Pilot program may overhaul treatment of veterans  The influx of
wounded troops from Afghanistan and Iraq has burst the seams of
the military health care system.  The much-publicized scandal in
2007 at Walter Reed Army Medical Center, which kick-started
reforms, has proved to be only the tip of a large and ugly
iceberg.  The problem is not just about organizations and
processes, but about mind-sets.  Although most people in the
Defense Department go above and beyond to take care of their
wounded, others can still lapse into an attitude of "shut up,
shape up, and soldier on"--especially toward those troops who
suffer subtle but deeply disabling mental problems rather than
obvious physical wounds. Yet it is precisely the hard-to-
diagnosis cases of post-traumatic stress disorder and "mild"
traumatic brain injury that have become the distinctive injuries
of this war.  This fall, however, the departments of Defense and
Veterans Affairs will decide whether to expand a pilot program
that has the potential to dramatic