Military doctors try to replace therapy for PTSD with 'combat cocktails.' The practice has been linked to suicide risk.

Veterans are 50% more likely to commit suicide than civilian 
adults. (Medication-Induced Suicide Prevention graphic)

Although there is no data to support the practice, many military doctors prescribe "combat cocktails" to veterans with Post- traumatic stress disorder. "The practice, known as 'polypharmacy,' can tranquilize patients to the point of numbness, cause weight gain and increase suicidal thoughts when it involves pharmaceuticals that target the central nervous system," report Shalini Ramachandran and Betsy McKay of The Wall Street Journal. Because roughly a third of military veterans live in rural areas, the post-combat treatment may have a disproportionate impact on rural families and communities.

Medical guidelines for the Department of Veterans Affairs don't recommend giving patients simultaneous mixes of psychiatric medications, and the Food and Drug Administration warns against the practice. And yet, "prescribing cocktails of such drugs is one of the VA’s most common treatments for veterans with PTSD (post-traumatic stress disorder)," the Journal reports. "And the number of veterans on multiple psychiatric drugs is a growing concern at the agency."

Polypharmacy definitions vary, but "the VA defines it as taking five or more medications at the same time," Ramachandran and McKay explain. A growing number of VA physicians and researchers believes such dosing can have disastrous results, because powerful drugs can interact with patients' nervous systems and each other in unpredictable ways.

While talk therapy is considered the best PTSD treatment, therapists are often in short supply, so medical providers have turned to medicine to treat PTSD symptoms. "Nearly 60% of VA patients with PTSD were taking two or more central nervous system drugs at the same time in 2019," the Journal reports. "The VA declined requests from The Wall Street Journal to provide more recent polypharmacy numbers for veterans in its care."

Given that suicide rates among veterans are much higher than those of civilian adults, how the VA treats PTSD is under scrutiny from Congress, advocacy groups and veterans. "Studies by VA researchers link the simultaneous use of multiple psychiatric drugs to suicide risk among veterans," Ramachandran and McKay write. "Yet the agency has been slow to mandate changes."

Quick hits: 'New' Superman is super-rural; VA restructuring; chocolate bar price bump; public pool safety; how much land does each state farm?

Superman (David Corenswet) and his dog Krypto in ‘Superman’ (Warner Bros, IMDb image via the Yonder).

Before Superman was super-anything, he was an orphan raised by farmers in Smallville, Kansas. The newest Superman is an old-fashioned, sincere and sometimes corny-sounding hero-in-the-making, who struggles to stay true to his ideals "in a world beset by 24/7 media noise, rationalized indifference, and organized meanness," writes Adam B. Giorgi for The Daily Yonder. "The boon of super strength and super speed doesn’t necessarily make it any easier to keep being good in the face of hardship, to do the right thing when the chips are down, or to be kind even when it’s not expected or rewarded."

After shedding roughly 30,000 jobs earlier this year and announcing it plans to curtail further layoffs, the Department of Veterans Affairs is still restructuring. "Senior leaders are telling employees that major changes are still coming," reports Eric Katz of Government Executive. "The VA is looking to empower medical center directors. Several employees, based on meetings and internal conversations, speculated that headquarters and possibly regional staff could be a casualty of that change."

'Inflation isn't finished with your chocolate bar.'

Chocolate maker Hershey may sell delightful sweets, but its latest announcement is a summer bummer. "Hershey is raising prices on its candy in response to continued high cocoa costs," reports Owen Tucker-Smith and Jesse Newman of The Wall Street Journal. While exact price hikes will vary, U.S. consumers can expect a roughly 20% increase on Hershey treats. "Three-quarters of Hershey’s confection portfolio should continue to cost $4 or less. . . .Demand for Hershey’s products has stayed strong. Shares of Hershey are up more than 7% this year."

With its varied seasons and climates, U.S. farmers and gardeners grow thousands of different crops each year. The amount of land dedicated to principal crops depends on the state. Discovering which states and regions farm the most land is best described in the map shared below.

Over half of Iowa is dedicated to farming. Click on map to enlarge.

The future of farming may involve less physical labor and more technology. "Imagine a farm where fleets of autonomous tractors, drones and harvesters are guided by AI that tweaks operations minute by minute based on soil and weather data," reports William Boston of The Wall Street Journal. "Farmers could swap long hours in the cab for monitoring dashboards and making high-level decisions. . . . Despite the promise of digital tools and autonomous machines, cost is a big barrier." 

Taking care while enjoying public pools can help reduce the chance of illness or skin rashes.
(Photo by Maria Korneeva, Moment, Getty Images via The Conversation CC)

Does chlorine kill all infectious "things" that end up swimming in the public pool? No. "Summer news headlines and social media posts often spotlight the 'ick-factor' of communal swimming spaces. These concerns do have some merit," writes Lisa Cuchara for The Conversation. "The good news is that chlorine, which is widely used in pools, is effective at killing many pathogens. The not-so-good news is that chlorine does not work instantly, and it doesn’t kill everything. . . .Read Cuchara's 10 tips for healthier public pool swimming here.

Department of Veterans Affairs reverses course on mass layoffs after pushback

Veterans make up about 30% of the federal civilian 
workforce. (Gallup photo)

Faced with bipartisan pushback and anger from military veterans, the Department of Veterans Affairs is backtracking on its plan to shed more than 80,000 employees. Eric Katz of Government Executive reports, "VA previously told top-level staff it would utilize widespread reductions in force to cut its workforce back to the level it employed in fiscal 2019, leading to a reduction of more than 80,000 employees."

Early 2025 cuts by the Department of Government Efficiency and the VA have already taken a disproportionate toll on veterans' post-service employment, because they make up roughly 30% of the U.S. federal civilian workforce. "The VA has already shed 17,000 employees since January, and plans to cut another 12,000 through additional attrition and separation incentives," Katz explains. "While VA said it would not implement a 'large-scale' or 'department-wide' Reduction in Force, it did not rule out using more targeted layoffs."

Reducing VA staff is framed as a reorganization effort to improve the VA, rather than a way to cut jobs. VA Secretary Doug Collins told Katz, "Since March, we’ve been conducting a holistic review of the department centered on reducing bureaucracy and improving services to veterans. . . . A department-wide RIF is off the table, but that doesn’t mean we’re done improving VA."

The VA has until Monday to "keep its plans under wraps, requiring all of those working on it to take the unusual step of signing a non-disclosure agreement," Katz reports. 

While Collins and some lawmakers said the reversal of mass layoffs was always a possibility, the American Federation of Government Employees council, which represents employees in VA’s central office, "suggested that the change was a direct result of outcry and pushback," Katz adds. "The group said the change in plans was not 'a coincidence, it was a response.' The union added significant damage has been done to the VA workforce."

OPINION: Veterans should not have to prove poverty to 'qualify' for disability payments

Carroll Davis Jr. is a U.S. Marine Corp veteran and adjutant with the Disabled American Veterans Department of Mississippi. A new budget might change his benefits. (Photo by R. Solis, AP Via DY) 

As Congress searches for ways to pay for the massive tax cuts included in the One Big Beautiful Bill, the Congressional Budget Office has proposed cutting disability payments to U.S. Veterans who make too much money. "America is inching toward means-testing for disabled veterans benefits," writes Christy White in her opinion for The Daily Yonder. "We shouldn’t treat our honorably discharged military personnel like beggars."

Current VA guidelines for disability benefits do not consider a veteran's finances. "Benefits are a direct result of a service-related illness or injury," White writes. Means-testing would examine a veteran's "wages and other income to be considered eligible. … If the government determines they have the 'means' to pay for necessities … they don’t get the benefit."

She believes changes to disability payments could upend veteran income and trickle down to economic difficulties for rural regions. White explains, "There are almost five million disabled U.S. military veterans, and roughly two million of them are Appalachian residents. … How many of our kin folk may be affected by harmful means-testing? Encouraging financial success among veterans should be the goal, not penalizing them for achieving it."

White says asking veterans to prove a "lack of means" to receive military disability payments fails to honor the relationship the U.S. government has with its servicemen and women. She writes, "The suggestion that 'wealthier' veterans should not receive full compensation fails to acknowledge the contractual obligation between them and the U.S. Government; that when they sign up to serve, they are told they’ll be taken care of."

Even as the CBO argues that means-testing veterans’ benefits saves taxpayer dollars, it "ignores the fundamental nature of disability compensation — that it is a payment for service-related injuries, not a poverty relief measure," White writes. "Russell Vought is the director of the OMB. . . . [He] believes that disabled veterans should not be compensated for negative health effects caused by exposure to burn pits in Iraq and Afghanistan."

Federal layoffs leave many military veterans unemployed. If firings continue, the 'burden will only grow on veterans.'

Veterans make up roughly 30% of federal civilian
employees. (Adobe Stock photo)

U.S. veterans are losing their jobs as the Trump administration continues to terminate federal employees to cut costs. "From layoffs at the Department of Veterans Affairs to a Pentagon purge of archives that documented diversity in the military, veterans have been acutely affected by Trump’s actions," reports Stephen Groves of The Associated Press. "The burden will only grow on veterans, who make up roughly 30% of the over 2 million civilians who work for the federal government."

Even though more than half of all military veterans voted for Trump, many openly reject his current money-saving tactics. "At a series of town halls last week, veterans angrily confronted Republican members as they defended the cuts made under Trump adviser Elon Musk’s Department of Government Efficiency," Groves writes. Most Republican lawmakers have continued back Trump's approach to saving dollars, even if it cost veterans jobs.

While Republican House Speaker Mike Johnson "advised his members to skip the town halls and claimed that they were being filled with paid protesters, some Republicans were still holding them and trying to respond to the criticism," Groves explains. "At a town hall, Texas Republican Rep. Dan Crenshaw told the audience, 'We’re learning about this stuff at the speed of light, the way you are. I think there’s been some babies thrown out with the bath water here, but we’re still gathering information on it.'"

Some terminated veterans "have now been put on administrative leave, but a sense of dread and confusion is still hanging over much of the federal workforce," Groves reports. "Other [veterans] are angry they have been portrayed as deadweight and cut from jobs they felt played a direct role in helping veterans get health care."

Democrats see veteran firings as a way to recast their image and "have zeroed in on the cause of protecting veterans," Groves writes. "In both the House and the Senate, Democrats have introduced legislation to shield veterans from the mass layoffs. And when Trump spoke to Congress this month, many lawmakers invited veterans as their guests."

Sen. Tammy Duckworth, an Illinois Democrat who is an Iraq War veteran and former assistant secretary at the VA, told Groves, “They said Donald Trump promised to watch out for them. And the first thing he does is fire them.”

Sen. Ruben Gallego, an Arizona Democrat, who is also a veteran, was unsure if the firings would shift  veteran political alliances but said the terminations give Democrats an opportunity to "hammer home a message," Groves reports. He told Groves, “Elon Musk and his buddies would rather just deal with the bottom line and try to save billions of dollars so they can have more tax cuts at the expense of veterans.”