{"id":77778,"date":"2025-03-11T22:06:30","date_gmt":"2025-03-11T22:06:30","guid":{"rendered":"https:\/\/one.sightlinemg.com\/navytimes\/uncategorized\/2025\/03\/11\/military-medical-system-unprepared-for-future-conflict-experts-say\/"},"modified":"2026-08-08T16:19:05","modified_gmt":"2026-08-08T16:19:05","slug":"military-medical-system-unprepared-for-future-conflict-experts-say","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/navytimes\/news\/pentagon-congress\/2025\/03\/11\/military-medical-system-unprepared-for-future-conflict-experts-say\/","title":{"rendered":"Military medical system unprepared for future conflict, experts say"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">When it comes to the subject of combat casualty care, \u201cwithout urgent intervention, the <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2023\/12\/07\/dod-watchdog-report-warns-of-issues-across-military-health-care-system\/\" target=\"_blank\">Military Health System<\/a> will continue to slide into medical obsolescence,\u201d a retired Air Force trauma surgeon told senators on March 11.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The consequence of a military medical system that remains unprepared to handle a high volume of casualties in any future major conflict is that \u201cmany will have survivable injuries, yet one in four will die at the hands of an unprepared system,\u201d said Dr. Jeremy W. Cannon, a professor of surgery at the University of Pennsylvania\u2019s Perelman School of Medicine and a surgeon in the Philadelphia Veterans Affairs Medical Center.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Only about 10 percent of military general surgeons experience the patient volume, level of acute cases and variety of cases needed to remain designated as combat ready. According to Sen. Roger Wicker, R-Miss., chairman of the Senate Armed Services Committee, the percentage of military general surgeons meeting the necessary readiness standards dropped from 17 percent in 2015 to 10 percent in 2019.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe\u2019re actively falling into the trap of the peacetime effect,\u201d Cannon, a retired Air Force colonel, told members of the Senate Armed Services Committee.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That 10 percent is caused by \u201cgrossly inadequate patient volume,\u201d Cannon said. \u201cThey\u2019re not doing the cases, not doing the procedures. They\u2019re not doing what they were trained to do. That\u2019s because they don\u2019t have the patients in the facilities.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">He and two other military retirees who rose to high-ranking positions in the military medical establishment testified on March 11 about various initiatives the community should be taking to prepare the military\u2019s surge capacity, including the need to invest in Level 1 trauma centers for military medical facilities.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe\u2019ve de-scoped our facilities to the point where they take care of low-acuity community hospital patients, not trauma patients,\u201d said retired Air Force Maj. Gen. Paul A. Friedrichs, the former Joint Staff Surgeon. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe need our key hospitals to be Level 1 trauma centers in partnership with the American College of Surgeons in the communities where they\u2019re located.\u201d <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To do so, there must be an adequate funding supply, he said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There\u2019s no way to fix the problems without the funding to meet these unique challenges, the witnesses said. It\u2019s a mistake to think military medical care could be provided at a lower cost than in the civilian sector and still be adequately prepared for conflict, Friedrichs added.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Costs of medical care nationwide, meanwhile, have risen about 5.1 percent per year, on average, since 1938, Friedrichs said. But since 2015, the budget for military hospitals has decreased by nearly 12 percent, according to Wicker, the committee chair.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The military medical system has been working to <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2024\/01\/25\/pentagon-plans-to-fix-chronically-understaffed-medical-facilities\/\" target=\"_blank\">attract patients back to the military treatment facilities<\/a> after forcing many military beneficiaries to seek outside care in the private sector.<\/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\/01\/25\/pentagon-plans-to-fix-chronically-understaffed-medical-facilities\/\" class=\"smg-interstitial-link__inner\">\n\t\t\t\t\t\t\t<div class=\"smg-interstitial-link__media\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"236\" src=\"https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/Kings-Bay-clinic.11.15.21.jpg.jpg?w=300\" class=\"smg-interstitial-link__image wp-post-image\" alt=\"\" \/>\t\t\t\t<\/div>\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\">Pentagon plans to fix \u2018chronically understaffed\u2019 medical facilities<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"smg-interstitial-link__excerpt\">Will bringing more medical providers \u2014 and patients \u2014 into military medical facilities help problems with access to care?<\/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\">\u201cWe need our military medics taking care of sick patients,\u201d Friedrichs said. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There\u2019s a comparison, for example, between taking care of a bladder cancer patient who needs a procedure to have their bladder removed, and someone who suffered a gunshot wound to the abdomen and needs to have the bladder reconstructed as a result, he explained.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Meanwhile, military facilities must be fully staffed, said retired Air Force Lt. Gen. Douglas J. Robb, who served as the first director of the Defense Health Agency. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That includes the full spectrum of support for critical care hospitals. Robb suggested the military also increase its collaborative workload with <a href=\"https:\/\/www.militarytimes.com\/veterans\/\" target=\"_blank\">Veterans Affairs<\/a> and civilian medical facilities, so military surgeons could experience a broader scope of cases that would bolster their combat readiness.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Instead of duplicating efforts, the Military Health System needs to work with Veterans Affairs facilities, said Friedrichs, who commanded a DOD-VA joint venture in Anchorage, Alaska. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There, he said patients \u201cwere taken care of by a joint team. It was far more efficient than building duplicative adjacent facilities. Instead, we built integrated adjacent facilities.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Friedrichs noted there is $10 billion of unfunded facility needs in DOD and $100 billion in VA. There are opportunities to bring patients with acute care needs from the VA into DOD facilities, or bring DOD medical personnel into VA medical facilities, he said, \u201cso that we are not wasting money on duplicative buildings and instead focusing our resources on the patients who need our care.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s critical, Friedrichs added, that medics are clearly defined as being part of the joint military. \u201cAs long as we preserve this false narrative that the Military Health System is separate and not covered by the same expectation of jointness as the rest of the military, we\u2019re going to continue to have these fruitless bureaucratic buffoonery actions that distract us from taking care of patients,\u201d he said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A root problem, Cannon said, is that no one within the Defense Department truly owns combat casualty care. He recommended that Congress establish clear leadership on that front.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Wicker acknowledged the importance to troops of there being enough combat-ready surgeons.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe know that troops in combat are more comfortable taking the risks necessary to accomplish their mission if they have confidence in military doctors,\u201d Wicker said.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Only about 10% of military general surgeons experience the patient volume and level of acute cases necessary to remain designated &#8220;combat 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By:"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Military medical system unprepared for future conflict, experts say - Navy Times<\/title>\n<meta name=\"description\" content=\"Only about 10% of military general surgeons experience the patient volume and level of acute cases necessary to remain designated &quot;combat ready.&quot;\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Military medical system unprepared for future conflict, experts say\" \/>\n<meta property=\"og:description\" content=\"Only about 10% of military general surgeons experience the patient volume and level of acute cases necessary to remain designated &quot;combat 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