Department of Veterans Affairs

In the 19th century, the federal government left the manufacture and distribution of prosthetic limbs for disabled Veterans to private enterprise. The experience of fighting two world wars in the first half of the 20th century led to a reversal in this policy.

In the interwar era, first the Veterans Bureau and then the Veterans Administration assumed responsibility for providing replacement limbs and medical care to Veterans.

In recent decades, another federal agency, the Defense Advanced Research Project Agency (DARPA), has joined VA as a supporter of cutting-edge research into artificial limb technology. DARPA’s efforts were spurred by the spike in traumatic injuries resulting from the emergence of improvised explosive devices as the insurgent’s weapon of choice in Iraq in 2003-04.

Out of that effort came the LUKE/DEKA prosthetic limb, named after the main character from "Star Wars."

American prisoners of war from World War II, Korea, and Vietnam faced starvation, torture, forced labor, and other abuses at the hands of their captors. For those that returned home, their experiences in captivity often had long-lasting impacts on their physical and mental health. Over the decades, the U.S. government sought to address their specific needs through legislation conferring special benefits on former prisoners of war.

In 1978, five years after the United States withdrew the last of its combat troops from South Vietnam, Congress mandated VA carry out a thorough study of the disability and medical needs of former prisoners of war. In consultation with the Secretary of Defense, VA completed the study in 14 months and published its findings in early 1980. Like previous investigations in the 1950s, the study confirmed that former prisoners of war had higher rates of service-connected disabilities.

Basketball is one of the most popular sports in the nation. However, for paraplegic Veterans after World War II it was impossible with the current equipment and wheelchairs at the time. While VA offered these Veterans a healthy dose of physical and occupational therapy as well as vocational training, patients craved something more. They wanted to return to the sports, like basketball, that they had grown up playing. Their wheelchairs, which were incredibly bulky and commonly weighed over 100 pounds limited play.

However, the revolutionary wheelchair design created in the late 1930s solved that problem. Their chairs featured lightweight aircraft tubing, rear wheels that were easy to propel, and front casters for pivoting. Weighing in at around 45 pounds, the sleek wheelchairs were ideal for sports, especially basketball with its smooth and flat playing surface. The mobility of paraplegic Veterans drastically increased as they mastered the use of the chair, and they soon began to roll themselves into VA hospital gyms to shoot baskets and play pickup games. 

After the Vietnam War, the nation was eager to put the divisive and unpopular conflict behind it. However, the 3.4 million Veterans who served in the Vietnam theater did not have that luxury. One of those Veterans was Max Cleland who lost his legs in the war. He made it a mission to advocate for his fellow Veterans, who struggled with the aftereffects of the war. Eventually, this led to Cleland turning to politics and at 34 being appointed as the youngest Administrator for the Veterans Administration.

During his tenure at VA, Cleland delivered on his goal of providing readily accessible mental health and readjustment counseling designed expressly for Vietnam Veterans. In 1979, VA launched an initiative called Operation Outreach to establish community-based Vet Centers across the country. In one year there were 91 Vet Centers. Today there are over 300.

The Congressional Medal of Honor is the nation’s highest decoration for valor in the military. More than 1,000 have been awarded, and 98 of those recipients worked at VA. A wall display outside VA's Under Secretary for Benefits in Washington, D.C. pays tribute to each of those individuals, whose stories are tied to the legacy of Veterans serving Veterans.

On November 10, 1987, President Ronald W. Reagan declared he would support legislation elevating the Veterans Administration to a cabinet department, creating the Department of Veterans Affairs. The news caught his advisors off-guard.

Dr. Andrew Schally was born in Poland, and through early struggles under German occupation during World War II, started a journey as a medical researcher that would take him to VA and groundbreaking research on hormones. In this feature by VA History intern Parker Beverly, follow along Dr. Schally's career as his medical research was recognized in 1977 with the Nobel Prize.