flag in distress is a US flag upside down.
This vet doesn't have sleeves on his outer article of clothing so has the flag as far to the right as possible.Army Regulation 670-1
The regulation states that when authorized for application to the proper uniform the American flag patch is to be worn, right or left shoulder, so that the star field faces forward, or to the flags own right. When worn in this manner, the flag is facing to the observers right, and gives the effect of the flag flying in the breeze as the wearer moves forward. The appropriate replica for the right shoulder sleeve is identified as the reverse side flag.
Might be a little out of strict correctness, but I would bet this guy is a Viet Nam Vet.
You will see a similar display on vehicles carrying the President and other dignitaries; protocol is to have it flying from the right front fender.
#104, hey, Sync, Our club is supporting a platoon in Iraq through Caring Hands. They sent us the flag patches and told us to place them on the right sleeve. I wondered why the patch looked backwards! Thanks for the answer. I have mine on my jean jacket which I wear when I go on PGR missions.