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Amid the barrage of coverage of Specialist Ivan Lopez's shooting spree at Fort Hood, evidence that has been in plain sight for years of how the violence of America’s distant wars comes back to haunt the "homeland" was missing. In that context, Lopez’s killings are one more marker on a bloody trail of death that leads from Iraq and Afghanistan into the American heartland.

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In 2010, I began to follow U.S. soldiers from the battle spaces of Afghanistan to the emergency room of the trauma hospital at Bagram Air Base, where their catastrophic wounds were surgically treated and their condition stabilized. Then I accompanied some of them by cargo plane to Ramstein Air Base in Germany for more surgeries.

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The last time I saw American soldiers in Afghanistan, they were silent. Knocked out by gunfire and explosions that left them grievously injured, as well as drugs, they were carried from medevac helicopters into a base hospital to be plugged into machines that would measure how much life they had left to save. They were bloody. They were missing pieces of themselves. They were quiet.

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