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Security Assistance; and Logistics - Federation of American Scientists

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MNF-I as U.S. forces are right-sized <strong>and</strong> repositioned for the next phase <strong>of</strong> support to theIraqi Army. The lack <strong>of</strong> DoD expertise applied to comprehensive health sectordevelopment, the lack <strong>of</strong> strategic interagency partnerships at all levels to obtain thatexpertise, <strong>and</strong> constraints imposed by USCENTCOM as responsibility for combat <strong>and</strong>security operations are transitioned to the Iraqi <strong>Security</strong> Forces have prevented effectiveplanning for developing a sustainable Iraqi Army health care delivery system.A holistic, integrated, synchronized, multi-year plan that identifies overall strategies,doctrines, <strong>and</strong> end-states; that identifies the external expertise needed to advise <strong>and</strong>mentor Iraqi Army medical personnel; <strong>and</strong> that provides a concept <strong>of</strong> operations <strong>and</strong>adequate staffing for Medical Military Advisory Teams requires strong coordinationbetween the Joint Staff, USCENTCOM, <strong>and</strong> MNF-I, as well as support from other U.S.government agencies. We believe that the deliberative planning process should beapplied to develop this comprehensive plan to develop an independent, sustainable ISFhealth care system.Comm<strong>and</strong>er, MNF-I should request, <strong>and</strong> USCENTCOM should support, sufficient JMDmanpower to develop <strong>and</strong> maintain the required plan necessary to effectively mentor <strong>and</strong>advise the Iraqi Army combat medical services support capabilities; to create <strong>and</strong> supporta medical sustainment staff element to carry out medical mentoring <strong>and</strong> advising, <strong>and</strong> togenerate a Request For Forces to staff sufficient Medical Military Advisory Teams.Comm<strong>and</strong>er, MNF-I should task MNSTC-I to develop <strong>and</strong> implement an in-countryorientation program for new Medical Military Advisory Teams that describes <strong>and</strong>clarifies current mentoring practices <strong>and</strong> progress towards developmental milestones,among other key issues.Because <strong>of</strong> the nature <strong>of</strong> the medical mentoring program as it exists in Iraq, we requestthat Comm<strong>and</strong>er, USCENTCOM <strong>and</strong> Comm<strong>and</strong>er, MNF-I jointly <strong>and</strong> in coordinationreconsider their positions on Recommendations 20.a.(2) through 20.a.(5) <strong>and</strong> onRecommendation 20.c. <strong>and</strong> provide comments to each in response to the final report.147

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