Tag Archives: DOGE

End 17 #VeteranSuicides Per Day: VAGrok Gains Traction with Dartmouth’s AI Therapy Breakthrough

Posted on by mjgranger

By MAJ (RET) Montgomery J. Granger (Health Services Administration) – Grok assisted

A few weeks ago, I wrote about the urgent need for AI innovation to tackle the veteran suicide crisis—17 of us lost daily, a number that haunts every vet who’s fought the VA’s maze of care. I pitched VAGrok, an AI chatbot to bridge the gaps, remember our stories, and cut through the bureaucracy that leaves too many behind. Since then, I’ve reached out to experts, pitched to my Congressman Nick LaLota (NY-1), and even scored an interview for a book on TBI, PTSD, and the VA disability circus. But today, there’s a new spark: Dartmouth’s groundbreaking AI therapy study, published March 27, 2025, in NEJM AI. It’s not just hope—it’s proof VAGrok could work.

In my last post, I laid bare the stakes: the VA’s continuity of care is a mess. Vets bounce between specialists, retell traumas to new faces, and watch records vanish in a system that’s more obstacle than lifeline. I envisioned VAGrok as an AI “wingman”—a tool with memory to track our care, flag risks, and fight for us when the system won’t. Then came Dartmouth’s Therabot trial: 106 people with depression, anxiety, or eating disorders used an AI chatbot for eight weeks. Results? A 51% drop in depression symptoms, 31% drop in anxiety—numbers that rival traditional therapy. Participants trusted it like a human therapist, and it delivered 24/7 support without the waitlists or stigma.

This isn’t sci-fi—it’s happening. Dartmouth’s team, led by Nicholas Jacobson, built Therabot with cognitive behavioral therapy (CBT) smarts and safety nets: if it spots suicidal thoughts, it prompts 911 or crisis lines instantly. For vets, this could mean an AI that knows your TBI triggers or PTSD flare-ups from last year, not just last week. Imagine VAGrok at Northport VA Medical Center, my proposed pilot site in NY-1: it could sync with VA records, alert docs to patterns, and talk us down in the dark hours when the 988 line feels too far.

The Dartmouth study backs what I’ve been shouting: AI can scale care where humans can’t. Jacobson notes there’s one mental health provider for every 1,600 patients with depression or anxiety in the U.S.—a gap the VA knows too well. Therabot’s not a replacement for therapists, but a partner. For vets, VAGrok could be that partner too—bridging the trust gap with memory the VA lacks. I’ve emailed Jacobson about teaming up; no reply yet, but the pieces are aligning.

Next steps? I’m pushing LaLota to pitch this to VA Secretary Doug Collins—his high-energy drive to fix the VA could make VAGrok a reality. The Dartmouth trial isn’t just data—it’s a lifeline we can grab. Vets deserve care that doesn’t forget us. VAGrok, fueled by breakthroughs like Therabot, could be how we get it. Thoughts? Hit me up—I’m all ears.

Fix Veterans’ Care Now – It’s Life or Death

Posted on by mjgranger

We didn’t question the order to go to war, so why are we questioned about what the war did to us? 

We wrote a blank check and pledged our sacred honor for our country, but the Department of Veterans Affairs (VA) isn’t helping enough. Since September 11, 2001, over 130,000 veterans have ended their own lives.

One suicide is a tragedy. What do you call one hundred and thirty THOUSAND?

We need to fix the VA now because our lives depend on it.

In 2024, the VA spent $571 million to stop suicides. But where did the money go? Did it save anyone? I don’t see enough proof that it’s working. Worse, when we ask for help, the VA makes us tell our war stories over and over again. It hurts, and it’s not fair. The people deciding if I get help often never saw a battlefield. This messed-up system might be why so many of us feel lost, hopeless, helpless and then give up.

The numbers make me sick. Younger veterans, aged 18-35, are almost three times more likely to die by suicide than people who didn’t serve. For women veterans, it’s 2.5 times higher than other women. Even older veterans like me are hurting more than ever. If this happened at a company—where people were so miserable they hurt themselves—everyone would yell for change. I’m yelling for change now!

Here’s How I’d Start to Fix It:

Trust Me First: When I prove I served (verified DD-214), the VA should help me right away. I shouldn’t have to fight to show my pain came from war. I earned more respect than that.

Learn the Disney Way: Disney makes people happy with the attitude of second-to-none guest service and fun. The VA could train its administrators and staff through the Disney Institute to learn to treat me in a way that makes me feel like I matter and makes me smile.

Use Cool Tech: Things like facial recognition could say my name when I walk in and get me help faster in a personalized (and secure) way. Now, it’s “Last name? Last four social?” Without even looking up.

Make the VA Appealing: Turn VA facilities into welcoming experiences that project care: clean and green, curb appeal, emphasis on maintenance, warm/cool and comfortable, like coming home—like a resort. I’d want to go there, and it might sooth my stress.

Help All of Me: Don’t just fix my body—fix my mind, too! Focus on holistic wellness, not just medical treatment. Add gyms, pools, courts, fields, recreation, activities and groups where I can talk with other veterans. It could make me stronger, more fit and happier.

Be Honest and Quick: The VA needs to show where my money goes and stop making me wait years for help, or taking years to fix things. Waiting has left me and others with nothing—sometimes not even a home.

Bring in Military Helpers: Doctors, nurses, medical specialists, Corpsmen and medics from the Active Duty, National Guard and Reserves could work at the VA. They get what I’ve been through because they’ve been there too. Rotating in military medical personnel could also help retention and recruitment. If they see quality care up close and personal, they know what they are getting themselves into.

Make Asking for Help Normal: Don’t call the suicide hot line a “crisis line.” Just say, “Hurting? Call 988.” I’m not weak for needing help—I’m brave for asking. On the battlefield, one can hear a cry for help: “Medic!” “Corpsman!” That’s what we’re saying when we finally gather the courage to walk in through the front door.

We honor those who never came home by caring for those who did.

We can’t wait anymore. The VA promised to take care of every veteran with respect, dignity and urgency. Lincoln said, “Care for those who bore the battle,” not “Oh, only those parts the soldier can prove were affected by the battle, and oh, by the way, take a number.”

The VA cuts us up with a percentage of “disability” compensation and care. Imagine that? A percentage. Is that what we should have said prior to taking the hill? “Hey, Sarge, I only want to risk 10%, is that OK?”

It’s amazing that they bury the whole person, and not just the percentage they say died because of the war.

My question isn’t going away—I am raising my voice to hopefully make things happen!

We made an all-in bet for everything up to and including our lives. It’s time the VA made good on that bet.

Our dead comrades can’t tell you how they hurt, but we can. Please listen to us now.

What the Veterans Administration Should Be: An Open Letter to Donald Trump, Elon Musk, Vivek Ramaswamy, Pete Hegseth, and Rep. Nick LaLota (NY-1)

Posted on by mjgranger

Gentlemen,

Our justice system operates on the principle that one is innocent until proven guilty. Why, then, does the Veterans Administration (VA) seem to operate under the opposite assumption when it comes to veterans’ care and disability ratings?

Upon verifying service through documents like the DD-214 and issuing an ID card, the VA should immediately assume veterans are entitled to care as promised by the very ethos of our military service: “To care for him who shall have borne the battle, and for his widow, and his orphan.” This statement by Abraham Lincoln in his second inaugural address at the end of the Civil War, carries no qualifiers; it’s a promise to care for all veterans, regardless of where they served or what they endured.

However, the current system is fundamentally flawed. Veterans are forced to spend considerable time and effort proving their ailments are service-related, which contradicts the unconditional service and sacrifices we’ve made. Veterans took an oath without caveats; we committed to follow orders, defend the Constitution, and potentially give our lives. In return, we should receive care without the burden of proof.

The administration of the VA by civilians lacking military or combat experience has been problematic. With Pete Hegseth potentially becoming the new Secretary of Defense, there’s hope for change. This matter should also resonate with President Trump, and I believe the Department of Government Efficiency (DOGE), under the influence of Elon Musk and Vivek Ramaswamy, could address these inefficiencies with common sense and innovation.

A New Philosophy for the VA:

Prioritization: The veteran should be the priority. Upon entering a VA facility, instead of the impersonal request for “Last Name and Last Four,” why not use modern technology like facial recognition and/or other biometrics for both security and personalized greetings? This would not only enhance security but also personalize and streamline the care process.

Efficiency and Technology: Implement integrated, high-tech systems to improve efficiency. Veterans should feel welcomed and valued, much like guests at a Disney resort where the business model is simple: treat every customer as a cherished guest.

Perception and Recruitment: The negative perception of the VA could deter potential recruits. If the VA were seen as a place where veterans are genuinely cared for, it might attract and keep more individuals to military service.

Facility Management and Care:

At Northport VA on Long Island, NY, the ongoing disrepair and delays in basic maintenance projects like HVAC systems or parking areas reflect a deeper issue of neglect. A 3-year, $21 million project, started in 2018, is still unfinished. These conditions not only degrade the quality of care but also demoralize veterans who must navigate an environment that seems to have forgotten them. Part of my 36-year career in education and education leadership involved public school facilities management. Some of the jobs in the capital projects plan for the Northport VA could have been completed in 6-8 weeks, rather than the current 6-8 years!

My personal health experience, after 22 years of military service including combat deployments, involves dealing with issues like hearing loss, tinnitus, sleep apnea, and PTSD, yet the process to receive care or compensation feels like an additional battle.

Rethinking VA Budgeting and Care:

The VA’s budgeting must be adaptive to the fluctuating needs of veterans, not constrained by typical government fiscal policies. The number of new claimants cannot be accurately predicted from year-to-year. It’s been over 16 years since I retired, and I am only now applying for a disability rating for the first time. Imagine the savings and improved care if we assumed veterans’ health issues were service-related unless proven otherwise? This shift could redefine the VA from an adversarial entity to one that truly supports and heals those who served.

I understand the current disability application system results in compensation, but what if I don’t need the money, just the care? Because the process is so arduous, complex and full of bureaucratic red tape, it could take months for approval, disapproval, appeals and other delays. Many veterans needlessly pay others to help them through the application process.

Conclusion:

I urge you to consider these changes, to let loose the capabilities of DOGE and the leadership of Pete Hegseth on this broken system. We should treat the whole person, not just the ailments deemed service-connected. A wholistic approach to healthcare is the most effective. Veterans have given much; it’s time the VA reflects this nation’s gratitude and commitment to our well-being by honoring Lincoln’s compassionate vision for veteran care.