By Krissah Thompson, Published: April 10

They are all in their 80s now — these former POWs during the Korean War.

One recalls in rapid-fire bursts how Father Emil Kapaun sneaked out of the barracks at night, risking his life to bring back morsels of food for his fellow prisoners.

Another remembers seeing the young American priest use a rock and a piece of metal to form a pan and then collect water to wash the hands and faces of the wounded.

A third chokes up when he tells of being injured and having an enemy soldier standing over him, rifle pointed; Kapaun walked up, pushed aside the muzzle and carried off the wounded man.

The military chaplain did not carry a gun or grenades. He did not storm hills or take beaches. He picked lice off of men too weak to do it themselves and stole grain from the Korean and Chinese guards who took the American soldiers as prisoners of war in late 1950.

Kapaun did not survive the prisoner camps, dying in Pyoktong in 1951. The man originally from tiny Pilsen, Kan., has been declared a “servant of God” — often a precursor to sainthood in the Catholic Church. And on Thursday, President Obama will posthumously award Kapaun a Medal of Honor. On hand will be Mike Dowe, 85; Robert Wood, 86; and Herbert Miller, 86.

“People had lost a great deal of their civility,” Wood says of life in the POW compound. “We were stacking the bodies outside where they were frozen like cordwood and here is this one man — in all of this chaos — who has kept . . . principles.”

Kapaun (pronounced Ka-PAWN) was so beloved that U.S. prisoners of war who knew him began calling for him to receive the military’s highest honor on the day they were released from their North Korean POW camp 60 years ago.

“The first prisoners out of that camp are carrying a wooden crucifix, and they tell the story at length,” says Roy Wenzel, a reporter at the Wichita Eagle who wrote an eight-part series and a book about Kapaun. “He was internationally famous and made the front page of newspapers.”

But Kapaun’s story soon faded from all but the memories of the men whom he served and the small church in rural Kansas that he had pastored.

“POWs come and tell stories of him,” said Father John Hotze, who serves in Wichita, an hour south of Kapaun’s home town. “They talked about how they would never have been able to survive had it not been for Father Kapaun, who gave them hope and the courage to live.”

In the heart of the battle

In the memories of his comrades, the chaplain is stuck in time, 34 years old and slight, with an angular chin that jutted out from the helmet he wore pushed down over his ears. At the sound of gunfire, GIs saw Kapaun heading in the direction of front-line troops in the 3rd Battalion, 8th Cavalry, on an old bicycle, his only form of transportation after his Jeep was lost.

He spoke with a Midwestern lilt and shared the lessons he learned on the 80-acre central Kansas farm where he was raised in a community of Czech immigrants. Family members recall a story Kapaun’s mother loved to tell involving her son, an old bonnet and a cow. It was usually her chore to milk the family’s only cow — but on this day it fell to young Emil. The cow kicked and fidgeted and wouldn’t let him get near. That is, until Emil went back into the farmhouse and put on one of his mother’s bonnets and a dress. He walked back to the barn, mimicking his mother’s walk. The cow obliged, and the chore got done.

Kapaun grew up to be a quiet man and was ordained a priest when he was 24.

Soon after the news broke in the summer of 1950 that North Korea had invaded the Republic of Korea, Kapaun was among the 300,000 U.S. servicemen called to war. He was initially sent to the fighting on the Pusan perimeter and marched north with the troops, celebrating Mass from the hood of his Jeep.

Two months after the war began, Kapaun was awarded a Bronze Star for running through enemy fire to drag wounded soldiers to safety. It was a brutal conflict with little information getting through to troops on the ground, some of whom did not know that the Chinese military had entered the war alongside North Korea.

“The Army was in terrible shape,” Wood said. “Our weapons didn’t work. Our men weren’t physically conditioned. We had malaria and dysentery. Father Kapaun was a constant example.”

On the front lines, the priest would “drop in a shallow hole beside a nervous rifleman, crack a joke or two, hand him a peach, say a little prayer with him and move on to the next hole,” Dowe recalled.

On Nov. 2, 1950, the 8th Cavalry was encircled by Chinese and North Korean troops at Unsan. The men had thought they would be home by Christmas. They did not have winter clothes, Wood said. Now they were prisoners.

On that day, Kapaun performed an act of heroism commemorated in a bronze sculpture that stands in front of the church in Pilsen. The other man in the statue, which depicts Kapaun helping a wounded soldier, is Herbert Miller.

Miller, a platoon leader, found himself standing under a small bridge in a dry creek encircled by enemy troops on a dark night.

“You could reach right out and touch them. The bullets was flying,” Miller recalled in an interview. “I moved 30 feet and I got hit with a hand grenade.”

The blast broke Miller’s ankle; he lay in the ditch until daylight, unable to escape. When he saw enemy troops coming up the nearby mountain, he tried to hide by pulling the body of a Korean soldier on top of him. But he was spotted and soon found himself being held at gunpoint.

“About that time, I saw this soldier coming across the road. He pushed that man’s rifle aside and he picked me up,” Miller said.

For a time, Kapaun carried Miller on his back.

That was the first time he met Kapaun. Both men began what would become known as the Tiger Death March, a trek of more than 80 miles to the North Korean POW camp.

‘The good thief’

Entering the camp in winter, when temperatures dipped below freezing, was brutal, Dowe, Miller and Wood recall. Each day, the men were fed a few grams of cracked grain that looked like birdseed. The soldiers were packed into such small quarters that they had to sleep on their sides so that everyone could lie down. There was more room by spring because so many did not survive the winter.

“We were at the point where if you decided you weren’t going to hack it anymore, the guys would say, ‘Don’t bother me in the morning.’ And you’d go to wake them up in the morning and they were dead,” Wood said. “You get your body reduced to a certain level and it doesn’t take much to snuff out the spark.”

Kapaun pressed on, trading his watch for a blanket, which he cut up to make socks for men whose feet were freezing. He told jokes and said prayers and gave his food away.

He earned the wartime nickname “the good thief” because of his ability to steal food for atrophic soldiers after he and others were captured.

“It was obvious, Father said, that we must either steal food or slowly starve. . . . So, standing before us all, he said a prayer to St. Dismas, the Good Thief, who was crucified at the right hand of Jesus, asking for his aid,” Dowe wrote in the Saturday Evening Post 59 years ago. “I’ll never doubt the power of prayer again. Father, it seemed, could not fail.”

Kapaun took ill himself, recovering from bouts of sickness before getting weak again. The camp guards noticed and ordered the chaplain to an isolated room they called “the hospital.” The U.S. servicemen called it the dying room.

“They said in no uncertain terms he was going,” Wood said, recalling the protests from the POWs. “They wanted volunteers to carry him up there. I was one of those who carried him up there.”

Unable to walk, Kapaun reassured the soldiers that he was going to a better place. Wood remembers that the priest then turned to the guards and said, “Forgive them, oh Lord, for they know not what they do.”

Kapaun died days later, on May 23, 1951, at age 35, one of the more than 40,000 U.S. servicemen who died or were declared missing in what some came to call “the Forgotten War.”

Delayed recognition

Emil Kapaun’s nephew Ray Kapaun, 56, will accept the Medal of Honor on his uncle’s behalf. Ray has heard about the push to have his uncle awarded the medal since he was a child. It was in the past few years that the military’s leadership investigated the stories told by surviving POWs. Typically, medals must be awarded within two years of the acts of valor, but lawmakers from Kansas shepherded legislation that waived that requirement.

“It has taken a long time, but the flame of the Korean War just can’t be extinguished, and this is an outstanding example of that,” said Sen. Pat Roberts (R-Kan.), one of the lawmakers involved in the decades-long effort. Obama, who has relatives from Kansas, signed the legislation this year.

Ray Kapaun has watched aged men’s eyes fill with tears as they spoke of his uncle’s role in their lives. Ray’s middle name is Emil, and he sometimes wonders whether he’s worthy of it.

“I look at my life and then you look and see what Father Emil did by just being who he was,” Kapaun said. “The reality of it is so hard to put your hands around, just hard to describe.”

 
 
Doctors and nurses were preparing Kathleen Hynes for a stem-cell transplant at Long Island's North Shore University Hospital last June when she asked them to page another member of the medical team—hospital chaplain Kimberli Lile.

There is growing evidence that many patients with major illness have better outcomes when hospital care is combined with spiritual care. Laura Landro has details on Lunch Break.

Ms. Hynes, a 53-year old cancer patient, wanted the chaplain to bless the cells before they were administered intravenously.

Hospital chaplains have long been a source of comfort and succor for patients facing daunting illness.

Chaplains are seeking bigger roles in hospitals and in some cases joining the medical-care team, as new research shows positive spiritual guidance and discussion can help improve a patient's medical outcome.

Some hospitals are giving patients questionnaires upon admittance to identify who may benefit most from chaplain referrals.

Chaplains, of course, may still pray with patients regardless of denomination, help families make difficult end-of-life decisions or simply offer a sympathetic ear.

As interest rises in the links between religion, spirituality and health, there is a new push to establish chaplaincy in the medical mainstream and apply more rigorous scientific research. The Association of Professional Chaplains, which certifies health-care chaplains, issued its first standards for practice in 2009, including the requirement that chaplains document their work in patient medical records and stay abreast of new research.

Medical schools are adding courses on spirituality and health, and training residents to consider patients' spiritual needs. Some two-thirds of U.S. hospitals provide chaplaincy services; others rely on local clergy and lay volunteers.

Studies indicate as many as 40% of patients with serious illnesses like cancer struggle with spiritual concerns, which can harm emotional and physical well-being, says George Fitchett, research director in the Department of Religion, Health and Human Values at Rush University Medical Center Chicago.

Patients who have negative thoughts—say, questioning God's care for them—are more likely to develop worse health outcomes than patients who show positive spiritual coping, such as turning to religion for solace.

Chaplains "are patients' greatest advocates," says Harold Koenig, director of Duke University's Center for Spirituality, Theology and Health. They should work closely with other medical professionals, he says, and help them understand how spiritual beliefs influence patients' treatment decisions and response.

Studies indicate that chaplain visits can result in less patient anxiety, shorter hospital stays and higher satisfaction. Still, a review in the Journal of Health Care Chaplaincy concludes that many studies haven't been rigorous enough to test effectiveness and define the best practices of chaplains' care.

"Every dimension of health care has to be accountable," says Walter Smith, a Jesuit priest and president of the nonprofit Health Care Chaplaincy in New York, which conducted the review and provides chaplains to area hospitals.

"Creating a strong research foundation of what chaplains do in the clinical setting will mark the coming of age of health-care chaplaincy as a profession," he says.

With a $3 million grant from the John Templeton Foundation—whose late founder was an investor interested in the intersection of scientific research and spirituality—the Health Care Chaplaincy will oversee six national research projects on professional chaplains' role in health and palliative care, Dr. Smith says.

A study published online in July in the Journal of General Internal Medicine found that among 3,000 patients hospitalized over a three-year period at the University of Chicago Medical Center, 41% wanted a discussion of religious and spiritual concerns, yet only half of that group reported having one.

Patients who had a spiritual discussion reported being more satisfied with their overall care, whether or not they said they had desired it.

Patients may hesitate to ask for a chaplain's services out of concern that chaplains will proselytize—even though in many cases they don't use explicit theological language and "are there to be companionable and offer support," says Wendy Cadge, associate professor at Brandeis University.

Doctors, she adds, may feel uncomfortable asking patients about spiritual needs, or that it is inappropriate to do so.

That's where tools such as spiritual history-taking can help, says Christina Puchalski, director of the George Washington Institute for Spirituality and Health, in Washington D.C., who developed a screening questionnaire.

Ann Berger, chief of pain and palliative care at the National Institutes of Health's Clinical Center in Bethesda, Md., says it is "an easy way to ask these questions of patients and teach spiritual assessment to health-care providers." Chaplains visit referrals from such questionnaires and often make rounds to chat informally with patients.

At North Shore University Hospital, Ms. Hynes met Rev. Lile, a Health Care Chaplaincy employee, when the chaplain stopped by her room.

Ms. Hynes, a Catholic, had turned to her faith to help her cope with the 2008 death of her husband and the loss of her teaching job. After she was diagnosed with mantle cell lymphoma, a rare and often aggressive cancer, Rev. Lile helped Ms. Hynes face some of her fears, she recalls. "She gave me a beautiful prayer, and we sat and talked for an hour. She was so receptive and interested in what I was going through."

The two spoke often during Ms. Hynes's hospital stay, laughing over the notion that Rev. Lile, trained as a Lutheran minister, would be blessing Catholic holy water that Ms. Hynes's son brought to the hospital for the stem-cell transplant.

After the transplant, Ms. Hynes wrote to Rev. Lile to express her thanks: "I feel so blessed to have your encouraging influence during this turning point in my life. . . . The beautiful prayer and blessing is a memory I will always carry with me."

Checking on Spirit After a Transplant

As a nearly 20-year survivor of a bone-marrow transplant at the Fred Hutchinson Cancer Research Center, in Seattle, I get an annual questionnaire in the mail about my physical and psychological well-being. This year, it asked about my experience of "Spiritual/Religious/Existential Struggle."

Stephen King, manager of chaplaincy at the Seattle Cancer Care Alliance, which includes Fred Hutchinson, says the aim is to learn more about how the aftermath of a transplant affects not just the body but the soul. It is part of a medical effort to understand the links between health and spirituality.

Of all the medical treatments that cause extreme pain and deadly risk in pursuit of a cure, few are more daunting than a bone-marrow or stem-cell transplant to treat leukemia, lymphoma and other diseases. Patients get high doses of chemotherapy and radiation to kill cancer cells; then healthy cells are administered intravenously in hopes of building a strong new immune system. Even when it works, patients can suffer terrible side effects, dangerous infections and long-term physical limitations.

On the encouraging side, studies have shown that many transplant patients experience enhanced appreciation for life, re-ordered priorities, increased empathy and higher self-esteem. Yet they also often report lower spiritual well-being. "Negative religious coping"—feeling angry, unloved or abandoned by God, or doubting one's beliefs—has been associated with anxiety, depression and poorer social and emotional well-being.

Experts say attending to one's spirituality—be it with yoga, prayer, meditation, music or putting others first—may help turn spiritual struggle into an opportunity for growth.