{"id":77620,"date":"2024-02-26T21:17:44","date_gmt":"2024-02-26T21:17:44","guid":{"rendered":"https:\/\/one.sightlinemg.com\/navytimes\/uncategorized\/2024\/02\/26\/confusion-lack-of-policy-led-to-austins-hospitalization-secret\/"},"modified":"2026-08-08T15:44:40","modified_gmt":"2026-08-08T15:44:40","slug":"confusion-lack-of-policy-led-to-austins-hospitalization-secret","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/navytimes\/news\/your-navy\/2024\/02\/26\/confusion-lack-of-policy-led-to-austins-hospitalization-secret\/","title":{"rendered":"Confusion, lack of policy led to Austin\u2019s hospitalization secret"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The Defense Department found no wrongdoing in the events that led to the <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2024\/01\/08\/austin-chief-of-staff-failed-to-tell-anyone-about-his-hospitalization\/\" target=\"_blank\">secrecy surrounding Defense Secretary Lloyd Austin\u2019s hospitalization<\/a> last month, according to <a href=\"https:\/\/media.defense.gov\/2024\/Feb\/26\/2003400135\/-1\/-1\/1\/UNCLASSIFIED-SUMMARY-OF-30-DAY-REVIEW.PDF\" target=\"_blank\">details of a review<\/a> ordered by his chief of staff into how days passed without the president or Congress being notified that the Pentagon boss was incapacitated.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A mixture of concerns about protecting Austin\u2019s privacy \u2014 and a lack of written policy for emergency hospitalizations \u2014 caused staff to balk when it came to informing the White House or Congress of the secretary\u2019s absence, while at the same time not informing the deputy defense secretary of why she was taking over authorities, according to an executive summary of the largely classified review released Monday.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cAs this unclassified summary highlights, the secretary\u2019s team was faced with an unprecedented situation and so they executed a transfer of authority in the same way that they had previously done,\u201d Air Force Maj. Gen. Pat Ryder, the Pentagon\u2019s press secretary, told reporters during a briefing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Austin\u2019s emergency hospitalization for a<a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2024\/01\/09\/secdef-austin-developed-infection-after-prostate-cancer-treatment\/\" target=\"_blank\"> urinary tract infection<\/a> that developed following a late December procedure to treat his prostate cancer wasn\u2019t unprecedented, however. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Then-Defense Secretary Robert Gates was rushed to the hospital in 2008 when he <a href=\"https:\/\/www.reuters.com\/article\/us-usa-gates-fracture-idUSN1333840420080213\" target=\"_blank\">broke his shoulder <\/a>slipping on his icy front steps. The Pentagon confirmed the following day that he\u2019d had an accident.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What was unprecedented was that following Austin\u2019s ambulance ride on Jan. 1, it took his staff until Jan. 4 to notify the White House and Congress of his absence, and until the following day to put out a public statement.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Austin has taken the blame for the situation overall, saying that he did not want to \u201cburden\u201d the president with his early December cancer diagnosis, he told reporters during a Feb. 13 briefing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWhat I\u2019ve learned from this experience, taking this kind of job means losing some of the privacy that most of us expect,\u201d he said. \u201cThe American people have a right to know when their leaders are facing health challenges that might affect their ability to perform their duties, even temporarily.\u201d<\/p>\n\n\n\t<aside class=\"smg-interstitial-link wp-block-smg-interstitial-link\">\n\t\t<a href=\"https:\/\/one.sightlinemg.com\/militarytimes\/news\/your-military\/2024\/02\/01\/austin-admits-he-wanted-to-keep-his-cancer-diagnosis-secret\/\" class=\"smg-interstitial-link__inner\">\n\t\t\t\t\t\t<div class=\"smg-interstitial-link__content\">\n\t\t\t\t<span class=\"smg-interstitial-link__kicker\">Related<\/span>\n\t\t\t\t<h3 class=\"smg-interstitial-link__title\">Austin admits he wanted to keep his cancer diagnosis secret<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"smg-interstitial-link__excerpt\">Defense Secretary Lloyd Austin said Thursday that his &quot;first instinct&quot; was to keep his cancer diagnosis private.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/a>\n\t<\/aside>\n\t\n\n\n<p class=\"wp-block-paragraph\">Austin said at the time that he did not direct his staff to withhold any information from the chain of command, adding that he doesn\u2019t believe that he has created a culture of secrecy that would have conditioned his staff to hide information on his behalf.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The review found that concerns over \u201cmedical privacy laws\u201d precluded staff from sharing what they knew or asking for more information.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Health Insurance Portability and Accountability Act, or HIPAA, is the main law governing health information in the U.S., but it only dictates that health care workers and health insurance administrators, for example, not share patient medical records with unauthorized people.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ryder acknowledged that there may have been some confusion about privacy laws. Austin\u2019s chief of staff, on the other hand, learned of his hospitalization from a military aide, which was not a violation of any privacy laws.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ryder did not answer a question from Military Times as to what changed between Jan. 2, when members of Austin\u2019s staff were informed of his hospitalization and concerned about his privacy, and Jan. 4, when notifications began.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In his Feb. 13 briefing, Austin did not address why he didn\u2019t request that a member of his staff notify the president that he wouldn\u2019t be going into work on Jan. 2.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The review released Monday adds that it was not Austin\u2019s decision to transfer authority to Deputy Defense Secretary Kathleen Hicks on Jan. 2, but that members of his staff made the call when he was moved into the intensive care unit and would not have access to secured communications to carry out his job.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cLook, I\u2019m not gonna speak for why any individuals did or did not take certain specific actions. I think we can all agree, you know, it is not uncommon for a natural human response when it comes to things like things like medical care, to default to a privacy setting,\u201d Ryder said. \u201cBut the secretary also made clear in that press briefing that he acknowledges we can do better, that we will do better.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In that spirit, when Austin returned to <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2024\/02\/11\/austin-back-in-the-hospital-with-emergent-bladder-issue\/\" target=\"_blank\">Walter Reed on Feb. 11 <\/a>to address a bladder issue stemming from his initial UTI, the Pentagon immediately notified the relevant authorities and made a public statement, keeping information flowing about <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2024\/02\/12\/lloyd-austin-undergoes-procedure-expected-to-resume-duties-tuesday\/\" target=\"_blank\">the secretary\u2019s condition and plans to return to work<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The review released Monday includes eight recommendations to improve the notification process when a defense secretary is incapacitated, including articulating to staff the expectations for information-sharing and writing down guidelines for how to handle such events. There will also be new protocols for determining when authorities should be transferred to a deputy defense secretary and how to notify authorities about it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">All recommendations have 90 days to be implemented, Austin wrote a memo signed Monday,<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Defense Secretary Lloyd Austin&#8217;s secret hospitalization last month is prompting the Pentagon to create new policies for leadership 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