If you understand how physicians operate, you go to see your doctor for your medical--and you're a woman, so I know you actually will show up, as opposed to most of your colleagues here. You tell your doctor the issues that are important for you to put forward. Your doctor is still going to screen you for cardiac disease if you're at the right age. If you're a female, he or she is still going to say to you, “When was your last pap? Should we do that while you're here? Are you due for a mammogram?”
There are a number of things we're going to screen for. That includes mental health. However, people are very good at presenting the picture they want to present. No screening system is completely infallible. Mental health, due to the nature of it, is particularly difficult to screen, but we do actively screen for it.
However, if someone has identified themselves--or we have identified them or their chain of command has identified them--and is undergoing treatment, we have a system within the military to label that person as unfit for deployment until they have completed treatment. Our goal always, whether it's a physical injury or a mental injury, is to return the soldier to full duty. Failing that, it's to make him function as well as he can before he moves on to a civilian position.
We are constantly screening in our offices when we do our periodic health assessments, or when the patient shows up with back pain that in fact is a manifestation of severe mental distress. No, it's not infallible. We do miss people. It is easier if they self-report.