The Atlanta Journal-Constitution
A CULTURE OF HARASSMENT
Today, we examine problems women vets face getting treatment at the VA An entrenched, sexist culture at many veterans hospitals is driving away female veterans and lags far behind the gains women have made in the military in recent years, veterans and law
‘It’s like a construction site’
Although the Department of Veterans Affairs has scrambled to adjust to the rising population of female veterans and has made progress — including hiring more women’s health care providers, fixing basic privacy problems in the exam rooms and expanding service to women in rural areas — sexual harassment at department facilities remains a major problem.
Women say it is galling that such a demeaning atmosphere persists, especially for the roughly 30 percent of female veterans who have reported being harassed or assaulted while serving in the military. That number includes Sen. Martha McSally, R-Ariz., who spoke at a recent congressional hearing about being raped by a superior officer while serving in the Air Force.
“Changingtheculturehasbeen an ongoing, overarching goal,” said Dr. Patricia Hayes, chief consultant for Women’s Health Services at the veterans agency. “We want women veterans to feel respected and safe and secure.”
At a recent hearing with veterans agency officials on Capitol Hill, Rep. John Carter, R-Texas, described the treatment of female constituents trying to obtain VA health care. “It’s like a construction site,” he said.
Carter cited the same medical center in Texas that Sgt. Corey Foster had used — and noted that the Women’s Trauma Recovery Center within it was moved last year to a female-only facility in Waco so that women, who said they feared for their safety, could receive treatment without facing harassment.
Rep. Will Hurd, R-Texas, was visibly frustrated as he described women abandoning the center in his district because of harassment. “This is the biggest concern I hear from female veterans,” he said.
Feeling out of place
While the number of women using veteran health services has tripled since 2000 — to about 500,000 from 159,810 — they still make up only 8 percent of all users of health care at the VA. Officials expect that the number will increase. Two million women are in the U.S. veteran population, or about 10 percent, and yet they make up 16 percent of the active-duty military force.
“I believe that we still have a tsunami wave of women vets coming in,” Hayes said.
For now, many female veterans say they are made to feel as if they do not belong at the VA, as they describe front-desk employees asking for a husband’s Social Security number when they check in or being passed over for items like complimentary coffee, which employees say are “for vets.”
“It’s hard to walk into a place and feel like everyone is looking at you wondering why you are there,” said Kristen Rouse, 45, founding director of the NYC Veterans Alliance, who described a sense of loss every time she glanced at the department’s motto affixed to her center in New York City: “To care for him who shall have borne the battle and for his widow, and his orphan.” Her organization supports changing the motto.
“Over the 24 years I have served my country, I have never been any of those,” said Rouse, who remains a reservist in the Army. “And I never will be.” (That portion of the motto, coined by President Abraham Lincoln, is now the subject of legislation.)
A search for solutions
Some centers, like the one in Washington, have removed benches from entryways so that men no longer have a place to linger and badger women, or have created separate facilities, like the one in Texas. Every center now has at least two providers focused on women’s health, and nearly 6,000 providers have been trained in the practice; about 98 percent of them are women.
While the VA is still trying to address the needs of pregnant veterans — the centers do not provide full obstetrics care on site — many of the centers across the country now have baby showers around Mother’s Day, offering diapers and other baby supplies.
Yet the culture remains an impediment for many.
Brandy Baxter, who served as a senior airman in the Air Force, loves the care she receives at the women’s health clinic through the Veterans Affairs center in Dallas. But she hates the elevator ride to get there.
“The male vets give me the once over with their eyes,” she said. “I look them right in the eye, just to tell them, ‘I’m checking your height, your weight, your skin color — just in case I need to report you.’ ”
This year, the House Veterans Affairs Committee will establish a task force to address women’s health care, and harassment issues are expected to be front and center. “This is about the physical transformation of our facilities,” said Rep. Mark Takano, D-Calif., the new chairman of the committee.
Far-reaching challenges
Many other challenges face the VA, like a shortage of providers for specialty services. Fertility treatments remain another area of complaint. Only women are eligible for treatment, and they must be married to men and have their infertility linked to an injury, exposure or other problem that occurred during their service.
Many women do not use the medical facilities because they lack child care, which the department is largely not able to provide. Another issue is reaching homeless female veterans, a serious problem that also affects the male population.
Women also have mental health care needs — over 40 percent of female veterans who use the VA are diagnosed with at least one mental health condition, compared with about 25 percent of men.
Bills touching on these issues are expected to come up in this Congress, and some veterans’ organizations have made services for women a top legislative priority, especially Iraq and Afghanistan Veterans of America, all in the name of making the VA a better place for women.
“One must be persistent,” Hayes said. “Culture change does not happen overnight. We want to continue to get the message to women that we want you here.”