Army Nurse Corps FY2013 - page 90

by AjaxAndronicus

113,061 Unique Views | 905 Comments

Hey everybody, I'm starting a thread here for those applying to the Army Nurse Corps in FY2013. I figure this might be a good place to get to know other future nurse corps officers and a place for the veterans of the ANC to pass... Read More


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    Quote from zombie
    A three star already has been slotted for command. Air Force general.

    http://www.airforcetimes.com/article...-health-agency

    You read about the unification of TRICARE Management Activity into one division - that's the USAF three star appointed, a Maj Gen Douglas Robb.

    TRICARE has nothing to do with unifying all medical personnel under one command.

    The Defense Health Agency isn't the same thing as a unified medical command.

    This combines the way health care is MANAGED across the board for all TRICARE recipients - dependents, veterans, retirees, and active duty members.

    This is more along the lines of what the USAF and the USN Surgeon Generals wanted, while what the Army wants (and this is not meant to poke at a sister service; I'm only reporting public record here) is what you speak of - a single MEDICAL COMMAND, with all personnel answering to one commander.

    This TRICARE realignment has nothing to do with the medical techs, LPNs (Army), Corpsmen, nurses, doctors, PAs, and the rest of the non-line medical divisions falling under one commander. That is so far off in the future that we may never see it, and I certainly don't expect to see it in my career's span.

    The pushback to these unified command proposals has been a disproportionate spread of line-funded members (the USAF only provides 5 percent of the military's medics, and the USA provides over 45 percent, with the Navy in the middle), increased cost, and the sheer problem of essentially creating a fourth branch of the military under the DOD (remember, the Marines belong to the Dept of the Navy) with no separate guidance and possibly a limited ability to respond to wartime needs - since there would be no singular command directing the flow of people. For example, if the USAF suddenly needed medical support, who pays to get them there? Currently it's the USAF - and that's already determined in finance and budgeting. But if a realignment occurs, who determines who gets them there, who foots the bill, and how long do they remain there? Is it the determination of the requesting service, or the determination of the Unified Medical Corps? Who pays for supplies - the service who needs it, or the service who provides it? Or the Pentagon? How are these bills paid, tracked, traced? Who deals with overages and underpayments? Where does the money go? These aren't cut and dry questions or answers.

    All of this stuff is mandated by manning documents, individual service requirements and quotas, and even Congressional law - so it's not a simple reorganization and realignment. We are one DOD, but we are three separate services (Coast Guard comes under the DHS; Marines are budgeted into the Dept of the Navy) with three separate bottom lines. There's also cost, logistics, and the problems of establishing governance over the medical command, since you'd need more than the UCMJ; again, you'd be creating a fourth independent branch of the Armed Forces which would require its own set of regulations.

    Part of what I want to do in my career as I advance in rank is to have a position over at AFMOA, the Air Force Medical Operations Agency. It's things like this - the TRICARE realignment, the possibility of the creation of a US medical corps, cost analysis, and healthcare delivery - that this agency works on, not only for USAF personnel, but for the greater good and improved management of resources DOD wide. I find this both fascinating and essential if we are manage costs and still deliver the caliber of care we do today, with ongoing worldwide and immediate capability.
    Last edit by carolinapooh on Jun 8, '13 : Reason: Added Air Force Times link for verification
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    Perhaps it's gossip. But I don't think it is. I think things will change in slowly, like in steps/stages. Won't he over night. But it will change.
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    Wanted to add that in the event of the creation of a United States Medical Corps, the leader of that division would be the leader of a new branch of the Armed Forces - a Chief of Staff - and he (or she - we, meaning the military, have one female four star right now, USAF General Janet Wolfenbarger, and I believe she's the only one service-wide, unless Army General Ann Dunwoody, who was promoted in 2008, hasn't retired) would be a four-star general, to put that person on even footing with the other heads of the Armed Forces, who are also four stars.

    You'd never intentionally have that sort of disparity of power at that level.

    I also can't imagine that they'd promote a military generalist to the head of a medical corps; you'd more likely see someone like my former commander, who is now a three-star, the USAF Surgeon General, and a flight surgeon by trade, being promoted to full General rank to head a medical force. You'd want a medical person, not a pilot or a combat soldier or a ship-commanding admiral, commanding a medical force.
    athena55 likes this.
  4. 0
    Quote from zombie
    Perhaps it's gossip. But I don't think it is. I think things will change in slowly, like in steps/stages. Won't he over night. But it will change.
    It's not gossip. What it is is an idea. Even Congress has bandied it about, and it's a nice theory. But too many people think you can just go 'ZAP!' and have it work - and it can't and won't.

    Things have been changing since 1945, as I said. Joint command of bases is one move, consolidating medical centers is another, but they're finding out that in practice it doesn't work like it does or should on paper. It's not something they can just 'do'.

    You'll find there are a lot of things inside the DOD like this.
    Last edit by carolinapooh on Jun 8, '13 : Reason: corrected a glaring, autocorrect-missed, blatant typo, because I'm just that Type A
  5. 0
    Hey everybody,


    Just wanted to give ya'll an update. I have applied to USAGPAN For June 2014 start. Just finished interview down at Bragg. Was told by the LTC that I certainly earned a good recommendation. So well see, USAGPAN releases admissions results in August, officer boards are oct, hopefully will be in BOLC in March 14, phase 1 June 14. Anyways that's the dream, loved every second of the interview at Bragg, hope I get to do it for real
  6. 0
    Awesome! Best of luck to you!!!
  7. 0
    Quote from carolinapooh
    Wanted to add that in the event of the creation of a United States Medical Corps, the leader of that division would be the leader of a new branch of the Armed Forces - a Chief of Staff - and he (or she - we, meaning the military, have one female four star right now, USAF General Janet Wolfenbarger, and I believe she's the only one service-wide, unless Army General Ann Dunwoody, who was promoted in 2008, hasn't retired) would be a four-star general, to put that person on even footing with the other heads of the Armed Forces, who are also four stars.

    You'd never intentionally have that sort of disparity of power at that level.

    I also can't imagine that they'd promote a military generalist to the head of a medical corps; you'd more likely see someone like my former commander, who is now a three-star, the USAF Surgeon General, and a flight surgeon by trade, being promoted to full General rank to head a medical force. You'd want a medical person, not a pilot or a combat soldier or a ship-commanding admiral, commanding a medical force.
    From what I have heard the joint medical command is not moving forward at this time. When there was talk about it the Army & Navy were supporting it but the Air Force was not. This was about a year ago that I heard that so it could have changed since then.
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    Hey all, another update! Just got accepted to USAGPAN for fy2014! So freaking pumped! Hopefully commission board goes well and will be in SATX for BOLC in Feb! Then into phase 1 at USAGPAN!
    athena55 and jeckrn like this.
  9. 0
    Quote from AjaxAndronicus
    Hey all, another update! Just got accepted to USAGPAN for fy2014! So freaking pumped! Hopefully commission board goes well and will be in SATX for BOLC in Feb! Then into phase 1 at USAGPAN!
    Omg, yay!! Congrats, that is outstanding!
  10. 1
    Quote from LunahRN

    Omg, yay!! Congrats, that is outstanding!
    Thanks Lunah! Congrats on your promotion! Hopefully we will be serving together at some post in the future!
    Pixie.RN likes this.


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