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The United States Pacific Command

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1 The United States Pacific Command
Deputy Command Surgeon J07 21 OCT 08 This brief is classified: UNCLASSIFIED 1

2 2 Outline U.S. Pacific Command Overview Plans/Operations/Exercises
Health Services Logistics Support Joint Blood Program Theater Security Cooperation Why is this important? Questions USPACOM Overview Will spend majority of time on Operations, specifically: OEF-P (Philippines) Humanitarian Assistance/Disaster Response (HA/DR) Theater Security Cooperation (TSC) Briefly discuss USPACOM Joint Exercise Program and Major Theater Exercises Overview of Force Health Protection (FHP) Programs: DHAPP – DOD HIV/AIDS Prevention Program PEPFAR – President’s Emergency Plan for HIV/AIDS Relief Forging the Future – Discuss technological developments/advances underway in USPACOM including: MSAT – Medical Situational Awareness in Theater Advanced Concept Technology Demonstration (ACTD) CFAST - Collaborative Force Analysis Sustainment and Transportation System Conclude with Questions (and possibly answers) 2 2

USPACOM is one of 6 Geographic Combatant Commands. NORTHCOM, SOUTHCOM, CENTCOM, EUCOM, PACOM and AFRICOM Functional Commands: JFCOM, SOCOM, TRANSCOM, STRATCOM Headquartered at Cp Smith, HI and commanded by 4-star (ADM Keating) Reports directly to SECDEF and CJCS The Asia-Pacific region encompasses 51% of the earth’s surface 3 3

4 4 AOR HIGHLIGHTS (U) 105M square miles 60% of World’s Population
1/3 of U.S. Trade 6 of the Largest Armed Forces 5 of 7 U.S. Mutual Defense Treaties Over 300K U.S. Uniformed and Civilians 20% of all Active Duty U.S. Forces 100K Forward Deployed 4

5 5 OUR FORCES (U) 60K Soldiers and Civilians
U.S. Army Pacific 60K Soldiers and Civilians 25th ID, Enhancement Brigades, 8th TSC U.S. Pacific Fleet 130K Sailors and Civilians 170 ships Pacific Air Forces 40K Airman and Civilians 380 Aircraft in 9 Wings Marine Forces Pacific 70K Marines and Civilians 2 Expeditionary Forces Approximately 300,000 dependents 5

6 6 COMMAND STRUCTURE (U) U.S. Pacific Command U.S. Army Pacific
Pacific Air Forces Pacific Fleet U.S. Army Pacific Marine Corps Forces Pacific U.S. Forces Japan U.S. Forces Korea Alaskan Command Special Operations Command Pacific Joint Interagency Task Force - West Joint POW/MIA Accounting Command Asia Pacific Center for Security Studies Center of Excellence for Disaster Management and Humanitarian Assistance U.S. Pacific Command PACOM is the oldest and geographically largest Unified Command Multiple Service Component, Sub-unified and Functional commands, and other organizations report to CDRUSPACOM Army, Air Force, Navy and Marine Corps Service Component Commands Sub-unified Commands – USFK, USFJ, ALCOM Functional Command - SOCPAC JIATF-W (JIACG-CT) - International, interagency task force focused on disrupting drug trafficking originating in South Asia. Facilitates interagency integration, information sharing, and common operational picture. 1989: DOD tasked four GEOCOCOMs to carry out the drug interdiction mission, because drugs posed a direct threat to the sovereignty and security of the country. 1994: National Interdiction Command and Control Plan designated as Joint Interagency Task Forces (JIATFs). JPAC – Joint POW/MIA Accounting Command responsible for providing the fullest possible accounting of all Americans missing as a result of the nation's past conflicts. We will discuss this organization in more depth later in the brief. APCSS - Addresses complex interrelationships of military, economic, political and diplomatic policies relevant to regional security issues through: Executive education Conferences Research and publications efforts COE-DMHA - Promotes effective civil-military management in international humanitarian assistance, disaster response and peacekeeping through education, training, research and information programs. HELP (Health Emergencies in Large Populations) Course CHART (Combined Humanitarian Assistance Response Training) Course Pandemic Influenza Courses and HIV/AIDs Courses (multilateral) 6 6

39 Countries 3 of World’s Most Populous Countries 6 of World’s Largest Armed Forces 5 of 7 U.S. Mutual Defense Treaties No Affiliation/Other Muslim Hindu Daoist Buddhist Christian Predominant Religion 50% of World’s Oil Supply 33% of U.S. Foreign Trade USPACOM is responsible for a large, diverse, and challenging AOR. AOR: 39 Nations + “unique responsibilities for Russia” Comoros (to AFRICOM) Madagascar (to AFRICOM) Mauritius (to AFRICOM) 5 of 7 Mutual Defense Treaties: South Korea Japan Thailand Philippines Australia Asia-Pacific region is a potential powder-keg due to cultural diversity, traditional security concerns, susceptibility to transnational threats, and rise of nations such as China and India. 60% of World’s Population 100+ Ethnic Groups 100+ Dialects 100 Million square miles- 51% of world’s surface 7 7

Commonwealth of Northern Marianas Hawaii Wake Midway Islands Guam Johnston Atoll Republic Of Palau Howland Kingman Reef 2,300 miles Palmyra Atoll Jarvis Island Republic of Marshall Islands Federated States of Micronesia Baker . . . .  U.S. Pacific Command’s foremost responsibility is to protect the U.S. homeland. While Northern Command provides for the defense of the Continental United States and Alaska, U.S. Pacific Command assumes Homeland Defense responsibilities for the state of Hawaii, and U.S. territories and possessions in the Pacific. We work closely with other nations in the region to support this effort and coordinate with U.S. Northern Command to ensure a seamless strategy for the defense in depth of the U.S. mainland. American Samoa State/Territory Compact State Inhabited Protectorate Un-Inhabited Protectorate 3,700 miles 8 8

Korean Peninsula Taiwan Strait Kashmir Security and peaceful development are essential for continued growth and prosperity in the Asia-Pacific region.  Three potential flashpoints exist in the Kashmir region of India, North Korea, and heavily disputed Taiwan Strait. Beijing January 14, Chinese Foreign Minister Yang Jiechi told visiting U.S. Navy Adm. Timothy Keating that Beijing hoped to work with Washington to "jointly maintain peace and stability" across the Taiwan Strait. Yang hailed progress in Beijing's official and military ties with Washington, while Keating welcomed China sending more officers to visit American military academies for exchanges While the chances of an outbreak of war in the region remain low, the stakes are extremely high. We are actively working to prevent miscalculation resulting in conflict in the Taiwan Strait, on the Korean Peninsula, and in the Kashmir Region.  Our role at U.S. Pacific Command is to ensure that diplomacy is backed by viable military forces, prepared to conduct operations across all levels of conflict. 9 9

Acts of Piracy Over 25% of the world’s trade Over 50% of the world’s oil East China Sea Asia-Pacific region is of global strategic importance and is vital to U.S. interests and security. Slide shows shipping routes for oil & trade and how USPACOM efforts have helped reduce acts of piracy. ***click*** Effects of traditional threats or transnational threats on shipping in the USPACOM AOR have tremendous potential for global economic impact. Strait of Malacca Lombok Strait Sunda Strait 10

Terrorism / Extremism Information Technology Crime Illegal Narcotics Illegal Migration Piracy USPACOM is prepared to respond to both traditional and transnational security threats. Each of these threats is present to varying degrees throughout our AOR and threaten the security of the region in unique ways. The potential for weapons proliferation by countries not friendly with the United States and the development and spread of terrorism/extremism remain significant concerns within our region. Weapons Proliferation Other Transnational Crime Multiple factors create instability in the Asia-Pacific region 11

12 Taking Care of Our People
MISSION & STRATEGY (U) Mission Taking Care of Our People Fighting to Win Responding to Crises Advancing Regional Security Cooperation Deterring Aggression Promoting Security & Peaceful Development Strategy U.S. Pacific Command, in concert with other U.S. government agencies and regional military partners, promotes security and peaceful development in the Asia-Pacific region by deterring aggression advancing regional security cooperation responding to crisis, and fighting to win How do we plan to combat these threats??? Answered by the obligatory mission and strategy slide. USPACOM deters aggression, advances security cooperation, responds to crises and fights to win as necessary to promote security and peaceful development in the Asia-Pacific region. These objectives accomplished through strategic application of: Operations Engagement Activities (TSC Events) Exercises Our strategy is derived from our mission 12

Joint Task Forces and Operations Operation ENDURING FREEDOM-PHILIPPINES (OEF-P) Operation DEEP FREEZE (ODF) Operation BURNT FROST (OBF) Joint POW/MIA Accounting Command (JPAC) Theater Patient Movement Requirements Center–Pacific Homeland Defense and Foreign HA/DR Standing Joint Force Headquarters (SJFHQ) Humanitarian Assistance/Disaster Relief (HA/DR) Theater Security Cooperation Events PACIFIC PARTNERSHIP PACIFIC ANGEL USPACOM embodies the concept of “Global Response” through its operations. In addition to supporting current USCENTCOM operations with over 29,000 troops, USPACOM is responsible for its part of the GWOT and other regional operations. Highlight some steady-state, recurring, and high-profile operations including: OEF-P (JSOTF-P & JTF-515) – ISO Philippine Security Forces (PSF) against Abu-Sayyaf Group (ASG) Operation DEEP FREEZE Operation BURNT FROST Joint POW/MIA Accounting Command (JPAC) TPMRC-P – Theater Patient Movement Requirements Center-Pacific JTF-HD (Homeland Defense) SJFHQ HA/DR TSC – Largest medical missions include PACIFIC PARTNERSHIP and PACIFIC ANGEL 13 13

OEF-P uses a combination of military engagement (***ADVANCE SLIDE***) and civil-military operations that has created a true “By, with, and through” the host nation success story. OEF-P forces conduct influence operations through: Capacity Building Advise and Assist PSF counterparts IOT create a secure and stable environment Information Gathering and Sharing Collect, Fuse, and Disseminate timely and accurate intelligence to the right agencies Civil Military Engagement GRP Led/ whole of government approach to sustain security and stability objectives achieved by PSF OEF-P 14 14

As of 10 Oct 08 OPERATION BURNT FROST (U) Operation BURNT FROST was the military solution to a wayward satellite and potential hazardous chemical incident. Highly-publicized, global operation involving numerous military commands and USGOV agencies. Objective: Mitigate potential disaster from satellite and hazardous chemical components (hydrazine) from plunging to earth Photo of USN Fire Controlman 2nd Class Robert W. Polt receiving a Joint Commendation medal from CDRUSPACOM. Polt is the radar system controller aboard USS LAKE ERIE who fired the missile that destroyed the satellite in space. How cool is that??? E-5 literally held the world by a finger for a few minutes. BURNT FROST 15 15

As of 10 Oct 08 JOINT POW/MIA ACCOUNTING COMMAND (JPAC) (U) Joint POW/MIA Accounting Command (JPAC) was formed in 2003 from consolidation of JTF-Full Accounting and Central Identification Lab-Hawaii, the largest forensic anthropology laboratory in the world. Noble mission: Achieve the fullest possible accounting of all Americans missing as a result of the nation's past conflicts. Mission Areas: Yosemite Nat’l Park China Attu Island (joint operation with JAPAN for recovery of Japanese remains) JPAC is manned by approximately 400 handpicked Soldiers, Sailors, Airmen, Marines and Department of the Navy civilians. JPAC maintains three permanent overseas detachments (Bangkok, Hanoi, and Vientiene) to assist with command and control, logistics and in-country support during investigation and recovery operations. Primary functions: Research Coordination Survey Excavation Forensic Study ***click*** Repatriation Tremendous honor to monitor developments of a mission and be part of a repatriation ceremony. 16 16

17 17 JOINT TASK FORCES (U) Standing JTF
Joint Task Force-Homeland Defense (JTF-HD) Standing JTF Ability to task-organize and rapidly expand Domestic responsibilities for Hawaii, Guam, U.S. protectorates and compact states Contingency Support Force 503 (CSF-503) Activated upon contingency Responsible for foreign HA/DR in USPACOM AOR Standing Joint Force Headquarters (SJFHQ) Designated, trained, core JTF staff USPACOM enabler for any contingency USPACOM utilizes several “enablers” that enhance its ability to respond to crisis. JTF-HD – Standing, core JTF HQ staff with task-organized augmentation. JTF-HD responsibilities for Hawaii, U.S. territories and compact states mirror those of NORTHCOM’s responsibilities for CONUS. USPACOM tasks Marine Component (MARFORPAC) as JTF HQ (CSF-503) staff for foreign HA/DR. SJFHQ – Provides core capability for a rapidly deployable JTF headquarters within each COCOM. (not addressed on slide…) Multinational Planning Augmentation Team (MPAT) is a cadre of multinational military planners from nations with interests in the Asia-Pacific region that facilitate the rapid and effective establishment and/or augmentation of a multinational task force headquarters. MPAT most notably employed during 2004 South Asian Tsunami. 17 17

Typhoons / Landslides Wildfires Snowstorm Tropical Cyclones Earthquake Brutal regimes, failed economies, the “Ring of Fire” and other natural and manmade disasters create conditions that make USPACOM no stranger to disaster relief and humanitarian assistance. Shaping up to be another busy summer. As we speak, USPACOM is in the midst of recovering from BURMA relief operations, entering cyclone season, and analyzing potential regional food crisis. Bottom Line: USPACOM embodies concept of “Global Response” through its HA/DR operations. Earthquakes Political Unrest USPACOM operations epitomize “lobal Response” 18 18

19 Exercises posture USPACOM for “Global Readiness”
EXERCISES (U) KEEN EDGE YAMA SAKURA KEY RESOLVE ULCHI-FOCUS GUARDIAN NORTHERN EDGE TERMINAL FURY COBRA GOLD COPE TIGER LIGHTNING RESCUE USPACOM postures itself for “Global Readiness” through its Joint Exercise Program (JEP). Joint Exercises approved by CJCS, scheduled by CDRUSPACOM, and deconflicted at Joint Training & Scheduling Conference annually. Exercises run the gamut of dirty bomb scenarios that test USGOV interagency processes to traditional force-on-force combat. JEP Goals: Maintain joint, multi-national combat readiness Train staff to execute plans Maintain access Fulfill treaty obligations Build alliances with regional partners Slide depicts major (not all) USPACOM and Service Component sponsored exercises. Exercises as enablers for access and regional engagement are key elements of USPACOM TSCP. BALIKATAN TOPOFF COMMANDO SLING 19 Exercises posture USPACOM for “Global Readiness” 19

As of 10 Oct 08 PLANS AND OPERATIONS DIVISION (U) An integral part of the J3 (Operations) and J5 (Plans) process Constant presence on JOC Adaptive Planning and Execution (APEX) Current operations Future operations Medical intelligence Medical logistics Joint Blood Program Exercises 20

Maintain liaison with component surgeons and resolve conflicts surfaced by JTF commanders Provide detailed guidance, assign tasks and develop a joint concept of operations to maximize HSLS resources Monitor JTF medical readiness to include status on patient beds, health service logistics, blood management, and functional staffing Coordinate HSLS provided to or received from allies or host nations during multinational operations Supervise activities of Area Joint Blood Program Office Advise on the disposition of captured enemy medical materiel Provide input to Annex Q, CONPLAN, OPLAN, EXORD, Exercises Provide Integrated Logistics Support in PEPFAR, TSC, HA/DR initiatives “JP , Joint Tactics, Techniques, and Procedures for Health Service Logistics Support (HSLS) in Joint Operations” delineates command surgeon responsibilitie 21

The USPACOM Joint Blood Program Office (JBPO) is under the supervision of the USPACOM Surgeon. This office is responsible for the joint blood program management in the theater of operations. The USPACOM JBPO is divided into 6 geographical areas called Area Joint Blood Program Offices (AJBPO). The US blood program is truly a “Joint” program. It is the only piece of medical that the USPACOM Commander via the Surgeon has direct ownership of. All blood assets in the Pacific theater are considered joint assets owned by the PACOM Commander and distributed as needed per the recommendation of the Joint Blood Program Officer. Our program is created to support wartime blood needs, and is modified for peacetime. The program is operational at all times. It is not “activated” just for wartime. The different AJBPOs represent Army, Navy and Air Force, but all come under the USPACOM umbrella for purposes of supporting the blood program. 22

Provide coordination and management of all blood program matters in the Pacific theater which includes collection, testing, storage, and distribution of blood and blood products to meet peacetime and wartime requirements Provide managerial and technical oversight of all DoD military blood activities within the Pacific theater Evaluate Expeditionary Blood Transshipment Systems (EBTSs) and Blood Donor Centers for compliance with Armed Services Blood Program (ASBP) policies Plan and execute Joint Blood Program exercises Coordinate and provide guidance to Area Joint Blood Program Officers (AJBPOs) to ensure that they can meet the mission Provide technical guidance/assistance ISO Medical Theater Security Program 23

Objective - Provide Combatant Command and Joint Task Force Surgeons and their staffs actionable knowledge and enhanced medical situational awareness for critical decision making Purpose - Develop a Medical focused Tailored Operational View Decision support Course of Action analysis Geographic Information System (GIS) Asset visibility Ad Hoc Query Authoritative reference links Strategic planning Contingency Planning Support Decision Making Leveraging existing success and emerging capabilities Empower commanders with Actionable Knowledge by to Our objective is to get the right medical and operational information to Combatant and Joint Task force Commanders when they need it. This approach supports transformation efforts by leveraging existing capabilities like the Joint Medical Work Station (JMeWS) with commercial and other DoD systems using a Service Oriented Architecture, mapping tools (or Geographic Information Systems), and Decision Support Tools DoD movement to a Services Oriented Architecture enables sharing of information across applications in ways that were unachievable previously. By utilizing this architecture we will be able to link Medical, *Geospatial, Intelligence, *Logistics and *Personnel data to provide you with actionable knowledge to support decision making. In a moment I’ll walk you through a quick scenario to illustrate this point. 24

25 25 TSC PILLARS (U) Build relationships
Drive long-term efforts to educate Leverage IMET, APCSS, conferences, etc. U.S. INFLUENCE ACCESS TRAINING READINESS COMPETENT COALITION PARTNERS Enable forward deterrence, U.S. readiness Support access for future contingencies Protect Logistics Lines of Communication USPACOM’s Theater Security Cooperation Plan (TSCP) is built upon the pillars of: Influence Access, Training & Readiness Building Competent Coalition Partners Assist partners to develop real capabilities Professional, Accountable, Respected Improve combined operations for CT, Transnational Threats, PKO 25 25

$12M funding (OHDACA, APRI, IMET, and Components) 120 Medical TSC activities planned for FY08 Engagement Priorities: HA/DR, AI/PI, HIV/AIDS and Public Health 90 proposals engage 16 valued AOR partners Engagement Priorities: Cambodia, Laos, Vietnam, Indonesia, Thailand USPACOM’s TSC program funded at $12M with 120 medical TSC activities planned for FY08. Medical TSC Goals: Increase capacity, capability, interoperability, and medical transparency. Primary Engagement Areas: HA/DR, AI/PI, HIV/AIDs and Public Health. Secondary Engagement Areas: Aeromedical Evacuation, Force Health Protection, Combat Lifesaver, 1st Responder courses and MEDCAPS. PACOM’s 2 primary, stand-alone, medical TSC events: PACIFIC PARTNERSHIP and PACIFIC ANGEL. 26 26

PUBLIC HEALTH SERVICES SUBJECT MATTER EXPERT EXCHANGE SURGICAL SERVICES COMMUNITY RELATIONS PACIFIC PARTNERSHIP is a sea-based HA mission led by U.S. Pacific Fleet, our USN component. Developed as a result of successful USNS MERCY missions to post-tsunami Asia-Pacific region in 2005 and 2006. PP07 used amphib (USS PELELIU), similar to SOUTHCOM’s Op CONTINUED PROMISE. PP08 returns a hospital ship (USNS MERCY) to AOR. Great opportunity for USAF personnel. Participated in 07 and 08. Almost 30 USAF personnel from a range of specialties currently aboard MERCY. CLINICAL ENGINEERING MEDICAL SERVICES VETERINARY SERVICES ANCILLARY SUPPORT USNS MERCY configured for HA/DR 27

28 PACIFIC PARTNERSHIP 2008 Transit Plan (U)
San Diego DEP - 01 MAY ARR - 25 SEP Manila, Philippines 14-16 Jun Samar, Philippines 13 Jun Guam Westbound: May Eastbound: Sep Nha Trang, Vietnam 11 Day Mission 18-28 Jun Cotabato, Philippines 14 Day Mission 28 May-11 Jun Pearl Harbor Westbound: 8-12 May Eastbound: Sep Chuuk, Micronesia 10 Day Mission 21-31 Aug Singapore Jul a/o 4 Apr 08 USNS MERCY completed MED/DEN/VETCAP and ENCAP operations in the PHILIPPINES, VIETNAM, TIMOR-LESTE, PAPUA NEW GUINEA, and MICRONESIA. Port Moresby, Papua New Guinea 13 Day Mission 03-16 Aug Dili, Timor-Leste 13 Day Mission 11-24 Jul 148 Day Deployment TSCP/HCA days Underway days Port Visits/Other days Darwin, AS 26-30 Jul 28 28

29 29 PACIFIC ANGEL 2008 (U) 22-30 May 08 Cambodia Thailand
Simultaneous MED/DEN/VETCAP and SMEE operations at 3 sites Thailand Aeromedical Evacuation SMEE with Royal Thai AF Total Force operation 85 Guard, Reserve, and Active Duty Army and AF 6880 Patients treated 1262 Animals treated 110 SMEE participants PA is USPACOM’s USAF-led, medical TSC event. PA08 follows-on to PACAF’s successful 2007 Oceania C-17 HA mission. Oceania: Kiribati, Nauru & Vanuatu Mission: Cambodia MED/DEN/VETCAPs and SMEE; Thailand AE SMEE May 08 PACIFIC ANGEL Objectives Support CDR USPACOM TSC objectives Display U.S. commitment Build/sustain partner nation capacity Cambodia sites (22-30 May): Kampong Chhnang: MEDCAP/DENCAP Kroch Chhmar: MEDCAP/DENCAP Kampong Cham: ENCAP/VETCAP/SMEE Cambodia NGO participation coordinated through USAID. Approved NGOs: Children’s Surgical Center (CSC) Educational Support for Children of Underserved Populations (ESCUP) Impact: Treated patient population of almost 7,000--mostly underprivileged Cambodian “minorities” in remote areas with limited access to healthcare, and enhanced medical capabilities of a strong partner nation (THAILAND). 29 29

30 Papua New Guinea (since 2005) Thailand (Regional Training Center)
DEFENSE HIV/AIDS PREVENTION PROGRAMS (DHAPP) & PRESIDENT’S EMERGENCY PROGRAM FOR AIDS RESEARCH (PEPFAR) (U) PEPFAR DHAPP FY08 Funding $7.3M $1.053M New Program Proposals Cambodia Bangladesh Laos Established Programs Indonesia (since 2005) India (since 2003) Vietnam (since 2003) Nepal (since 2006) Timor-Leste (since 2005) Papua New Guinea (since 2005) Thailand (Regional Training Center) FHP Branch also works high-priority HIV/AIDS programs including President’s Emergency Plan for HIV/AIDS Relief (PEPFAR) and DOD HIV/AIDS Prevention Program (DHAPP). PEPFAR (President’s Emergency Plan for HIV/AIDS Relief): $50B across 5-years FY04: $1M; FY05: $1.5M; FY06: $2.78M; FY07: $4.33M PEPFAR Successes: Vietnam: Continued growth of program including addition of 4 permanent staff members Indonesia: Continued successful engagement with world’s most populous Muslim country DHAPP (DOD HIV/AIDS Prevention Program): FY04: $700K; FY05: $800K; FY06: $600K DHAPP Successes: Nepal: Voluntary testing center in outlying areas, and peer education workshops PNG: Transitioning to treatment 30 30

31 Why is this important to this audience?
Unique Command relationship with Army and Navy Medical Treatment Facilities Command relationship with Air Force Medical Treatment Facilities and personnel Personnel movements within the AOR Combat multiplier Winning the hearts and minds While the medical capabilities that reside in the Army units such as 25th ID can trace a command chain back to PACOM the Army and Navy Medical Treatment Facilities are NOT in the Command chain of PACOM but rather report back through their own medical chain to USAMEDCOM or BUMED. As such PACOM has no direct tasking authority over facilities such as Tripler or Guam Naval Hospital during times of peace. Army and Navy MTFs do provide support when possible through other than Command relationships and this is greatly appreciated. Rest assured though that each Medical Treatment Facility in the AOR has a mission to varying degrees in each PACOM OPLAN and CONPLAN. The Command relationship with Air Force Medical Facilities is more direct through PACAF. As such there are more taskings for medical support. We try to spread the pain but sometimes it is not possible due to time and geographic constraints. My travels will take me to places such as Nepal, Mongolia, Laos, Viet Nam and Timor Leste to name a few. And I am not alone. The PACOM focus on TSC requires a lot of on the ground interaction by small groups of U.S. Military personnel. These are not countries that are well known for their world class medical care. It provides great comfort to the service member and their families that world class medical care will still be provided if necessary. Each of you are part of that system to include MTFs, Tricare and ISOS. Medical capabilities are seen as a combat multiplier in the sense that the peace of mind that world class medical care is available to the service member and their family, regardless of location, allows the Service Member to concentrate more fully on their mission. It is one less issue for them to be concerned about! Medical is seen by PACOM as a great tool to use to gain entry into countries that have been resistant to interactions in the past. What better way to develop positive relationships than by bringing a medical capability to a village that does not have ANY routine medical care? Performing surgery to repair a cleft lip on a child in the middle of a jungle? Performing life saving surgery on a tribal chief? Buying ARV medications to enhance care and increase the stature of the Minister of Health? The medical community has known the potential for years and the warfighters are realizing it more and more. 31

32 32 CONCLUSION (U) The Asia-Pacific region is vast and complex
USPACOM operations epitomize global response USPACOM exercises, training, and engagement embody global readiness USPACOM supports the U.S. National Security Strategy by promoting peace and stability in the Asia-Pacific region Personal perception as a USAF medic in U.S. Pacific Command: CDRUSPACOM and USPACOM in general understand the value of their people. The professional soldiers, sailors, airmen, marines and civilian employees of U.S. Pacific Command embody the spirit of service to our nation, whether in the friendly confines of Hawaii, the heart of Muslim Mindanao in the Philippines, or deployed to USCENTCOM. Unique opportunities for education and growth in a navy-centric, joint-service environment. Pride in being part of a command with so much history/tradition that continues to set conditions for a peaceful & prosperous future through its engagement activities. 32 32

33 QUESTIONS (U) Questions??? 33

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