Soldiers get killed and wounded in combat. That’s what war is. Some die quickly, screaming, their life’s blood spurting out, staining their buddies as they try desperately to save them. Others die slowly, inch by inch, day by day once they get home. They have no visible wounds, so amputated limbs. Their minds are dying.

Saving them is the job of the VA, which hasn’t done well in the past. The professionals at the VA are trying to win that battle.

The only outward sign of something amiss at Garry Naipo's household in this community of well-tended homes south of Fort Lewis is the ragged, yellowing lawn.

"It used to be like Safeco Field out there," Paoakalani "Paoa" Naipo said of the lawn his father no longer trims every three days. Before, Garry Naipo would forgo watching football on the weekend until the grass was cut. Once he started so early on a Saturday morning, his wife, Alii, rushed out, as she put it, "to save him from the neighbors."

Then Garry Naipo, a grandfather of three, went to Iraq -- boomeranging from cul-de-sac to combat and back in 15 months, a journey that would change his life -- and that of his family -- in subtle, corrosive ways.

Naipo, 51, is one of thousands of National Guard citizen soldiers who have left established jobs and families to answer a call and come back altered men and women. On the outside, they look fine, the same even. They blend in at work, in the grocery line, at their children's soccer games. People tell them they're lucky. They're not dead.

They don't bear the grim signatures of combat, the missing limbs or shattered skulls. Their wounds, though, are as insidious as they are invisible. Many return with brains and psyches damaged by chronic exposure to the hammering of blast waves and the afterimages left by bodies blown apart.

They come home, but not back to themselves.

“This portrait of Garry Naipo and his extended family was taken just before he left for Iraq in January 2004, when his National Guard unit was deployed. Alii Naipo says her husband came home from Iraq ‘a different man.’ She's been his main advocate in seeking help for him for post-traumatic stress disorder from the VA.”

This citizen-soldier answered his country’s call and came back a changed man. Combat changes many of us, and we don’t revert back to the person we were before.

In Iraq the exposure to significant bomb attacks has created a huge new class of wounded soldier: the Traumatic Brain Injury.

Veterans Affairs doctors estimate 60 percent to 65 percent of soldiers have experienced a significant explosion, or multiple detonations, by the time they leave the service. "Our mouths drop sometimes at how many blast events our servicepeople have been exposed to," said Jay Uomoto, a neuropsychologist with the VA Puget Sound.

That, in turn, has likely left many with undiagnosed mild to moderate brain injuries, a prognosis that some fear is setting a long fuse that could eventually swamp the system with disabilities as they emerge in the months and years to come.

There are pages of research information about this consequence of combat in Iraq, but not a great deal has reached the public about the scandal of the Army’s disgraceful soughing off of this injury.

Surprisingly, the VA recently announced that only six percent of GIs suffered from TBI. They must have been working from figures supplied from the Army. Soldiers with brain problems that were obvious to their buddies were certified as sound, and discharged into civilian life with no VA referral and no chance for disability payments for their wounds.

A VA mandatory screening program that took effect in April has looked at 61,285 veterans of the wars. Of those, 19.2 percent were identified on the screening questionnaire as potentially suffering from traumatic brain injuries and were referred for more tests.

While evaluation continues, VA spokeswoman Alison Aikele said officials believe, based on a smaller sample, that the final result about 5.8 percent will be diagnosed with TBI.

Just a few months ago, as Mr Bu$h was preparing to address the VFW, telling them what a Great Warrior Leader he was and how Islamofascism is the greatest danger ever facing the country, a group of real patriots was demanding the Bu$h malAdministration deal honestly and completely with the human consequences of its policies.

As President Bush prepares to address the 108th annual convention of the Veterans of Foreign Wars in Kansas City tomorrow, Democrats today called on the President to offer more than the same empty rhetoric and broken promises on the issues that matter to America's veterans and military families. Despite years of promises, on President Bush's watch the Administration has allowed conditions at VA hospitals and medical centers like Walter Reed to deteriorate to appalling levels, has failed to accurately project the cost of treating thousands of veterans returning from Iraq and Afghanistan, and has jeopardized the personal financial information of America's 26.5 million veterans. Worse, the President's budget proposals have consistently shortchanged the VA, with his 2008 budget including a two percent cut.

Garry Naipo’s been home for two years. He has trouble with his memory, trouble with his speech centers, his fingers are going numb, and he spends his days sheltering in his garage, which he sweeps out daily.

“Since returning from Iraq, Garry Naipo leaves his house less and less. His routine is to go to work, then come home to the bunker of his garage, which he cleans on a daily basis. "My safe place," Naipo calls his garage. "I just want to feel normal," he said recently. "I want to stop looking over my shoulder."

And he’s had little help.

Although he suffers ringing in his ears, is going deaf, has memory lapses, difficulty retrieving words, problems concentrating, anxiety and anger outbursts, he has yet to be medically evaluated for concussive brain injury. A few weeks ago, more than two years after his return, he got a questionnaire in the mail regarding blast wave exposure, but he said he hasn't been able to organize his thoughts enough to answer it.

Regardless of how the symptoms are labeled, his family is sure of one thing: Iraq transformed the man they knew as husband, father and grandfather -- and he's come back to a culture that, for the most part, has hardly noticed.

Those of us who have watched the trainwreck that is George Bu$h and his elitist policies realize he has no thought for soldiers once they have been expended, physically or mentally, in the ego-war of Iraq. They make great backgrounds for his political photo ops, but beyond that their deaths and maimings mean nothing to him.

Veterans' Administration Not Ready And Did Not Plan To Handle Flood Of Returning Iraq War Vets

Mr Bush Plans to Reduces Deficits on the Backs of Veterans

Veterans Administration Falling Behind In Providing Disability Benefits

Walk-In Veterans' Treatment Centers Can't Keep Up With Caseload.

Garry Naipo puts a human face on the blank uncaring mask of the Bu$h malAdministration’s misuse of soldiers and abuse of veterans.