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U . S . DEPARTMENT OF VETERANS AFFAIRSVAnguardMARCH 2000PaintFest 2000Perfecting the art of teamworkin San Diego — page 8Inside:Christopher Reeve, 6 Census 2000, 7 Women's History Month, 12

C ONTENTS Budget Proposal4Behind the scenes of the budget process Employee Training5VBA pilot project launched in Buffalo Christopher Reeve6Actor/director speaks at VA meeting Veterans and the Census 7VA encourages veterans to be counted PaintFest 20008-9Creating beauty for San Diego veterans Tele-medicine in Tampa 11Keeping remote veterans in touch Women’s Achievements 12Women’s History Month celebratedCOLUMNS13-16On The Cover:San Diego VA HealthcareSystem outpatient Wayne Hansenputs brush to canvas duringPaintFest 2000. Sponsored by thelocal La Jolla Sunrise Rotary andthe Foundation for Hospital Art,the day-long event held lastmonth brought patients, employees and volunteers together tobeautify the facility’s blank wallsand ceiling tiles with colorfulmurals.VAnguardVA’s Employee MagazineMarch 2000Vol. XLVI, No. 3Printed on 50% recycled paperEditor: Lisa RespessEditorial Assistant: Matt BristolPublished by theOffice of Public Affairs (80D)Department of Veterans Affairs810 Vermont Ave., N.W.Washington, D.C. 20420(202) 273-5746E-mail: 2INTRODUCINGDr. Pat CaralisWhen Dr. Pat Caralis, chief ofGeneral Medicine at the Miami VAMedical Center, completed a studyon the impact of cultural diversity inend-of-life decision-making, shenever imagined it would drawnational attention and ultimatelylead to a television special.But that’s exactly what happenedwhen Bill Moyers, former presssecretary to President LyndonJohnson, renowned print and television journalist, and co-founder ofPublic Affairs Television, Inc., heardabout the study whilepreparing a PublicBroadcastingSystem (PBS)special on end-oflife care in America.“I was surprisedat first,” recalledCaralis, describinghow she felt whenMoyers initiallycontacted her. “But Iwas very pleased thatthey thought this wasan important topic toaddress.” And shewanted to help. So she agreed to letMoyers and his camera crew followher through a typical day at theMiami VA Medical Center.The cameras were rolling as shediscussed the ethical issues surrounding end-of-life care with agroup of medical residents. The crewfilmed as she went over advancedcare planning with a cancer patient.And later, they followed her to theUniversity of Miami/Jackson Medical Center, where she chairs theJackson Memorial Bioethical Committee, to film a discussion onterminating life support.The PBS series “On Our OwnTerms: Moyers on Dying inAmerica” is expected to air September 10-13. The segment featuringCaralis will appear in the first of thefour-part series. Each segmentcaptures the daily experiences ofpatients and their caregivers, including the decisions they face and thechanges they undergo. Along withthis deeply personal perspective,medical, legal and public policyexperts in the end-of-life field discussthe cultural constructs that haveshaped how we die and what can bedone to rethink and redefine thisapproach.“My hope is that when this airson television, a lot of people willstart thinking about end-of-lifeissues,” said Caralis. “This is animportant topic that we wrestle withevery day; it’s something that we allmust face and I’mpleased to have theopportunity to helpget the message out.”Her work onimproving end-oflife care began in1998 when she wasselected as one of 30physicians fromacross the nation toparticipate in theVA Faculty Leadership Project forImproved Care atthe End of Life. Established througha Robert Wood Johnson Foundationgrant, the two-year project focuseson developing and implementing anend-of-life curricula for internalmedicine resident physicians at VAfacilities.As a participant, Caralis wasawarded 10 percent faculty releasetime to research and develop an endof-life training program for residentphysicians at the Miami VAMC. “Westarted training on simple skills likehow to break the news of a terminaldiagnosis or how to handle a requestfor euthanasia,” she said. And shealso received travel funds to attendnational conferences on end-of-lifecare. “The project catalyzed ourability to exchange ideas with peopleacross the nation, and together wecould brainstorm methods of teaching younger physicians end-of-lifeskills.” By Matt BristolVAnguard

OutlookJoan FureyDirector, Centerfor Women VeteransNew Programs Will HelpHomeless Women VeteransThroughoutnumber of women, they are usuallythat number will increase to 10the year,designed to deal with issues ofpercent. We assume a similar perhundreds ofprimary concern to men. Women’scentage are represented in thethousands ofhomeless veteran population. Yet the issues, if included, are a sidebar.our fellownumber of women veterans accessing Some women don’t fit this treatmentAmericans have VA homeless services hoveredmodel and they leave.no place they3) Women veterans, like manyaround one percent for many years,can call home.homeless women, frequently haveand although we have seen a consisThey live day to tent increase over the last three years, histories of sexual abuse and trauma.day, sufferingPlaced in a male-dominated andwomen still comprise less than threethe consefocused program, they often feelpercent of the homeless veterans wequences of displacement, poverty,vulnerable and threatened. Even inserve.substance abuse, mental illness orthe most sensitive of circumstances,In trying to explain this lowdomestic violence.the disparate ratio of men to womenutilization, some thought that thereThese are people who have fallenplace women at risk for re-enactmentjust were not that many homelessthrough, or were never caught by,experiences and relapse, which canwomen veterans or that all thethe safety net of social programswomen veterans were either married be disruptive in a therapeuticcreated to help them. According to aenvironment.or living with family or friends, orsurvey conducted by the Census4) Women discharged fromthat the women must be using otherBureau, nearly one-quarter of allsubstance abuse treatment often findprograms. Of these three, the lasthomeless adults, and one-third of allthere is no transitional housingseemed most reasonable, but thathomeless adult men, are veterans.available to them. Most veteranbegged the question, “Why aren’tThe National Coalition forfocused programs are dormiHomeless Veterans estimatestory-based, without room forWe have a great deal to offer veterans, women.as many as 275,000 may beWith a lack of goodhomeless on any given night.and women veterans earned access to housing options, some womenSince the late 1980s, theare discharged to a shelter or theDepartment of Veterans Affairs these services just as men did.street, where relapse is common.has overseen a major national5) There is an absence of femaleinitiative to combat homelessness inrole models in recovery: women whothey using VA programs?” We havethe veteran population. It is comhave been where they are anda great deal to offer veterans, andprised of three components: therecovered; women they can look upwomen veterans earned access toDomiciliary Care for Homelessto, learn from, lean on; someone theythese services just as men did.Veterans Program, the Health Carecan befriend.We have been asking that questionfor Homeless Veterans Program andIn a true example of a “One VA”and here are the answers we havethe Homeless Service Providersinitiative, Pete Dougherty, director ofcome up with:Grant and Per Diem Program. TheseVA Homeless Programs, Gay1) Women often have custodialprograms incorporate elements ofKoerber, VHA’s Associate Chiefresponsibility for dependent chiloutreach, treatment, rehabilitation,Consultant for Homeless Programs,dren. More often than not, childrenhousing, education and other supand myself, are working together toremain with their mothers whenportive services.relationships break up. Additionally, determine how VA might addressVA has assisted thousands ofa significant percentage of men fail to these concerns. As a result, VHA hashomeless veterans in regaining aset aside 3 million for homelessprovide financial support for theirproductive place within society. Butprograms in FY 2000 to fund 10 pilotchildren after the breakup of aover the years, there has been oneprograms for women veterans. Werelationship. VA, by law, cannottroubling issue: the number ofare optimistic that VA staff, inprovide care to children, so womenwomen accessing these programs has face a choice — leave their childrencollaboration with communitybeen low. And the women who didproviders of homeless services toor seek care elsewhere.come often did not stay long. This2) Women are a small minority of women, will develop innovativehas been disconcerting to those of usprograms that address these issuesthe veteran population. They ofteninvolved with women veterans’and establish services for homelessfind themselves the only woman inissues. Women make up more thanwomen veterans that will not onlyveterans’ treatment programs.four percent of the veteran populaprovide shelter and safety, but theBecause the number of men usingtion, and in the not-too-distant future these programs is far greater than the opportunity for a new beginning. March 20003

VA’s 2001 Budget Proposal: What Happens Next?ate money but do give their views tothe House and Senate Budgetcommittees. The Budget committeescraft a non-binding resolution thatoutlines a framework for a VAbudget for full congressional consideration. Concurrently, the resolutionprovides guidelines for the Houseand Senate Appropriations committees. The Budget committees usuallyfinish this work by the end of April.Most years, Congress approvesthe resolution that provides theblueprint for funding allocationsused by the Appropriations committees. However, if Congress does notpass a resolution, the Appropriationscommittees have the authority tobegin their deliberations and carveup the administration’s proposal.They will allocate funds forSecretary of Veterans Affairs Togo D. West, Jr., makes a point during the House Committeespending to their 13 subcommittees.on Veterans’ Affairs hearing on the fiscal year 2001 budget as Deputy Under Secretary forBy this time, agencies usually haveHealth Thomas Garthwaite, M.D., looks on.already testified about their spendhen Secretary Togo D.and House Appropriations commiting needs before these subcommitWest, Jr., said last month,tees. Those books break out plans for tees — in VA’s case, the Subcommit“Mr. Chairman andspending on: veterans benefits,tee on VA, HUD and Independentmembers of the Commithealth care, construction, generalAgencies. The Appropriationstee, I am pleased to present theoperating and administrative excommittees can introduce new itemsPresident’s 2001 budget request forpenses (including all spending forfor spending, delete items that VAthe Department of Veterans Affairs,” the National Cemetery Administrahas proposed, and reorder VA’shis presentation to the House Comtion), and for implementing thepriorities.mittee on Veterans’ Affairs (HVAC)Department’s performance plan asAt that point, each of the twowas the first of several that VA’s toprequired by the Government Perforsubcommittees “marks up” theleaders will make to Congress tomance and Review Act. One of theallocation it received from its fulldefend VA’s 2001 budget proposal.books is a summary.Appropriations committee, providThese statements — testimony —The HVAC, the Senate Commiting details of how the funds shouldare only the most visible of manytee on Veterans’ Affairs (SVAC), andbe spent, and sends it back to thatsteps that occur before VAcommittee. Thereceives appropriated funds it For a behind-the-scenes look at the processAppropriationscan begin spending on Octocommittees make finalthat creates a final budget, VAnguard wentber 1, 2000.mark-ups, then passFor a behind-the-scenesalong a bill to theirto VA’s Office of Congressional Affairs.look at the process that createsrespective full bodiesa final VA budget when— the House or thecongressional bodies reach agreethe Appropriations subcommitteesSenate — each of which passes a bill.ment, VAnguard went to VA’s Officecovering VA in both congressionalA conference committee appointedof Congressional Affairs.bodies all may hold one or morefrom both houses must resolvePresident Clinton released hishearings on VA’s budget plan, taking differences between the two docuoverall federal budget proposal totestimony from interested groupsments — a task it is supposed toCongress on February 7, complyingsuch as veterans organizations,complete by the end of the currentwith a law that requires the president members of the public and indifiscal year, September 30.to do so by the first Monday invidual members of Congress.If the conference bill is not passedFebruary.This year, VA is scheduled toby October 1, both houses of ConSimultaneously, VA released itstestify before the House subcommitgress must pass a joint continuingportion of the budget in six detailedtee in late March and early April and resolution to extend spendingbooks to the Senate and Houseto the Senate subcommittee in earlyauthority for agencies into the newCommittees on Veterans’ Affairs —April. Budget laws dictate deadlinesfiscal year for specific time increthe authorizing committees — andfor the steps that follow. The HVACments. the Subcommittees on VA, HUD and and SVAC, VA’s authorizing comIndependent Agencies of the Senatemittees, have no power to appropriBy Jo SchudaW4VAnguard

Korean War50th Anniversary Commemoration PlannedWreath layings and openingceremonies in both Washington,D.C., and Seoul, Korea, this summerwill kick off a four-year commemoration of the 50th anniversary of theKorean War.The Department of Defense istaking the lead in the effort, which isaimed at thanking and honoringKorean War veterans and theirfamilies, especially those who lostloved ones. More than 35 events arebeing planned in the United States,the Republic of Korea and the Pacificregion from 2000 to 2003.Eight events are scheduled for2000, beginning with the wreathlayings and opening ceremonies onJune 25. In addition to these events,local commemorative groups acrossthe nation will recognize veteransand their families by hosting localevents and supporting schoolprograms that teach the history ofthe Korean War.The commemorative communityprogram was the foundation of theWorld War II 50th anniversarycommemoration, with more than7,800 groups actively participating.Educational products developed bythe anniversary committee — maps,2000 Commemorative EventsJune 25June 28July 5Sept. 13Sept. 15-17Nov. 11Nov. 27Dec. 12Commemoration wreath layings and openingceremoniesSeoul, Korea, and Washington, D.C.Task Force Smith CommemorationArlington National Cemetery, Arlington, Va.Twilight TattooEllipse, Washington, D.C.Breakout of Pusan Perimeter CommemorationTeagu, Republic of KoreaInchon Landing/Pusan Perimeter CommemorationNorfolk, Va.Changjin (Chosin) Reservoir CommemorationSeoul, KoreaChangjin (Chosin) Reservoir CommemorationCamp Pendleton/San Diego, Calif.Hungnam Redeployment and EvacuationCommemorationNavy Memorial, Washington, D.C.posters, books, fact sheets, flags andstickers — will be available for use inlocal programs.For more information about the50th anniversary of the Korean WarCommemoration, call (703) 604-0820or visit the Web site at http://korea50.army.mil/. VBA Launches Study to Evaluate Employee Job Needshe continuing push to improveservice, combined with thegraying of its work force, haveprompted VBA to hire anoutside consultant to evaluate the jobneeds and employee developmentskills of 100 Education Serviceemployees at the regional processingcenter in Buffalo, N.Y. The pilotprogram, which began last month,could eventually be expanded to allVBA offices.The six-month project, conductedby Saba Federal of Vienna, Va., willtrack and manage employees’ criticalskills and competencies and identifygaps in training, according to GeorgeWolohojian, VBA’s director ofEmployee Development and Training.The knowledge employeescurrently have will be measuredagainst what they need to know todo their jobs most efficiently, andTMarch 2000training will be provided to fill anyskills gaps that emerge, he said.In addition to being an element ofVBA’s overall restructuring, theproject also puts a renewed emphasison employee training, which isbecoming increasingly important asVBA braces for the potential loss of alarge number of experienced employees to retirement in the comingyears. Nearly 40 percent of VBA’swork force will be eligible to retire inthe next three years, Wolohojian said,and typically, 25 percent of employees retire at the first available opportunity. As VBA continues to changethe way it does business during whatis expected to be an era of significantemployee turnover, effective management of employee training will becritical, he added.Saba Federal will create anemployee profile that will allow eachworker to track his or her careerpath, and will help managers guidetheir staffs as they advance in theircareers. Currently, there is nocentralized system in VBA to assessemployees’ skills, identify gaps intraining, track training, and evaluatethe training employees receive.If the pilot program in Buffalo issuccessful, the project will be expanded to the three other regionalprocessing centers that handleveterans’ education claims, in St.Louis, Muskogee, Okla., and Atlanta.A total of about 550 employees workin the four offices.Phase 2 of the project will assessthe training of VBA’s approximately800 information technology employees. Wolohojian said the project islikely to eventually be expanded toall 57 regional offices, ultimatelyresulting in an individual trainingassessment of each of VBA’s 12,000employees. 5

Christopher Reeve Speaks at VA Research MeetingNICK LANCASTERVA researchers greeted actor and directorReeve with a standing ovation.hen he was first injured, hecould only move his jaw.Then gradually, he couldmove his head. Today,nearly five years after being paralyzed in a riding accident, actor anddirector Christopher Reeve has madeso much progress that he hopes to beable to breathe without a ventilatorby late next year.As the featured speaker at therecent national VA RehabilitationResearch and Development Confer-Wence, Reeve urged the more than 250VA researchers at the meeting tocontinue their record of achievementin improving quality of life for thedisabled. “The whole VA systemtoday is a model of what researchcan and must be,” Reeve said. “Andwhen I look down the list of accomplishments of various centers andhow proactive it is, I just rejoice.”When he began his own rehabilitation at a New Jersey facility, he wassurprised to find no mention ofpatients with his type of injury in aspinal cord injury manual he wasgiven. The reason, he learned, is thatwhen the manual was written in1990, people with his level of injurywere not expected to live long or ifthey did, it was assumed that littlecould be done for them.Reeve’s anger about the manualinspired him to become an outspoken advocate for spinal cord-injuredpatients and to challenge the spinalcord injury research community toadvance the field further into thefuture. “Anger can fuel progress andchange if you don’t let it get thebetter of you,” he said.He said he understands there willbe no “magic bullet” that will curehim and others with spinal cordinjuries, but he believes a cure will befound in the future. In the meantime,he said, rehabilitation therapy is thekey to helping spinal cord-injuredpatients live longer, healthier andmore productive lives.“Rehabilitative therapy right nowis about preparing for a new age, anew future, and anything is possible,” Reeve said. “And if it doesn’thappen, what’s the worst? You havea much healthier patient. So there’s awin-win situation there.”Dr. Mindy Aisen, director of VARehabilitation Research and Development Service, presented an awardto Reeve honoring his personalcommitment to research on behalf ofpeople with disabilities. Reeve leadsthe New Jersey-based ChristopherReeve Paralysis Foundation.“I just am very glad to comedown here today to congratulate agroup that is dedicated to theprinciple that there’s no reason tohold us back,” he said. “Yes, theproblems are difficult, but with realdedication and with enough fundingfrom the public and private sectors,we’ll beat these problems.”VA’s disability research programhas led to the development andwidespread use of lightweightprostheses for patients and athletes,functional electrical systems tostimulate paralyzed muscles, andmobility systems for the blind. First One-Stop Veterans Services Center to Open in DallasThe Department’s first one-stopshopping center for veterans isexpected to open this fall at theDallas VA Medical Center. At oneconvenient location, veterans will beable to get medical services andbenefits information, as well asaccess to shopping, dining andphysical fitness/recreational programs.The opening of Dallas VAMC’snew clinical addition last summerfreed up space in the old buildingwhere the shopping mall-style centerwill be constructed. The mall anchorwill be a 7,300-square-feet CanteenService Retail Store — VA’s largest todate. The store will offer men’s andladies’ clothing, shoes, gifts, greetingcards and an optical shop.Vendors offering products suchas books, jewelry, crafts and toys willset up shop in a small concession6arcade in the main mall area. Diningoptions will include coffee and icecream at one shop, and salads, soupsand sandwiches at another.Nearby elevators will takevisitors directly to the dining room ofthe facility’s existing food court. Theproject’s plan to move the retail shopto the mall from its existing locationnext to the food court will createspace to expand the dining room andfood court. The expanded diningarea will have a seating capacity of350-400 with individual roomsavailable for meetings and cateredluncheons.Located off the mall area arerepresentatives from veteransservices organizations and the TexasState Veterans Commission. Thebenefits office may also relocatefrom downtown Dallas to the newmall. An existing fitness/recreationfacility for patients will remain in thenew center.According to James Donahoe,Veterans Canteen Service nationaldirector, other VA medical centersare being considered as potentialsites for a Veterans Services Center.Some VAMCs already have theessential elements: medical services,benefits offices and a large retailstore, he said.Others have VBA regional officeson-site and more are planning to colocate over the next few years. Evenat locations where the VBA regionaloffice is not co-located with theVAMC, Intranet video or teleconferencing could provide personalizedservice, Donahoe added. He said theVeterans Services Center concept ispart of the One VA effort to make allVA services more convenient forveterans. VAnguard

VA Encouraging Veterans to Participate in Censuspril 1 is Census Day, andthough it falls on April Fool’sDay, Census 2000 is no joke.VA is urging all veterans tocomplete the Census 2000 questionnaire and return it to the U.S. CensusBureau.VA uses the census informationto administer a number of programsfor veterans, including the DisabledVeterans Outreach Program, theEqual Employment OpportunityData on Veterans, and veteransbenefits programs. To encourageparticipation, VA facilities aredisplaying Census 2000 posters andpromotional materials in regionaloffices, medical and rehabilitationcenters, and all other locations whereveterans go to obtain information orVA services.Used to determine politicalrepresentation among states, censusinformation also helps determine acommunity’s need for financialassistance. The federal governmentdistributes at least 185 billion eachyear based on information obtainedin the census to help communitiesbuild better roads, job trainingcenters, recreation areas, and schools.“If people don’t participate in thecensus, their communities can loseneeded funds,” noted Census BureauDirector Kenneth Prewitt.Obtaining an accurate count ofethnic groups has been difficult inthe past. According to the U.S.Census Web page, an estimated 2.3Apercent of Asian Americans, 4.4percent of African Americans, 5percent of Hispanics and 12.2 percentof American Indians failed to returntheir 1990 census questionnaires.Hoping to reduce these figures forthe 2000 census, John Babers, Minority Veterans Program coordinatorwith the Waco, Texas, VA RegionalOffice, is working hard to developstrategies for encouraging minorityveterans to respond to the censusquestionnaire.One of his tactics is to informminority veterans about temporaryemployment opportunities as censustakers. “I talked with local community leaders about this and wedetermined that the best way toencourage minority groups toparticipate in the census was to getthem involved in collecting thecensus information,” said Babers. “IfI tell them that the census is important it’s one thing, but if someonefrom their community, one of theirpeers tells them, it has a muchstronger effect.” At its peak, theCensus Bureau will hire more than860,000 temporary employees to helpcollect census information.Another segment of the population that can be difficult to accountfor are the homeless. To get the bestpossible count, Census Bureauenumeration teams visit emergencyand transitional shelters, soupkitchens and even outdoor locationssuch as under bridges or tunnelswhere the homeless may seekshelter. VA employees involved inhomeless programs can play a keyrole in disseminating census information and helping census personnellocate homeless veterans.When Census Bureau personnelcontacted Larry Melka, a socialworker with the Cheyenne, Wyo.,VA Medical Center, and asked if hecould help them locate homelessveterans, he was happy to lend ahand. “They gave me a full kit withsample questionnaires and privacyinformation I used it with the vetsin encouraging them to cooperate,”said Melka.Just as the census information isused to direct federal funds to needycommunities, the count also directlyaffects the level of services availablefor homeless veterans. “Once thecensus is available online, we use theinformation to justify and supportgrant applications, because it showswhat and where the needs are — itcreates a bottom-up synergy,” addedMelka.The 1990 census reported anational mail response rate of only 65percent. Census 2000 may helpdetermine your future, so don’tthrow it away.If you need help filling out thequestionnaire, call the toll-freenumber on the bottom right of theform, or visit a QuestionnaireAssistance Center in your community. National Partnership Council Announces Logo Contest WinnerIn the August 1999 issue ofVAnguard, the VA NationalPartnership Council (VANPC)announced that it was sponsoringa logo contest open to all VAemployees and their families.Prospective entrants wereinvited to design a symbol for theVANPC that would reflect its“diversity, creativity and commitment to positive change.” Aspecial VANPC panel reviewedthe more than 100 entries, andselected the design of JohnMarkowski, visual informationspecialist at the Cleveland VAMedical Center.March 2000Markowski,a Vietnamveteran, hasbeen employedat the ClevelandVAMC for 15Markowskiyears. “Ifind myemployment with VA very rewarding,” he said, “and feel proud to be apart of this organization helpingveterans.” His design features fivestars representing the VANPC’sfive years of existence; the starsalso represent the five majoremployee unions. He chose thecolors (red, white and blue) toreflect the U.S. flag. The designsymbolizes a highway to thefuture, and the wording “Labor& Management for Veterans”captures the mission of theVANPC. Markowskireceived a 500 awardfrom the Council and aninvitation to attend the VANPC’snext quarterly meeting. 7

San Diego’s PaintFest 2000A Brush with Inspiration and Teamworkfacility nothing but is having about us. We’d love to be allowedinto other sites and paint with theirpriceless benefits already aspatients and volunteers,” he added.patients and staff walkingdown the halls can’t help but “As a group, we can help set thestandard to change the way hospitalssmile. Sponsored by thelook and think around the world.”local La Jolla Sunrise RotaryOften seen drawing on a wall orand the Foundation forat a huge table filled with piles ofHospital Art, the VA siteceiling tiles, Feight works by outlinwas selected out of all theing all the designs in black markerhospitals in the area. Thefirst. Then patients, volunteers andRotary Club, living up to itsstaff paint them — no previous artmotto “Service Above Self,”experience necessary.single-handedly raised theIn San Diego, a pile of ceiling tiles 15,000 needed to sponsorin various stages of completion, allthe event.pictures of butterflies in a rainbow ofThe Foundation forcolors, lined the floor, tables andHospital Art is the creationwalls of the multipurpose room.of international artist JohnWhen completed, the tiles wereFeight. Without Feight, theplaced into the ceilings of the spinalwalls and ceiling tilescord injury unit, the MRI area,throughout the San Diegopatient bedrooms and other placesmedical center, as well asmore than 700 hospitals and where patients and visitors gather.Asked why he chose butterflies forcommunity institutions inceiling tiles, Feight simply replied,88 countries, would still be“Butterflies represent hope.”blank. Feight, a formerClearly, patients at the VA Sanadvertising and marketingDiego Healthcare System enjoyedprofessional, sees paintingArtist and founder of the Foundation for Hospital Art,themselves amid walls of murals,hospitals as a way to touchJohn Feight, outlines butterflies on ceiling tiles.the lives of patientsand bring a positivelight to their pain.an Diego VA HealthcareHis philosophy is that art canSystem Director Gary Rossiolooked and sounded every bit relieve stress and givecomfort to those who are ill.the polished hospita

By Matt Bristol. March 2000 3 Outlook Joan Furey Director, Center for Women Veterans New Programs Will Help Homeless Women Veterans Throughout the year, hundreds of thousands of our fellow Americans have . books to the Senate and House Committees on Veterans’ Affairs — .

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