WASHINGTON

This Veterans Day, advocacy groups are using the occasion to press Congress and the Department of Veterans Affairs on a persistent gap: the care and recognition of traumatic brain injuries among veterans of Iraq and Afghanistan.

TBI became a hallmark wound of the post-9/11 wars, particularly in Iraq and Afghanistan, where improvised explosive devices detonated with such force they caused brain damage even without direct head impact. The injury can range from mild concussions to severe damage, and symptoms include chronic headaches, memory problems, mood disorders and cognitive difficulties—often invisible to the naked eye.

The stakes are concrete: veterans with TBI struggle to hold jobs, maintain relationships and facing the transition to civilian life. As the generation ages, neurological effects can worsen, compounding other health issues.

The VA has expanded its TBI programs in recent years, but advocates say public understanding remains shallow and funding remains insufficient. They point to Congress as the lever: without sustained appropriations and legislative attention, programs stall and service members fall through cracks.

"These are not just statistics," said one advocate working on Capitol Hill to raise the profile of TBI in the coming budget cycle. The challenge, advocates say, is that brain injuries lack the visibility of amputations or other physical wounds—which means politicians and the public are slower to fund them.