After the tragic shooting of White House Press Secretary James Brady in the 1980s, he and his family became the most high-profile supporters of gun control in America, leading to the passage of the Brady bill and spawning the Brady Campaign to Prevent Gun Violence, an organization we still see advocating today.
We may be on the precipice of a similar transformation by Gabrielle Giffords and her supporters. Giffords was a gun rights supporter prior to her shooting. So her advocacy on that is an open question. But we are seeing her Congressional office using the issue of traumatic brain injury as a point of focus.
As the Daily Beast reports, a “central component” of Giffords’ therapy regimen is cognitive rehabilitation therapy, a costly medical treatment designed to retrain the brain to do basic tasks.
Such treatment, as we noted in January, may be available to Giffords, but is out of reach for thousands of U.S. troops whose health coverage doesn’t include it. The Pentagon’s health care program, Tricare, has refused to cover it but does cover certain types of therapy—such as speech and occupational therapy—which can be a part of cognitive rehabilitation therapy. Tricare officials have said that scientific evidence does not justify providing it comprehensively to troops.
But in a letter to Health and Human Services Secretary Kathleen Sebelius this month, Giffords’ office has taken a stance. Pia Carusone, her chief of staff, asked the Obama administration to remedy the inequities in access to quality brain injury rehabilitation.
“Most military service members and other Americans who have sustained TBIs lack access to the same high standard of care,” Carusone wrote. (Read the full letter.) “It is imperative that all Americans with TBI have access to the same full continuum of medical treatment that Congresswoman Giffords has been so fortunate to receive.”
Giffords is living proof of the potential for cognitive rehabilitation therapy. It’s an expensive procedure. But the Pentagon budget, let’s say, has a few bucks to spare in reserve. Rather than putting that money into buying the 1,592nd armored carrier or 15th prototype stealth fighter that will simply be mothballed, that money ought to go to fix the soldiers who are wounded in battle. And there’s nobody better to take up that fight than Gabrielle Giffords.
HHS doesn’t have a lot of control over this; TRICARE is not affected by the determination of essential health benefits in the Affordable Care Act. But pressure can be brought to bear on the Pentagon and the VA to establish some baselines for traumatic brain injuries.
The full release and the letter to HHS is here. This is a good fight for Giffords, and I hope in the future she’ll expand it to strictly limit exposure to TBI among service members by ending unnecessary wars of choice.




8 Comments

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The only sad thing is that it took a member of Congress to receive such a traumatic head injury to bring this issue to the top of the charts.
This is such a worthy cause. Some day even the US military will understand and acknowledge that the brain is an organ. You know, of the body and stuff.
I’m behind the times on this. Is Giffords advocating this? Is she up to that level? Is this her office acting on what they think she will want?
I’m not against the attempt to get this done. I’m just wondering what Giffords herself will want. Has her husband said anything?
Will just one suffering congress person be enough?
By that I mean, the majority of congress critters may care what happened to Rep. Giffords, but when it comes to spending money on fellow Americans, it’s a safe bet they are going to come down on the wrong side.
Top of the charts? What is it 45,000+ Americans every year die for lack of affordable quality health care? What’s a violent brain injury compared to outright death even if it was taken serving this country? We accept sending people to be maimed or die, we’ll accept this too. I wish it weren’t true.
There exists an overwhelming lack of empathy. I hope some good will come out of all this, but I don’t imagine things will fundamentally change.
What are the numbers on soldiers, national guard and all other Americans who should have access to this treatment? What is the difference in the success and outcomes of this compared to the other treatments? Seems important.
From the letter:
over 1.7 million other Americans will sustain traumatic brain injuries this year
Save a click, article referred to in letter
http://www.usatoday.com/news/nation/2011-03-02-brain-injuries-treatment_N.htm
hate to say it, but I agree with you.
I’m all for anything that sheds a light on brain injuries/trauma and what it takes for rehab. Good for Giffords and/or her staff for highlighting this.
Sad to say that brain injury/trauma is a biggie with returning Vets, and we all know how well that goes…
Would like to be optimistic about this, but well, to quote a movie title of yore “Reality Bites.”
I just spoke with another person whose husband suffered a closed head injury then had to have a frontal lobotomy when a stroke occurred during the surgical procedure he needed. Medicare only paid $5,000 for all therapy which got used in 2 weeks and was applied to the damage to the rest of his body so this didn’t cover the specialized brain rehabilitative therapy at all. The pith of my prior experience and research is that I knew about NeuroCog-TS but there’s no way this man can pay to receive that intensive rehabilitative therapy. I did find Brain Age which was based upon the work of Japanese neuroscientist Dr. Ryuta Kawashima and appears to approach the functions of NeuroCog-TS and runs on a Nintendo DS. Since this injured man’s wife is his primary caretaker and therapist by default, I suggested she check it out and maybe get funding help from her family. Quite frankly, Asian society has used the soft martial arts for centuries to come back from injury and they do have beneficial application for making new neural pathways (bilateral movement as in swimming). The other thing folks do is learn meditation to learning greater emotional control so they can make strides in their “physical” therapy. The therapy for physical injury and brain injury typically have some form of non-trivial pain to go along with them that the patients have to work through and it’s a real boon to have loving support for that.
Correction: Medicaid