers of personnel, both armed and not.

The Corporate Wounded

And keep in mind that such jobs are anything but easy. Many veterans find themselves facing yet more of the same — quick, successive combat deployments as contractors.

Anyone in this era of insurance mega-corporations who has ever had to battle for coverage is aware that doing so isn’t easy. Private insurers can maximize their profits by holding onto premium payments as long as possible while denying covered services.

A federal law called the Defense Base Act (1941) (DBA) requires that corporations fund workers’ compensation claims for their employees laboring under U.S. contracts, regardless of their nationalities, with the taxpayer footing the bill. The program grew exponentially after the start of the war on terror, but insurance companies have not consistently met their obligations under the law. In 2008, a joint investigation by the Los Angeles Times and ProPublica found that insurers like Chicago-based CAN Financial Corps were earning up to 50% profits on some of their war-zone policies, while many employees of contractors lacked adequate care and compensation for their injuries.

Even after Congress called on the Pentagon and the Department of Labor to better enforce the DBA in 2011, some companies continued to operate with impunity visàvis their own workers, sometimes even failing to purchase insurance for them or refusing to help them file claims as required by law.  While insurance companies made tens of millions of dollars in profits during the second decade of the war on terror, between 2009 and 2021, the Department of Labor fined insurers of those contracting corporations a total of only $3,250 for failing to report DBA claims. 

Privatizing Foreign Policy

At its core, the war on terror sought to create an image of the U.S. abroad as a beacon of democracy and the rule of law. Yet there is probably no better evidence of how poorly this worked in practice at home and abroad than the little noted (mis)use of security contractors. Without their ever truly being seen, they prolonged that global set of conflicts, inflicting damage on other societies and being damaged themselves in America’s name. Last month, the Costs of War Project reported that the U.S. is now using subcontractors Bancroft Global Development and Pacific Architects and Engineers to train the Somali National Army in its counterterrorism efforts. Meanwhile, the U.S. intervention there has only helped precipitate a further rise in terrorist attacks in the region.

The global presence created by such contractors also manifests itself in how we respond to threats to their lives. In March 2023, a self-destructing drone exploded at a U.S. maintenance facility on a coalition base in northeastern Syria, killing a contractor employed by the Pentagon and injuring another, while wounding five American soldiers. After that drone was found to be of Iranian origin, President Biden ordered an airstrike on facilities in Syria used by Iranian-allied forces. Defense Secretary Lloyd Austin stated, “No group will strike our troops with impunity.” While he later expressed condolences to the family of the contractor who was the only one killed in that attack, his statement could have more explicitly acknowledged that contractors are even more numerous than troops among the dead from our forever wars.

In late December 2019, a contractor working as an interpreter on a U.S. military base in Iraq was killed by rockets fired by an Iranian-backed militia. Shortly afterward, then-President Trump ordered an airstrike that killed the commander of an elite Iranian military unit, sparking concern about a dangerous escalation with that country. Trump later tweeted, “Iran killed an American contractor, wounding many. We strongly responded, and always will.”

I can’t believe I’m saying this, but Trump’s tweet was more honest than Austin’s official statement: such contractors are now an essential part of America’s increasingly privatized wars and will continue to be so, in seemingly ever greater numbers. Even though retaliating for attacks on their lives has little to do with effective counterterrorism (as the Costs of War Project has long made clear), bearing witness to war casualties in all their grim diversity is the least the rest of us can do as American citizens. Because how can we know whether — and for whom — our shadowy, shape-shifting wars “work” if we continue to let our leaders wage an increasingly privatized version of them in ways meant to obscure our view of the carnage they’ve caused?

[TomDispatch first published this piece.]

The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy.

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Are the Hunger Wars About to Begin in the US? https://www.fairobserver.com/politics/are-the-hunger-wars-about-to-begin-in-the-us/ https://www.fairobserver.com/politics/are-the-hunger-wars-about-to-begin-in-the-us/#respond Mon, 16 Jan 2023 06:03:17 +0000 https://www.fairobserver.com/?p=127246 Sometimes a little history is just what the doctor ordered. It was April 16, 1953, and Dwight D. Eisenhower, the former supreme commander of allied forces in Europe in World War II, had been president for just 12 weeks. That first great Cold War conflict, the Korean War, was still months away from ending when… Continue reading Are the Hunger Wars About to Begin in the US?

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Sometimes a little history is just what the doctor ordered.

It was April 16, 1953, and Dwight D. Eisenhower, the former supreme commander of allied forces in Europe in World War II, had been president for just 12 weeks. That first great Cold War conflict, the Korean War, was still months away from ending when he addressed the American Society of Newspaper Editors at the Statler Hotel in Washington.  It was also, as he saw it, his first presidential moment to speak to the American people and the subject he chose was not what you might have expected from the ultimate warrior of the second great conflict of the twentieth century. His focus was peace even as “the shadow of fear again has darkly lengthened across the world.”

At a moment when the Cold War was still ramping up, Eisenhower laid out the global situation in a strikingly grim and memorable fashion. If things didn’t improve, he told those editors, “The worst to be feared and the best to be expected can be simply stated. The worst is atomic war. The best would be this: a life of perpetual fear and tension; a burden of arms draining the wealth and labor of all peoples.” And then he added these classic words as a kind of yardstick for measuring his future presidency, perhaps all future ones:

“Every gun that is made, every warship launched, every rocket fired signifies, in the final sense, a theft from those who hunger and are not fed, those who are cold and are not clothed. This world in arms is not spending money alone. It is spending the sweat of its laborers, the genius of its scientists, the hopes of its children. The cost of one modern heavy bomber is this: a modern brick school in more than 30 cities.  It is two electric power plants, each serving a town of 60,000 population. It is two fine, fully equipped hospitals. It is some fifty miles of concrete pavement. We pay for a single fighter plane with a half million bushels of wheat. We pay for a single destroyer with new homes that could have housed more than 8,000 people.”

Eisenhower couldn’t have been more eloquent or on target.  As it happened, though, the Cold War and the national security budgets that went with it only grew more excessive during his presidency. Almost eight years later, he would end it with a brief, classic “farewell address” to the American people in which he pointed out that “this conjunction of an immense military establishment and a large arms industry is new in the American experience.” He then issued a warning, the heart of his goodbye, and in doing so coined a term that has, for obvious reasons, never left us: “In the councils of government, we must guard against the acquisition of unwarranted influence, whether sought or unsought, by the military-industrial complex. The potential for the disastrous rise of misplaced power exists and will persist.”

And sadly, so it has, even decades after Eisenhower’s Cold War, which ended with the implosion of the Soviet Union in 1991.  Today, as TomDispatch regular, co-creator of the Costs of War Project, and military spouse Andrea Mazzarino describes in all-too-devastating detail, a staggeringly over-funded military-industrial complex is, to use Eisenhower’s phrasing, indeed stealing from “those who hunger and are not fed.” And irony of irony, as Mazzarino makes clear today, that’s not just in the society at large but, believe it or not, in the military itself. 

By any standard, the money the United States government pours into its military is simply overwhelming. Take the $858-billion defense spending authorization that President Biden signed into law last month. Not only did that bill pass in an otherwise riven Senate by a bipartisan majority of 83-11, but this year’s budget increase of 4.3% is the second highest in inflation-adjusted terms since World War II. Indeed, the Pentagon has been granted more money than the next 10 largest cabinet agencies combined. And that doesn’t even take into account funding for homeland security or the growing costs of caring for the veterans of this country’s post-9/11 wars. That legislation also includes the largest pay raise in 20 years for active-duty and reserve forces and an expansion of a supplemental “basic needs allowance” to support military families with incomes near the poverty line.

And yet, despite those changes and a Pentagon budget that’s gone through the roof, many US troops and military families will continue to struggle to make ends meet. Take one basic indicator of welfare: whether or not you have enough to eat. Tens of thousands of service members remain “food insecure” or hungry. Put another way, during the past year, members of those families either worried that their food would run out or actually did run out of food.

As a military spouse myself and co-founder of the Costs of War Project, I recently interviewed Tech Sergeant Daniel Faust, a full-time Air Force reserve member responsible for training other airmen. He’s a married father of four who has found himself on the brink of homelessness four times between 2012 and 2019 because he had to choose between necessities like groceries and paying the rent. He managed to make ends meet by seeking assistance from local charities. And sadly enough, that airman has been in all-too-good company for a while now. In 2019, an estimated one in eight military families were considered food insecure. In 2020, at the height of the Covid-19 pandemic, that figure rose to nearly a quarter of them. More recently, one in six military families experienced food insecurity, according to the advocacy group Military Family Advisory Network.

The majority of members of the military largely come from middle-class neighborhoods and, not surprisingly perhaps, their struggles mirror those faced by so many other Americans. Spurred by a multitude of factors, including pandemic-related supply-chain problems and — you guessed it — war, inflation in the US rose by more than 9% in 2022. On average, American wages grew by about 4.5% last year and so failed to keep up with the cost of living. This was no less true in the military.

An Indifferent Public

An abiding support for arming Ukraine suggests that many Americans are at least paying attention to that aspect of US military policy. Yet here’s the strange thing (to me, at least): so many of us in this century seemed to care all too little about the deleterious domestic impacts of our prolonged, disastrous Global War on Terror. The US military’s growing budget and a reach that, in terms of military bases and deployed troops abroad, encompasses dozens of countries, was at least partly responsible for an increasingly divided, ever more radicalized populace here at home, degraded protections for civil liberties and human rights, and ever less access to decent healthcare and food for so many Americans.

That hunger is an issue at all in a military so wildly well-funded by Congress should be a grim reminder of how little attention we pay to so many crucial issues, including how our troops are treated. Americans simply take too much for granted. This is especially sad, since government red tape is significantly responsible for creating the barriers to food security for military families.

When it comes to needless red tape, just consider how the government determines the eligibility of such families for food assistance. Advocacy groups like the National Military Family Association and MAZON: A Jewish Response to Hunger have highlighted the way in which the Basic Allowance for Housing (BAH), a non-taxable stipend given to military families to help cover housing, is counted as part of military pay in determining the eligibility of families for food assistance. Because of that, all too many families who need such assistance are disqualified.

Debt-Funded Living, Debt-Funded Wars

The BAH issue is but one part of a larger picture of twenty-first-century military life with its torrent of expenses, many of which (like local housing markets) you can’t predict. I know because I’ve been a military spouse for 12 years. As an officer’s wife and a white, cisgender woman from an upper-middle-class background, I’m one of the most privileged military spouses out there. I have two graduate degrees, a job I can do from home, and children without major health issues. Our family has loved ones who, when our finances get tight, support us logistically and financially with everything from childcare to housing expenses to Christmas gifts for our children.

And yet even for us, affording the basics has sometimes proved challenging. During the first few months after any move to a new duty station, a typical uprooting experience for military families, we’ve had to wield our credit cards to get food and other necessities like gas. Add to that take-out and restaurant meals, hotel rooms, and Ubers as we wait weeks for private contractors to arrive with our kitchen supplies, furniture, and the like.

Tag on the cost of hiring babysitters while we wait for affordable childcare centers in the new area to accept our two young children, and then the high cost of childcare when we finally get spots. In 2018, during one of those moves, I discovered that the military had even begun putting relocated families like ours at the back of wait lists for childcare fee assistance — “to give others a chance,” one Pentagon representative told me when I called to complain. In each of the five years before both of our children entered public school, we spent nearly twice as much on childcare as the average junior enlisted military service member gets in total income for his or her family.

Our finances are still struggling to catch up with demands like these, which are the essence of military life.

But don’t worry, even if your spouse isn’t nearby, there are still plenty of social opportunities (often mandated by commanders) for family members to get together with one another, including annual balls for which you’re expected to purchase pricey tickets. In the post-9/11 era, such events have become more common and are frequently seen as obligatory. In this age of the gig economy and the rolling back of workplace benefits and protections, the military is, in its own fashion, leading the way when it comes to “bringing your whole self (money included) to work.”

Now, add the Covid-19 pandemic into this fun mix. The schedules of many military personnel only grew more complicated given pre- and post-deployment quarantine requirements and labor and supply-chain issues that made moving ever less efficient. Military spouse unemployment rates, which had hovered around 24% in the pre-pandemic years, shot up to more than 30% by early 2021. Spouses already used to single parenting during deployments could no longer rely on public schools and daycare centers to free them to go to work. Infection rates in military communities soared because of travel, as well as weak (or even nonexistent) Covid policies. All of this, of course, ensured that absenteeism from work and school would only grow among family members. And to make things worse, as the last Congress ended, the Republicans insisted that an authorization rescinding the requirement for military personnel to get Covid vaccines become part of the Pentagon budget bill. All I can say is that’s a bit more individual freedom than this military spouse can wrap her brain around right now.

Worse yet, this country’s seemingly eternal and disastrous twenty-first-century war on terror, financed almost entirely by national debt, also ensured that members of the military, shuttled all over the planet, would incur ever more of it themselves. It should be no surprise then that many more military families than civilian ones struggle with credit-card debt.

And now, as our country seems to be gearing up for possible confrontations not just with terror groups or local rebel outfits in places like Afghanistan or Iraq, but with other great powers, the problems of living in the US military are hardly likely to get easier.

The Fire of War Is Spreading

Secretary of Defense Lloyd Austin has at least publicly acknowledged hunger as a problem in the military and taken modest steps to alleviate the financial stresses on military families. Still, that problem is far larger than the Pentagon is willing to face. According to Abby Leibman, MAZON’s chief executive officer, Pentagon officials and military base commanders commonly deny that hunger exists among their subordinates. Sometimes they even discourage families in need of food assistance from seeking help. Daniel Faust, the sergeant I mentioned earlier, told me that his colleagues and trainees, concerned about seeming needy or not convinced that military services offering help will actually be useful, often won’t ask for assistance — even if their incomes barely support their families. Indeed, a recently released RAND Corporation investigation into military hunger found that some troops worried that seeking food assistance would jeopardize their careers.

I’m lucky that I haven’t had to seek food assistance from the government. However, I’ve heard dozens of officers, enlisted personnel, and family members shrug off such problems by attributing debt among the troops to lack of education, immaturity, or an inability to cope with stress in healthy ways. What you rarely hear is someone in this community complaining that military pay just doesn’t support the basic needs of families.

Ignoring food needs in the military is, in the end, about more than just food. Individual cooking and communal meals can help individuals and families cope in the absence of adequate mental healthcare or… well, so much else. The combat veteran who takes up baking as a tactile way of reminding himself that he’s here in the present and not back in Afghanistan or Iraq or Somalia or Syria is learning to conquer mental illness. The family that gathers for meals between deployments is seizing an opportunity to connect. In an age when military kids are suffering from widespread mental-health problems, eating together is one way parents can sometimes combat anxiety and depression.

Whatever is life-enhancing and doesn’t require a professional degree is vital in today’s stressed-out military. Heaven only knows, we’ve had enough excitement in the years of the war on terror. Perhaps in its wake you won’t be surprised to learn that military suicide rates have reached an all-time high, while mental healthcare is remarkably inaccessible (especially to families whose kids have disabilities or mental illnesses). And don’t let me get started on sexual assault or child abuse, or the poor school performance of so many military kids, or even the growth of divorce, not to speak of violent crime, in the services in these years.

Yes, problems like these certainly existed in the military before the post-9/11 war on terror began, but they grew as both the scale and scope of our disastrous military engagements and the Pentagon budget exploded. Now, with the war in Ukraine and growing tensions with China over Taiwan, we live in what could prove to be the aftermath from hell. In other words, to quote 1980s star Billy Joel’s famous record title, we did start this fire.

Believe me, what’s truly striking about this year’s Pentagon funding isn’t that modest military pay raise. It’s the way Congress is allowing the Department of Defense to make ever more stunning multi-year spending commitments to corporate arms contractors. For example, the Army has awarded Raytheon Technologies $2 billion in contracts to replace (or even expand) supplies of missile systems that have been sent to aid Ukraine in its war against Russia. So count on one thing: the CEOs of Raytheon and other similar companies will not go hungry (though some of their own workers just might).

Nor are those fat cats even consistently made to account for how they use our taxpayer dollars. To take but one example, between 2013 and 2017, the Pentagon entered into staggering numbers of contracts with corporations that had been indicted, fined, and/or convicted of fraud. The total value of those questionable contracts surpassed $334 billion. Think of how many military childcare centers could have been built with such sums.

Human Welfare, Not Corporate Welfare

Policymakers have grown accustomed to evaluating measures meant to benefit military families in terms of how “mission ready” such families will become. You would think that access to food was such a fundamental need that anyone would simply view it as a human right. The Pentagon, however, continues to frame food security as an instrument of national security, as if it were another weapon with which to arm expendable service members.

To my mind, here’s the bottom line when it comes to that staggering Pentagon budget: For the military and the rest of us, how could it be that corporate weapons makers are in funding heaven and all too many members of our military in a homegrown version of funding hell? Shouldn’t we be fighting, first and foremost, for a decent life for all of us here at home? Veteran unemployment, the pandemic, the Capitol insurrection — these crises have undermined the very reasons many joined the military in the first place.

If we can’t even feed the fighters (and their families) decently, then who or what exactly are we defending? And if we don’t change course now by investing in alternatives to what we so inaccurately call national defense, I’m afraid that there will indeed be a reckoning.

Those worried about looking soft on national defense by even considering curbing military spending ought to consider at least the security implications of military hunger. We all have daily needs which, if unmet, can lead to desperation. Hunger can and does fuel armed violence, and has helped lead the way to some of the most brutal regimes in history. In an era when uniformed personnel were distinctly overrepresented among the domestic extremists who attacked our Capitol on January 6, 2021, one of the fastest ways to undermine our quality of life may just be to let our troops and their families, hungry and in anguish, turn against their own people.[TomDispatch first published this article.]

The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy.

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How Terror Came Home and What to Make of It https://www.fairobserver.com/politics/how-terror-came-home-and-what-to-make-of-it/ https://www.fairobserver.com/politics/how-terror-came-home-and-what-to-make-of-it/#respond Wed, 30 Nov 2022 13:29:53 +0000 https://www.fairobserver.com/?p=125733 Recently, an agent of the Department of Homeland Security called me and started asking questions about a childhood acquaintance being investigated for extremism. I put him off.  My feelings about this were, to say the least, complex. As a military spouse of 10 years and someone who has long written about governmental abuses of power,… Continue reading How Terror Came Home and What to Make of It

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Recently, an agent of the Department of Homeland Security called me and started asking questions about a childhood acquaintance being investigated for extremism. I put him off.  My feelings about this were, to say the least, complex. As a military spouse of 10 years and someone who has long written about governmental abuses of power, I wanted to cooperate with efforts to root out hate. However, I also feared that my involvement might spark some kind of retaliation.

While I hadn’t seen the person under investigation for years, my memories of him and of some of the things he’d done scared me. For example, when we were young teens, he threatened to bury me alive over a disagreement. He even dug a hole to demonstrate his intent. I knew that if I were to cooperate with this investigation, my testimony would not be anonymous. As a mother of two children living on an isolated farm, that left me with misgivings.

There was also another consideration. A neighbor, herself a retired police officer, suggested that perhaps the investigation could be focused not just on him, but on me, too. “Maybe it’s because of stuff you’ve written,” she suggested, mentioning my deep involvement in Brown University’s Costs of War Project, which I co-founded as a way of dealing with this country’s nightmarish wars of this century.


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Indeed, the American version of the twenty-first century, marked by our government’s devastating decision to respond to the September 11, 2001, attacks with a Global War on Terror — first in Afghanistan, then Iraq, and then in other countries across the Middle East — has had its grim effects at home as well.  It’s caused us to turn on one another in confusing ways. After all, terror isn’t a place or a people. You can’t eradicate it with your military.  Instead, as we learned over the last couple of decades, you end up turning those you don’t like into enemies in the bloodiest of counterinsurgency wars.

I’ve researched for years how those wars of ours also helped deepen our domestic inequalities and political divisions, but after all this time, the dynamics still seem mysterious to me. Nonetheless, I hope I can at least share a bit of what I’ve noticed happening in the conservative, privileged community I grew up in, as well as in the military community I married into.

Around the time I co-founded the Costs of War Project in the early 2010s, I fell in love with a career military officer. Our multitrillion-dollar wars were then in full swing. At home, the names of young Blacks killed by our police forces, ever more ominously armed off the country’s battlefields, were just seeping into wider public consciousness as was a right-wing political backlash against prosecutions of the police. Anti-government extremist militias like the Oath Keepers and the Three Percenters, some of whom would storm the Capitol on January 6, 2021, to try to violently block the certification of an elected president, were already seething about the supposed executive overreach of the Obama administration and that Black president’s alleged foreign birth. But back then, those guys all seemed — to me at least — very much a part of America’s fringe. 


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Back then, I also didn’t imagine that men in uniform would emerge as a central part of the leadership and membership of such extremist groups. Sadly, they did. As journalist Peter Maass pointed out recently, of the 897 individuals indicted so far for their involvement in the January 6th violence, 118 had backgrounds in the U.S. military and a number of them had fought in this country’s war on terror abroad. Nearly 30 police officers from a dozen different departments around the country similarly attended the rally that preceded the Capitol riot and several faced criminal charges.

What also sends chills down my spine is that federal law enforcement agencies turned their backs on the warning signs of all this. Had the FBI acted on information that extremist groups were planning violence on January 6th, it might not have happened.

A Nation Rich in Fear

If one thing captured the spirit of the post-9/11 moment for me, in retrospect, it was the creation of a cabinet-level Department of Homeland Security (DHS), which has defined itself as a “whole-of-society endeavor, from every federal department and agency to every American across the nation.” Expenditures for that new department would total more than $1 trillion from 2002 through 2020, more than six times expenditures for similar activities at various government agencies during the previous 20 years.


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With its hundreds of thousands of workers, DHS often seems susceptible to overusing its authority and ignoring real threats. Case in point: of the approximately 450 politically motivated violent attacks taking place on our soil in the past decade, the majority were perpetrated by far-right, homegrown violent extremists. Yet all too tellingly, the DHS has largely remained focused on foreign terrorist groups — and homegrown jihadist groups inspired by them — as the main threats to this country.

Thanks to the passage of the Patriot Act in 2001, federal authorities were also empowered to obtain the financial and Internet records of Americans, even if they weren’t part of an authorized investigation. In the process, the government violated the privacy of tens of thousands of citizens and non-citizens. Authorities at government agencies ranging from the FBI to the Pentagon secretly monitored the communications and activities of peace groups like the Quakers and Occupy Wall Street activists. Worse yet, in June 2013, Americans learned that the National Security Agency was collecting telephone records from tens of millions of us based on a secret court order.

Such practices only seemed to legitimize vigilantism on the part of Americans who adopted the DHS’s mantra, “If you see something, say something.” Incidents of racial profiling directed towards people of Muslim and South Asian background spiked early in the post 9/11 war years and again (I’m sure you won’t be surprised to learn!) after Donald Trump entered the White House in 2017.

Sometime before that, a relative visiting me noticed a darker-skinned man, a tourist, taking photos of historic buildings in my community, while speaking on his phone in Arabic. To my shame, she began questioning him, based on “a feeling that something was wrong.” In other words, well before “The Donald” put “fake news” in the contemporary American lexicon, feelings and not facts all too often seemed to rule the day.

“Is that the Russia?” or Dangers Near and Far

Terrorism was at once everywhere and nowhere for those who were supposed to be fighting that war on terror, including members of the military. In 2013, when my husband was on a months-long deployment at sea, another wife, whom I had texted about having a party for the crew on their return, texted me back a warning. I had, she claimed, jeopardized the safety of my husband and other crew members on his boat. After all, what if some foreign enemy intercepted our exchange and learned about the boat’s plans?

Four years later, in the shadow of Donald Trump’s presidency, it only got worse. A stressed-out, combat-traumatized commander, who took over the vessel to which my spouse was next assigned, emailed us wives weekly warnings against sending messages just like the one I had dispatched years earlier. He also ordered us not to email our husbands anything that could be imagined as negative, even if it reflected the realities of our lives: sick children, struggles with depression, financial troubles when we had to miss workdays to be a single parent. According to him, to upset our spouses in uniform was to jeopardize the security and wellbeing of the boat and indeed of America. He could read our emails and decide which ones made it to our loved ones. It was an extreme atmosphere to find myself in and I started to wonder: was I an asset or a threat to this country? Could my harmless words endanger lives?

One summer evening toward the end of another long deployment at sea, a fellow spouse tasked with disseminating confidential information about the boat our spouses were on arrived at my home unannounced. I was feeding my older toddler at the time. She whispered to me that our husbands’ boat was returning to port soon and swore me to silence because she didn’t want anyone beyond the command to know about the vessel’s movements. It was, she said, a matter of “operational security.” Then she took a glance out the window as though a foreign spy or terrorist might be listening.


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“Oh! That’s great!” I replied to her news. Later, I tried to explain to my bewildered child what “operational security,” or keeping information about daddy’s whereabouts away from our country’s enemies, meant. He promptly pointed toward that same window and said, “Is it the Russia? Does the Russia live there?” (He’d overheard too many conversations at home about nuclear geopolitics.) The next day, pointing to a mischievous-looking ceramic garden gnome in a neighbor’s yard, he asked again, “Is that the Russia?”

It was not Russia, I assured him. But six years later, in a weary and anxious country that only recently gave The Donald a true body blow, I still wonder about the dangers of our American world in a way I once didn’t.

The 2020s and the Biggest-Loser-in-Chief

Eventually, my family and I settled into what will hopefully be our final stint of military life — an office job for my spouse and a home in rural Maryland. But somehow, in those Trump years, the once-distant dangers of our world seemed ever closer at hand.

This was the time, after all, when the president felt comfortable posting a meme of himself beating up a CNN journalist, while his Homeland Security officials detained peaceful Black Lives Matter protesters in Portland, Oregon. I soon began to wonder whether returning to something approximating normal civilian life was ever going to happen in this disturbed and disturbing land of ours.


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Motorcyclists sporting confederate flags drove by on the rural highway in front of my house. Blue Lives Matter flags fluttered in a nearby town after the police murdered George Floyd. Even years after Trump left office, as the polls leading up to the midterm elections seemed to indicate a coming red wave, I wondered if I had been wrong to imagine that our fellow Americans would choose democracy over… well, who knew what?

As part of that election campaign, I wrote nearly 200 letters to Democratic voters in swing states urging them to get to the polls as I was planning to do. Remembering a trend my friends and I had started on social media in 2020, I considered posting a funny photograph of my sweet, excitable rooster, Windy, sitting next to piles of letters, with the caption, “Windy is vigilant about the state of our democracy! Are you?”

Then I thought twice about it, another sign of our times. It occurred to me that if I did participate in an investigation against an angry person in uniform, the one I had once known, I risked retaliation and — yes, I did think this at the time — what better target was there than our strange outdoor pet? On realizing that it was I who was now starting to think like some fear-crazed maniac, I forced myself to dismiss the thought.

Of course, that predicted red wave turned out to be, at worst, a ripple, while election denialism and voter intimidation seemed to collapse in a post-election heap. None of the most extreme MAGA candidates running for top election positions in swing states won. Was it possible that Americans had started to see the irony, not to say danger, of voting for public officials who attack the basic tenets of our democracy?

In the end, I told the guy investigating my childhood acquaintance that I couldn’t help him, feeling that I had nothing new to add for a crew with such sweeping powers of surveillance. To my relief, he simply wished me the best. The normal tenor of that conversation changed something in my thinking about the government and this moment of ours.

I found myself returning to an older (perhaps saner) view of our times, as well as the military and law enforcement. Yes, our disastrous wars of this century had brought home too many unnerved, disturbed, and damaged soldiers and small numbers of them became all too extreme, while over-armed police forces did indeed create problems for us.

However, it was also worth remembering that the military and the police are not monoliths. They aren’t “blue lives” or “the troops,” but individuals. They are part of all our lives, as fallible as they are potentially capable of helping us form a more perfect union instead of the chaos and cruelty that Donald Trump exemplifies. Were Americans — all of us from all walks of life — more willing to stand up to bigotry and extremism, we might still help change what’s happening here for the better.

[TomDispatch first published this article.]

The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy.

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