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World War I had the greatest impact on NCO's. After a year of heavy  casualties, the United States had run out of trained NCO's. This  lack of leadership in the enlisted ranâ¦ks took its toll, with an  extremely high casualty rate that gave General Pershing cause for  alarm.
In 2008, the Rand Corporation released a report specifically about the military personnel deployed to Iraq and Afghanistan. It put the economic impact of PTSD, including medical care, productivity and suicides at $4 billion to $6 billion over two years. These numbers are growing every day.