Your donation to the Vietnam Veterans Memorial Fund will help expand our mission to honor, educate and heal. Veterans and their survivors are still fighting the VA over their exposure to Americas notorious chemical weaponand the latest lethal conditions theyre confronting. They quickly filed paperwork with the Department of Veterans Affairs, or VA, for disability payments. to the chemical defoliant Agent Orange during his time as a helicopter crew chief in Vietnam. that focused on Korean veterans of the Vietnam War (South Korea sent around 300,000 troops to the fight alongside the United States.) Several other diseases bladder cancer, hypothyroidism, hypertensionandParkinsons-like symptomshave been under consideration to be added to the list. Finally, we invite you to contact us and we welcome your calls, letters and electronic mail. Our staff offers a free case evaluation. His cause of death was glioblastoma, a lethal brain cancer that is not on the VAs list of presumptive diseases, but is being diagnosed at an evidently accelerated rate in the past few years among Vietnam veterans who were exposed to Agent Orange. But its only the first step.. Its a long time coming. You can also enroll at any time during this period and get any care you need, but you may owe a copay for some care.At least one of these must be true of your active-duty service: We encourage you to enroll now so we can provide any care you may need now or in the future. Hypertension and bladder cancer are two examples of diseases the academy listed in its 2016 report as having some research suggesting a link with service exposure, but which the VA has thus far not added. Please remember, though, that the English language version is considered the most accurate. Survivor benefits can be higher depending on their situation, including whether they need a caregiver to assist them with everyday activities like bathing and dressing. We encourage you to apply, no matter your separation date. After he died, I only got survivor benefits from Social Security, $500 a month. In 1990, Zumwalt was then-Secretary of the VA Ed Derwinskis special assistant. The gathering was part of the National Academies effort to determine if it should recommend any additions to the Department of Veterans Affairs list of presumptive diseases caused by exposure to Agent Orange, the toxic herbicide used by the Department of Defense during the Vietnam War. If you served in any of these locations and time periods, weve determined that you had exposure to burn pits or other toxins. Although the 2016 study said the link between Agent Orange exposure and esophageal cancer was, cient, the report did still acknowledge research that suggested a connection between the two. The Reagan White House wanted to cut funding for veterans centers and Agent Orange epidemiological studies that had begun under Max Cleland and Jimmy Carter, said Hagel, who from that era to now has been widely lauded as a champion for veterans. Please understand that, while your loved one's memory and service will be Scarlett said those numbers are misleading because the majority of the hundreds of glioblastoma-related claims submitted to the VA she knows of are not for disability benefitsthey are survivor-benefit claims. I would like to try to find a way where we can resolve that issue for them, rather than make them continue to wait, Shulkin said. Who is reviewing these claims?. These cookies allow the website to remember choices you make to give you better functionality and personal features. He died of throat cancer, caused by Agent Orange. Her husband, Frank Josenhans, spent six years in the waters off of Vietnam as a Navy diver. Any man or woman thats served who walks into the VA should be taken care of.. Though most veterans are aware of the toxic nature of Agent Orange, an herbicide used to clear foliage in Vietnam, not everyone has kept track as the U.S. Department of Veterans Affairs has expanded a list of diseases that make it easier to qualify for benefits. Im pleased to see the House Veterans Affairs Committee approve the legislation, Yates said. Most of them are deceased. Have you been affected by Camp Lejeune water contamination? In the event of a disagreement or discrepancy between the translation and the original English version of this web site or any notice or disclaimer, the original version will prevail. To see all the honorees, please visit theIn MemoryHonor Roll. While the VA acknowledges a link between exposure to Agent Orange and cancers such as Hodgkins disease, multiple myeloma and non-Hodgkins lymphoma, it says the evidence isnt there for esophageal cancer and 34 other diseases that Vietnam veterans have sought to have added to the list of recognized, service-related illnesses. However, any veteran who served in Vietnam between January 9, 1962, and May 7, 1975, is presumed by the VA to have been exposed to Agent Orange. Sitting with Meghan and Erin on the back wall Pete built from stones he collected over the years, Kate reflected on the journey so far and her hope for the future. The same applies to veterans who served in or near the Korean demilitarized zone between 1968 and 1971. Many Vietnam veterans and their survivors may be missing out on substantial payments they are entitled to receive as a result of exposure to Agent Orange, veterans advocates say. You can also call the Agent Orange Help Line at 1-800-749-8387 or send an e-mail to GW/AOHelpline@vba.va.gov. The disease moved swiftly. This "presumptive policy" simplifies the process for receiving compensation for these diseases since VA foregoes the normal requirements of proving that an illness began during or was worsened by your military service. But then Navy Admiral Elmo Zumwalt, who had personally ordered the use of Agent Orange in Vietnam, delivered a report to the VA in 1990 arguing that the chemical was dangerous to everyone exposed to it and that the government knew of the risks as far back as the 1960s. Learn About CCK's Partnership with DAV and Harvard Law School, - Learn About CCK's Partnership with DAV and Harvard Law School, BREAKING NEWS: Court Rules Blue Water Navy Veterans Should Be Eligible for Agent Orange Presumption, Blue Water Navy Veterans Update June 2019, Respiratory Cancers (cancers of the lung, larynx, trachea, and bronchus). fit the Department of Defense parameters for inclusion on the Vietnam Veterans Memorial (The Wall). WebIt is unknown how many veterans have and are currently suffering from the effects of Agent Orange, as it was not tracked by the US Government for decades. CCK Recognized for Donations to American Veterans Disabled For Life Memorial, CCK Successfully Argues for a Precedential Decision About Protected Work Environment, A Day in the Life of a Paralegal (Claims Advocate) at CCK. Without these cookies, services you have asked for cannot be provided. From 1962 to 1971, the U.S. Air Force sprayed nearly 19 million gallons of herbicides in Vietnam, of which at least 11 million gallons was Agent Or Joe Moore, a former VA attorney and founding partner of Bergmann & Moore, which has successfully handled disability appeals for hundreds of veterans who were exposed to Agent Orange and other toxins during their service, said the House decision on the Blue Water Navy is a positive sign. No doubt. Stichman says his organization helped an Alabama widow persuade the VA to pay her $247,508 in retroactive benefits. So why is every veteran and widow who files a disability or survivor claim forced to re-litigate the issue?. to the list in a request to OMB last fall, but the agency was still looking at data and reviewing financial estimates. We get by with Social Security and the compensation and substitute teaching.. He served for nearly three years, including 11 months as a helicopter crew chief in Vietnam. In 1966 they told me, We will always take care of you, said Kaderlik. This month, the House Veterans Affairs Committee approved legislation to extend Agent Orange-related benefits to the Blue Water Navy. Until the late 1980s, the federal government claimed that the connection between the defoliant and the diseases veterans were developing was questionable at best. Cashour said Veterans Affairs does not track specific statistics on how many widows are receiving survivor benefits related to glioblastoma., Scarlett argues that makes no sense, and noted that when a Vietnam veteran with glioblastoma dies and the family makes the transition from a disability claim to a death indemnity claim, it is still a glioblastoma and Agent Orange claim. Kate, 66, now lives alone with her dog, Cabernet. 988 (Press 1). The PACT Act is a new law that expands VA health care and benefits for Veterans exposed to burn pits, Agent Orange, and other toxic substances. Note:If we denied your claim in the past and we think you may be eligible now, well try to contact you. This change expands benefits for Gulf War era and post-9/11 Veterans. "I had a close friend who died a five years ago from lymphoma and he's laying in Minot, he's from Minot, dying and he says, "you know we all took a bullet over there, some of us just didn't know it. Michael Wildhaber, a longtime veterans law attorney who represents Blue Water Navy sailors, said the legislation is likely to pass but there could be a snag because the legislation specifies that these veterans must have been in Vietnams territorial seas, which is ambiguous. There are 430 confirmed Vietnam veterans with glioblastoma now in Scarletts database. DeLeos opinion could help Kates case, however. The VA has no idea how many people are actually being diagnosed.. The plaque on the grounds of the Vietnam Veterans Memorial site in Washington, D.C. that honors these veterans was dedicated in 2004 and reads:In Memory of the men and women who served in the Vietnam War and later died as a result of their service. On the 60th anniversary of the first use of Agent Orange in Vietnam, we bring you a couple of personal stories from people whose lives are still marked by the use of this deadly toxin. On the anniversary of Petes death last month, Kate and her daughters gathered at the family home. Since then he says he's made a vow to raise awareness. The Vietnam Veterans Memorial Funds (VVMF) In Memoryprogram honors those who returned home from Vietnam and later died. Kathy Josenhans, who spoke along with Scarlett at the National Academies meeting, is both a Blue Water Navy widow and a glioblastoma widow. But the VA has On August 10, 2022 Agent Orange Awareness Day we will bring light to the continuing dark toll of the war. In late March, the Pittsfield Veterans Services and the local Vietnam Veterans of America chapter held an open meeting for veterans in western Massachusetts who have questions about Agent Orange exposure and navigating the VA bureaucracy. The NAS has no mandate power over Veterans Affairs. FSGLI: Family Servicemembers Group Life Insurance, Schedule of Payments for Traumatic Losses, S-DVI: Service-Disabled Veterans Life Insurance, Beneficiary Financial Counseling and Online Will, Lesbian Gay, Bisexual & Transgender Veterans, U.S. Navy and Coast Guard ships that operated in Vietnam, diseases VA presumes are associated with exposure to Agent Orange or other herbicides, Claims Adjudication Procedures Manual/Live Manual, Link to subscribe to receive email notice of changes to the Live Manual, In Vietnam anytime between January 9, 1962 and May 7, 1975, including brief, In or near the Korean demilitarized zone anytime between April 1, 1968 and August 31, 1971, Veterans who served on or near the perimeters of, Veterans who served where herbicides were, Veterans associated with Department of Defense (DoD), A medical diagnosis of a disease which VA recognizes as being associated with Agent Orange (listed above), service in Vietnam or at or near the Korean demilitarized zone during the dates shown above, or. By Haley FosterValley News Live Pete met his future wife, then Kate Kane, after returning home to Berkshire County in rural western Massachusetts. There are 14 diseases now presumed by the VA to be caused by Agent Orange exposure. Pete Naylor was born on March 18, 1947, and enlisted in the Army in July 1968, at age 21. She sees the research noted in the National Academys last report as an encouraging sign that the science may eventually come down on their side. There are also other locations where we presume that you had exposure to radiation. Before Peter died, and after Peter died, he was my first thought in the morning and my last thought at night, said Kate, tearing up. Your eligibility depends on your service history and other factors. Disclaimer: This information is not legal advice. All information these cookies collect is aggregated and therefore anonymous. Before they would even have a chance of receiving disability or survivor benefits, veterans and their family members must prove that the glioblastoma was at least as likely as not to be caused by Agent Orange exposure. Weve added these 3 new response efforts to the list of presumptive locations: If you took part in any of these efforts, well automatically assume (or presume) that you had exposure to radiation. To get a VA disability rating, your disability must connect to your military service. He was diagnosed just after the new year, in early January 2015. WebHow many Vietnam veterans had Agent Orange? So, were going to have sit down and do what we think is right for these veterans.. The employees and the company gave a total of $1,500 dollars to this cause. These conditions include certain cancers, type 2 diabetes, and other illnesses. In 1979, a class action lawsuit was filed on behalf of 2.4 million veterans who were exposed to Agent Orange during their service in Vietnam.. How many died from Agent Orange? The PACT Act adds to the list of health conditions that we assume (or presume) are caused by exposure to these substances. Veterans Crisis Line:
The total goes up every day. The total number of is estimated at 2.8 million US veterans who were exposed to the poisonous chemical while serving a One way for veterans to get started if theyve never explored a link between their medical ailments and Agent Orange is to see if they qualify for afree Agent Orange exam. Well review your case again. This means well pay you the amount you would have received from August 10, 2022, to the date we grant your application. A review of Petes service records confirms the exposure to the defoliant. About 40 people showed up to hear the speakers. Zumwalts son, also named Elmo, died of lymphoma and Hodgkins disease in 1988. The mission of the Vietnam Veterans Memorial Fund (VVMF) is to honor and preserve the legacy of service and educate all generations about the impact of the Vietnam War. "Its amazing how many Vietnam veterans don't know about it and you know it's really opened the eyes, I gotta thank the North Dakota legislature because two years ago they had enough faith in us to go out and do what we're doing and it's working," said Stenvold. If you are interested in obtaining orange, battery-operated candles, feel free to visit www.100candles.com to order them. A Veteran who believes he or she has a disease caused by Agent Orange exposure that is not one of the conditions listed below must show an actual connection between the disease and herbicide exposure during military service. Stichmanat NVLSP estimates that tens of thousands of survivors are unaware they are eligible for benefits because their spouses had diseases that the VA linked to Agent Orange only after their death. Until the 1990s, the government recognized only one ailment a skin condition called chloracne as being linked to Agent Orange. The Vietnam War may be over, but the battle continues for many Vietnam veterans. Free online workshop! return to top Health Care 877-222-8387 Benefits 800-827-1000 TDD (Hearing Impaired) 800-829-4833 WebVietnam Veterans Memorial Fund. WebVietnam War Veterans health issues. In addition, VA has determined there is evidence of exposure to Agent Orange for Air Force and Air Force Reserve members who served during the period 1969 through 1986 and regularly and repeatedly operated, maintained, or served onboard C-123 aircraft (known to have been used to spray an herbicide agent during the Vietnam era). He also received a large lump sum payment compensating him retroactively to his first diagnosis with ischemic heart disease. The problem, veterans advocates say, is that veterans dont necessarily make the connection between a disease they have had for years and the expanded Agent Orange list. Do You Qualify for Long Term Disability Benefits? The idea reportedly has bipartisan support in the Senate, too. We have updated our Privacy Policy. In 1979, a class action lawsuit was filed on behalf of 2.4 million veterans who were exposed to Agent Orange during their Veterans who are not enrolled and who meet eligibility requirements will have an opportunity to enroll and receive the screening. It can only advise the department, which hastaken decades to acknowledge how harmful TCDD, the dioxin in Agent Orange, really is. Part of HuffPost Politics. Even when such records do exist, it is extremely hard for the average veteran to track them down, Moore said. You can view the current Compensation Rate Tables to determine the amount you may receive. Together, we can make sure our heroes will get the reverence they deserve and the stories and sacrifices of our heroes will never be forgotten. When you visit web sites, they may store or retrieve data in your web browser. He was 76 years old and had recently had Covid and pneumonia. Since the end of the Vietnam War, veterans have reported numerous health effects. But over the years, the VA list of medical conditions associated with Agent Orange has grown to more than a dozen, including some that are much more prevalent. There shouldnt be a category for you to get help, said Kaderlik. Curt Cashour, press secretary of the VA, told The Daily Beast the agency relies on medical evidence from internationally recognized scientific authorities, as well as its own independent review of the latest science, to make its determination on Agent Orange-related claims from veterans and their families. In 1986, the group helped bring the case of Beverly Nehmer, the widow of a veteran who died of an Agent Orange-related disease, to court in what later became a class action suit on behalf of all Vietnam veterans. Roughly 300-thousand veterans have died from Agent Orange exposure -- that's almost five times as many as the 58-thousand who died in combat. To find out more, view our Privacy Policy. Pete, a stone mason who lived in Housatonic, Massachusetts, began having difficulty swallowing in the fall of 2014. Get a list of other Agent Orange presumptive conditions. But since then, thousands of Vietnam veterans have fought illnesses related to Agent Orange exposure. But VVAs Kaderlik argues that even having a list is too restrictive. Were not wealthy, he says. In the next 24 hours, you will receive an email to confirm your subscription to receive emails But there are also many other health conditions that we presume are caused by exposure to toxic (or hazardous)materials. The report. not. The veterans lawyers at Chisholm Chisholm & Kilpatrick LTD may be able to help you receive benefits for medical conditions you have suffered as a result of Agent Orange exposure in Vietnam or elsewhere. Did it save lives? These cookies are essential so that you can move around the website and use its features. Get a list of other radiation presumptive locations. And while Pete had been a smoker for 25 years a high risk factor for esophageal cancer he had quit 25 years before his death, and had no history of alcohol use/abuse, another risk factor. Veterans service groups say it can be worth trying to bring such claims even though they can be difficult. 2. Six of the 46 veterans had served in Vietnam, Cashour said. If you apply for benefits at any time in the next year and we grant your application, well likely backdate your benefits to the date of the bill signing. She has reapplied for the spousal benefit six times in the last three years, hoping the VA will reconsider its decision. During the Vietnam War era, the generally accepted definition of territorial seas was three nautical miles offshore. Cookies help us deliver the best experience on our website. Now they have to own up to their responsibility., Sometimes, said Kate, it feels like they just want you to give up.. For one thing, the health risks of Agent Orange exposure were unknown at the time. Although the 2016 study said the link between Agent Orange exposure and esophageal cancer was inadequate or insufficient, the report did still acknowledge research that suggested a connection between the two. More than 5,000 veterans have been added to theIn MemoryHonor Roll since the program began. The VAs resistance to adding diseases to the list of recognized conditions is part of a longstanding government pattern of dismissing soldiers from the Vietnam War, he added. For the Blue Water Navy epidemiologic studies just arent available from everything I can see. There shouldnt be a category for you to get help.. Schumer: Vietnam vets should get health care benefits for Agent Orange-linked conditions. Being on her own gives Kates quest for compensation added urgency. Why would the U.S. military use a chemical as toxic and deadly as Agent Orange? Cabby was Petes dog, an aging black lab that happily barks and gamely bounds to the door whenever visitors drop by. The Victims of Agent Orange the U.S. Has Never Acknowledged America has never taken responsibility for spraying the herbicide over Laos during the Vietnam War. VA presumes Lou Gehrig's Disease (amyotrophic lateral sclerosis or ALS) diagnosed in all Veterans who had 90 days or more continuous active military service is related to their service, although ALS is not related to Agent Orange exposure. WebAgent Orange was a blend of tactical herbicides the U.S. military sprayed from 1962 to 1971 during the Vietnam War to remove the leaves of trees and other The full name of the law isThe Sergeant First Class (SFC) Heath Robinson Honoring our Promise to Address Comprehensive Toxics (PACT) Act. You can find your regional office on our. Pete was honorably discharged on March 19, 1971. Shamefully, the deception, fraud and political interference that has characterized government-sponsored studies on the health effects of exposure to Agent Orange and/or dioxin has not escaped studies ostensibly conducted by independent reviewers, Zumwalt wrote, a factor that has only further compounded the erroneous conclusions reached by the government., The government could ignore blue-collar veterans, but an admiral was a different story. Petes oncologist, Dr. Michael DeLeo, said in an amended death certificate that he believes his extensive Agent Orange exposure during his time in Vietnam is the only thing could have caused his cancer. Veterans who were exposed to Agent Orange or other herbicides during military service may be eligible for a variety of VA benefits, including disability compensation for diseases associated with exposure. 1. Competent medical evidence that the disease began within the deadline (if any). For instance, which pages you go to most. Nehmer v. Department of Veterans Affairs, which was resolved with a consent decree in 1991, forced the VA to address its responsibilities to veterans exposed to Agent Orange. The providers terms, conditions and policies apply. How Many Vietnam Veterans Have Been Affected by Agent Orange? WebAgent Orange is a chemical herbicide and defoliant, one of the "tactical use" Rainbow Herbicides.It was used by the U.S. military as part of its herbicidal warfare program, Operation Ranch Hand, during the Vietnam War from 1961 to 1971. You were discharged or released between September 11, 2001, and October 1, 2013, You havent enrolled in VA health care before, High blood pressure (also called hypertension), Monoclonal gammopathy of undetermined significance (MGUS), Any U.S. or Royal Thai military base in Thailandfrom January 9, 1962, throughJune 30, 1976, Laos from December 1, 1965, throughSeptember 30, 1969, Cambodia at Mimot or Krek, Kampong Cham Province from April 16, 1969, through April 30, 1969, Guam or American Samoa or in the territorial waters off of Guam or American Samoa from January 9, 1962, through July 31, 1980, Johnston Atoll or on a ship that called at Johnston Atoll from January 1, 1972, through September 30, 1977, Cleanup of the Air ForceB-52 bomber carrying nuclear weapons off the coast of, Response to the fire onboard an Air Force B-52 bomber carrying nuclear weapons near, Open burn pits and otherairborne hazards. For more information about service qualifications and other eligibility criteria, visit our Agent Orange C-123 web page. You may be eligible for these VA benefits as the surviving family member of a Veteran: Exposure to hazardous chemicals and materials, Airborne hazards and open burn pit registry, Environmental health registry evaluation for Veterans, Camp Lejeune water contamination health issues, VA benefits for spouses, dependents, survivors, and family caregivers. Competent medical evidence of a current disability. This information is made available for educational purposes only and to provide general information and a general understanding of the law. I was telling Ashley I know of at least 70 in North Dakota alone where the daughters can't have kids, said Stenvold. Beverly Nehmer, the widow of a veteran who died of an Agent Orange-related disease, to court in what later became a class action suit on behalf of. However, any veteran who served in Vietnam between January 9, 1962, and May 7, It makes it hard. Dewinski commissioned him to research and analyze the available evidence on veterans service-related Agent Orange exposure and illnesses for the report. These cookies are necessary for the website to function and cannot be switched off in our systems. Well start to process PACT Act-related benefits in January 2023. And you can file a claim for PACT Act-related disability compensation or apply for VA health care now. That toxicity is coming back to haunt veterans and it's also affecting their children Well my dad was a Vietnam veteran, my brother has brain cancer believed to be caused by Agent Orange passed through my father, said Ashely Busby, daughter of a Vietnam Vet. David DePodesta, a 69-year-old veteran who lost sight in his right eye due to enemy shrapnel while serving with the Marines in Vietnam in 1969, was fortunate that he did pay attention to the list as it grew. You served your country. The academys 2016 report found that evidence for a link between esophageal cancer and Agent Orange is insufficient.. These conditions are: That being said, you can also receive service connection for a condition not on the above list by supplying medical evidence that your condition was at least as likely as not caused by your exposure to herbicides. The fact is, we needed to know more about Agent Orange then, and we still do., a Facebook page for veterans with glioblastoma. We have had to fight the fight for justice for what happened because of our exposure for a long time now.. DeLeos opinion could help Kates case, however. Its not that I want to be some kind of a trailblazer for this cause, she said, but perhaps it will help or encourage other vets and their families to pursue their claims.. For many health conditions, you need to prove that your service caused your condition. File a claim for disability compensation for conditions related to your military service, and manage your benefits over time. Mike Yates, 68, who served on the USS Bainbridge off the coast of Vietnam from 1971 to 1972, has prostate cancer, which is on the presumptive list. The screening will ask you if you think you were exposed to any of these hazards while serving: Well then give you information about any benefits, registry exams, and clinical resources you may need. How Much Life Insurance Do You Really Need? Well send you a decision notice when we complete our review. The Veterans Health Administration's Public Health website lists these diseases VA presumes are associated with exposure to Agent Orange or other herbicides during military service: If you are seeking service connection for one of the diseases VA presumes is associated with exposure to herbicides during service, VA requires the following: If you believe that you have a disease caused by herbicide exposure, but that disease is not on the list of diseases associated with Agent Orange, you may still apply for service-connection. (See. Why is the VA not tracking this?, When a widow in her group prepares a claim, Scarlett said, We make sure they include the same studies, the nexus letters, the statements of where the veteran served, so that the claims are consistent. Depends on which Veteran you ask When this man was 18 he left his farm to push a bicycle loaded with 600 pound of rice, his personal weapon and 30 You, said Kaderlik during the Vietnam War ( South Korea sent around 300,000 troops the. Honor, educate and heal company gave a total of $ 1,500 to! Veterans Memorial Fund, hypertensionandParkinsons-like symptomshave been under consideration to be added to the in! Ashley I know of at least 70 in North Dakota alone where the daughters ca n't kids... Matter your separation date six times in the last three years, hoping the VA has no power! However, any veteran who served in Vietnam between January 9, 1962, and manage your over... The 46 veterans had served in any of these locations and time periods, weve determined that had. Have you been affected by Agent Orange years in the fall of 2014 they told me, will..., a stone mason who lived in Housatonic, Massachusetts, began difficulty... 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Schumer: Vietnam vets should get health care benefits for Agent Orange-linked conditions locations time! This cause him to research and analyze the available evidence on veterans service-related Orange... Who files a disability or survivor claim forced to re-litigate the issue? diseases now presumed by VA... Dog, an aging black lab that happily barks and gamely bounds the! Her dog, an aging black lab that happily barks and gamely bounds to chemical... Category for you to get a list of other Agent Orange exposure 19, 1971 lump payment... Who files a disability or survivor claim forced to re-litigate the issue? was Petes dog,.! Contact you a list of other Agent Orange is insufficient disability must connect to your military service, and eligibility. Moore said War may be eligible now, well try to contact you Camp Lejeune Water contamination, died throat... Conditions include certain cancers, type 2 diabetes, and other factors going to have sit down and what... 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