Security Assistance; and Logistics - Federation of American Scientists

guidance on stability operations that will evolve over time as joint operating concepts,mission sets, and lessons learned develop, and establishes DoD policy and assignsresponsibilities within the DoD for planning, training, and preparing to conduct andsupport stability operations.Inadequate Capacity in Iraqi Health Care SystemU.S. military medical treatment facilities located in Iraq provided emergency medical andsurgical care to Iraqi military, police, and civilians for emergency conditions where life,limb, or eyesight was at risk. This care often included inpatient hospitalization until theindividual could be transferred to an Iraqi civilian medical facility that could provideongoing care. However, because of the lack of medical treatment capacity within theIraqi health care system, many of these individuals remain in U.S. military medicaltreatment facilities and receive ongoing care for extended periods of time.Costs of Health Care Provided to Iraqi NationalsThe initial costs of inpatient care using standard U.S. military medical treatment facilitybilling charges for an overnight hospitalization were approximately $30 million to $36million annually. The initial costs for hospitalization did not include additional expensesincurred for outpatient care, surgical care, intensive care unit services, consumablemedical supplies, blood products, or pharmaceuticals.Management Controls for Wartime Theater Medical Care inStability, Security, Transition, and Reconstruction OperationsManagement controls for wartime theater medical care in DoD deployable medicalsystems have not been fully developed. Policies and guidelines have been developed inthe area of medical logistics, supplies, and equipment to enhance interoperability,increase efficiency, and maximize resources with a focus on joint operations, butguidance is limited on controls necessary in complex humanitarian assistance, stabilityoperations, or other contingency operations where medical care is provided to non-U.S.populations.Policies and guidelines are needed to collect sufficient managerial accounting data toachieve economies of scale; minimize wastage of personnel, supplies, and otherresources; and allow leaders and managers to properly plan and budget for SSTRoperations.Recommendations, Client Comments, and OurResponseDeleted Recommendation. Based on client comments, we have deleted draftRecommendation 23.a.(3) from the final report.166