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Improving the Presumptive Disability Decision-Making Process for Veterans (2008)
Board on Military and Veterans Health (BMVH)

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. "Appendix L: Additional Classification and Secrecy Information." Improving the Presumptive Disability Decision-Making Process for Veterans. Washington, DC: The National Academies Press, 2008.

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Improving the Presumptive Disability Decision-Making Process for Veterans

cases, their participation in these experiments was not even acknowledged in their service records and was, in fact, officially denied for decades. Further, these men were ordered to keep their participation secret. They did so for nearly 50 years, in some cases despite serious, disabling diseases that they believed were caused by their exposures. There can be no question that some veterans, who served our country with honor and at great personal cost were mistreated twice—first, in the secret testing and second, by the official denials that lasted for decades. They deserve recognition.

(p. viii)

Second, the committee believes that any future military research with human subjects should be conducted according to publicly established ethical principles similar to those that apply to civilian research. The Department of Defense should consider including civilian medical experts in reviews of all proposed military research protocols involving human subjects. As was shown in the examination and evaluation by the Department of the Army Inspector General’s report of the military drug and chemical testing programs from 1950 to 1975 … a climate of secrecy provides a permissive environment for the neglect of established rules of conduct. Such neglect should never be allowed to occur when human experimentation is involved.

(pp. viii-ix)

References

IOM (Institution of Medicine). 1993. Veterans at risk: The health effects of mustard gas and lewisite. Washington, DC: National Academy Press.

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773
Front Matter (R1-R32)
General Summary (1-6)
Summary (7-26)
1 Introduction (27-35)
2 A Brief History of Presumptive Disability Decisions for Veterans (36-51)
3 The Presumptive Disability Decision-Making Process (52-69)
4 Legislative Background on Presumptions (70-82)
5 Case Studies Summary Chapter (83-135)
6 Establishing an Evidence-Based Framework (136-149)
7 Scientific Evidence for Causation in the Population (150-174)
8 Synthesizing the Evidence for Causation (175-197)
9 Applying Population-Based Results to Individuals: From Observational Studies to Personal Compensation (198-236)
10 Health and Exposure Data Infrastructure to Improve the Scientific Basis of Presumptions (237-297)
11 Governmental Classification and Secrecy (298-308)
12 The Way Forward (309-328)
13 Recommendations (329-338)
Appendix A: Statement of the Veterans' Disability Benefits Commission to the Institute of Medicine's Committee on the Presumptive Disability Decision-Making Process, May 31, 2006 (339-343)
Appendix B: Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans Open Session Meeting Agendas (344-348)
Appendix C: Glossary (349-408)
Title Page (409-409)
Appendix D: Historical Background (410-423)
Appendix E: Arguments Favoring and Opposing Presumptions (424-433)
Appendix F: Tables: Summary of Presumptive Disability Decision-Making Legislative History (434-565)
Appendix G: VA's White Paper on the Presumptive Disability Decision-Making Process (566-569)
Appendix H: IOM's Statements of Task and Conclusions for Agent Orange and Gulf War Reports (570-591)
Appendix I: Case Studies (592-709)
Appendix J: Causation and Statistical Causal Methods (710-719)
Appendix K: Sources of Health and Exposure Data for Veterans (720-763)
Appendix L: Additional Classification and Secrecy Information (764-773)
Appendix M: Biographical Sketches of Committee Members, Consultants, and Staff (774-781)