Category Archives: Government/Military

Pentagon Started Tracking Blast Injuries Then Ran Out of People

The Department of Defense launched brain-health monitoring for troops exposed to weapons blasts. However, a federal watchdog report released August 18, 2026 found that the DoD lacks the staff, technology, and funding to fully deliver on it.

Government Accountability Office building at 441 G Street NW with American flags

The DoD is highly aware, and the US Government Accountability Office report GAO-26-107829 warns, that firing certain weapons exposes service members to blast overpressure waves, which “may cause problems such as headaches, memory loss, or traumatic brain injury.” As with similar brain injuries, these waves can then travel through the skull and cause micro-injuries in the brain. (In fiscal 2025, 198,161 recruits completed baseline cognitive assessments, and 86% of high-risk personnel were screened, though the Navy lagged at only 59%.) Additionally, the GAO recognizes that a shortage of industrial hygienists remains the “primary barrier” to tracking exposures.

Assistant Secretary of Defense for Health Affairs Keith Bass agreed with both GAO recommendations, noting DoD “estimates it will complete the actions for both recommendations by December 2026.”

$2.44 Billion Reclaimed: Inside the VA Recoupment Fight

Two women exchange cash and a check at an office desk

Under a law dating to the 1940s, veterans who received separation pay, compensation for time served, had to repay it if they later qualified for VA disability benefits. (Federal rules barred receiving both.) The VA would withhold disability checks until the debt was cleared. From 2013 to 2023, this debt recoupment structure equaled $2.44 billion in separation pay and bonuses from 112,834 veterans.

To many, this payment structure may seem like punishment to the disabled veteran. In 2023, Senator Ruben Gallego’s (AZ) Restore Veterans’ Compensation Act of 2023 which would have barred this practice, arguing the two payments serve different purposes. Since that time, the bill has been reintroduced many times. Most recently, Representative Bilirakis (FL) brought the Restore Veterans’ Compensation Act of 2026 to Congress on January 13, 2026. (HR7027 was referred to the Subcommittee on Disability Assistance and Memorial Affairs on May 7, 2026.)

“It is ridiculous to claw back money from a veteran who has put life and limb on the line, just because later in life they qualify for disability benefits,” stated Gallego, acknowledging the fact that traumatic brain injury symptoms often surface or worsen years after service.

*The bill’s chief criticism is fiscal: ending recoupment means the government forfeits future collections.

Serious Gap in Veteran TBI Care Found

On August 5, 2026, the VA Office of Inspector General (VA OIG) released a national review that found a serious gap in traumatic brain injury care for post-9/11 veterans: Of 301,177 veterans who agreed to a comprehensive TBI evaluation after screening positive between September 11, 2001 and March 31, 2025, only 158,907 received one, leaving 142,270 without the assessment.

Though the evaluation largely draws on the same screening data of VA’s congressionally mandated TBI Veterans Health Registry, this oversight review is distinct in auditing the screening-to-evaluation pipeline rather than cataloging diagnosed cases. While very much not excusing the lapse, it was found to have several causes. In a 100-record sample, 65% of veterans canceled the appointment or did not respond to VA’s attempts to schedule it. But investigators also faulted the VA itself, as in 15% of cases the staff never placed the required consult, and a single-use electronic template blocked repeat evaluations for redeployed veterans. One VA official told investigators that once completed, the template effectively “locks down.”

The VA Inspector General Cheryl L. Mason issued three recommendations: (1) review the referral process after positive screenings, (2) consider a uniform system for directing veterans to Polytrauma System of Care specialists, (3) revise the template’s one-time-use limitation. The VA has agreed with the first two and agreed with the third, in principle.

Veterans’ Brain-Injury Cases Surge as Research Funding Falls

Graph showing surge in confirmed veterans brain injury cases from 2018 to 2022 with key contributing factors

New data from the VA’s Traumatic Brain Injury Veterans Health Registry reveals that 556,502 veterans entered the registry between September 2001 and September 2025. (This 26 percent jump in just four years averages more than 28,000 new cases annually since 2021.) This data was make available in July 2026, just as the federal funding for TBI research has dropped from $175 million to $40.5 million. (Of course, this drop does not apply to state funding.)

In a joint statement, Disabled American Veterans National Commander Coleman Nee and Invisible Wounds Foundation CEO Shannon Connell urged Congress “to increase funding and direct greater focus toward service member and veteran-centered TBI research. The response from Congress has echoed this and crossed party lines. In a May 2026 hearing reviewing that budget, Senate Appropriations Chair Susan Collins blasted proposed budget reductions targeting the National Institutes of Health.” Rep. Mike Levin (CA) called the current level “a drastic cut from prior years” and pledged to fight for more funding.

A Dangerous TBI Two-Way Street

A traumatic brain injury doesn’t just raise your risk of later neurological disorders; preexisting neurological disorders may raise the risk of brain injury, concludes a recent 2026 study from the San Francisco Veterans Affairs Health Care System.

Diagram showing circular relationship between brain injury and epilepsy with arrows indicating feedback loop and mutual exacerbation of seizures and brain damage

Published June 17, 2026. in the journal Neurology, the Department of Defense-supported study tracked more than 55,000 older veterans. Scientists found that traumatic brain injury was tied to higher rates of stroke, dementia, epilepsy, and Parkinson’s disease both before and after the injury. “Our findings raise the possibility that… [pre-existing brain diseases] are themselves risk factors for TBI in older people,” said study author Carrie Peltz, PhD, of the San Francisco Veterans Affairs Health Care System.

In the year before a TBI, older veterans were about three times more likely to have been diagnosed with stroke, dementia, or Parkinson’s and more than four times more likely to have epilepsy. After a TBI, they were roughly twice as likely to have a stroke or epilepsy. This results greatly build on an Oxford Academic, PubMed-accessible, 2025 study that found, “Among those with TBI, patients with pre-injury dementia had particularly high chronic mortality.” While causality has not firmly been medically defined, the study’s results are clear.

FY27 Defense Bill Takes Aim at Military Brain Injuries

Stacks of defense budget documents laid out on a table with the U.S. Capitol building in the background at dusk

The Fiscal Year 2027 National Defense Appropriations Act advances several significant provisions for service members living with traumatic brain injury, moving through both chambers of Congress with bipartisan momentum this June.

The Senate Armed Services Committee approved S. 4784 on June 10 after a three-day markup. The bill includes a provision “requiring the Secretary of Defense to provide a briefing on the feasibility of regular cognitive testing and establishing blast overpressure and TBI logs, and encouraging DoD to approach brain health, blast overpressure exposure tracking, and suicide risk analysis as force health protection.” Additionally, it includes “the provision of training to the armed forces of partner nations in the Indo-Pacific and Arctic regions in the following areas: (A) Health effects and medical response related to chemical, biological, radiological, nuclear, and explosive weapons, (B) Trauma care, (C) Preventive medicine and infectious disease, (D) Post-traumatic stress disorder, (E) Suicide prevention, (F) Traumatic brain injury, (G) Medical and health intelligence, (H) Health policy and administration.”

The House version, H.R. 8800, passed committee 44-12 and includes a section that would create a working group to develop an AI-driven digital strategy for treating brain injuries, and $7.5 million for a Cognitive Performance Enhancement Program for Special Operations Forces. H.R. 8800 has not yet received a floor vote.

VA’s MDMA Trial Offers New Hope, Particularly for the Brain Injured

On May 26, 2026, the VA announced a clinical trial to test MDMA-assisted therapy for veterans battling PTSD and alcohol use disorder. The study, which began enrollment quietly on May 18, is one of 19 psychedelic trials the VA is funding through $23 million in external grants, enrolling approximately 80 veterans at facilities in Providence, Rhode Island, and West Haven, Connecticut, with results expected in May 2030.

The trial will study the safety and effectiveness of MDMA-assisted therapy to address conditions that do not fully respond to standard treatments. For those living with traumatic brain injury, the treatment’s benefit may be significant. Research shows that patients with head injuries are more likely to develop PTSD than those without a TBI history. Studies confirm that veterans with probable TBI have 1.72 times greater odds of developing PTSD.

“This trial represents an important step in safely evaluating new approaches and innovations to treat Veterans with severe mental health conditions,” said VA Secretary Doug Collins. For the hundreds of thousands of veterans carrying both a damaged brain and a traumatized mind, it may represent something even more profound: a second chance at healing.

Another Study Links TBI & PTSD to Cognitive Decline – But Not Through Brain Plaques

A study published May 30, 2026, in the Journal of Alzheimer’s Disease is reshaping how researchers understand cognitive decline in combat veterans. Using data from the Department of Defense’s Alzheimer’s Disease Neuroimaging Initiative, USC researchers examined how TBI and PTSD affect brain imaging markers and cognition in a U.S. veteran population.

Brain imaging results and cognitive test data assessing memory and executive function in veterans

The study found that greater PTSD symptom severity was linked to poorer performance across all three cognitive tests used, and higher TBI severity correlated with lower scores on the Mini-Mental State Examination. What is striking about these findings is that they did not show that TBI severity nor PTSD symptoms were associated with neuroimaging biomarkers of neurodegeneration or vascular damage.

This discovery suggests that cognitive impairment in veterans may not stem directly from the accumulation of Alzheimer’s pathologies or vascular injuries. This matters enormously for treatment. It suggests veterans’ cognitive struggles may require targeted interventions beyond standard dementia pathways – a finding directly relevant to legislative reauthorizing of funding for federal TBI surveillance and research programs.

VA Health Care Uses New Treatment Tech to Bring Silence

Lenire tinnitus therapy device with handheld control, headphones, and tongue stimulator

For many, a brain injury doesn’t end when the wound heals. One of its most persistent aftereffects of brain injury is tinnitus, a relentless ringing, buzzing, or hissing in the ears that no one else can hear. Scientifically. when the brain sustains trauma, the auditory pathways that process sound can become dysregulated, causing the nervous system to essentially generate phantom noise around the clock. Affecting up to 53% of people who sustain traumatic brain injury, tinnitus is not just annoying, it can fuel anxiety, disrupt sleep, and greatly erode quality of life.

Tinnitus is also the leading service-connected disability among veterans. Up to three-quarters of veterans with a brain injury, especially blast-induced brain injuries, will develop tinnitus. In response, a major new treatment is in development: “The Atlanta VA Health Care System marked a significant milestone in Veteran care on April 2, 2026, with the first use of the Lenire tinnitus treatment technology,” reported the Office of Veterans Affairs. FDA-cleared, the Lenire treatment is a bimodal neuromodulation device that stimulates both the tongue and the ears simultaneously to retrain the brain’s response to tinnitus. Rather than masking the phantom sound, it targets the neurological root of the problem.

Neuromod Devices, the medtech company behind the Lenire treatment, states their device is “Effective, Safe and Calming”. For veterans and others who have long suffered, this launch may mean real relief is finally within reach.

Tax Day Challenge for the Brain Injured

Tax documents, calculator, coffee mug labeled 'TAX SEASON', and April 2026 calendar showing Tax Day on the 15th.

Tax Day is stressful for nearly everyone, but the pressure can be particularly harmful for brain injury survivors. A 2024 study in Archives of Physical Medicine and Rehabilitation found that 70% of adults with acquired brain injury said their injury affected their ability to handle financial tasks, and 58% felt stressed or anxious about finances. Stress is, of course, a known trigger for neurological symptoms.

According to statistics, prior to injury, 82% of TBI survivors were employed, meaning most were taxpayers. Two years post-injury, 60.4% of moderate-to-severe TBI survivors are unemployed, according to a one study available of PubMed. Many of those who remain employed still struggle cognitively with complex tasks. Tax filing is assuredly a complex task, regardless of brain injury statis.

For brain injury survivors who cannot manage the process alone, but cannot afford professional help, the Internal Revenue Service has many free resources to provide assistance (https://www.usa.gov/help-filing-taxes). “The VITA grant program is an IRS initiative designed to support free tax preparation service for the underserved through various partner organizations.” Tax Counseling for the Elderly (TCE), “focuses on questions about pensions and retirement-related issues.” Additionally, the IRS Free File provides guided software and fillable forms, available if your adjusted gross income is $84,000 or less. For military service members, MilTax offers free tax assistance.