Showing posts with label USA military. Show all posts
Showing posts with label USA military. Show all posts

Sunday, July 21, 2013

Sequestration fallout and damage


Air Force leaders announced July 15 that flying training would resume at numerous units, bringing an end to the three-month halt that resulted from the budget sequestration reductions.

Congress approved a $1.8 billion reprogramming request that transferred money from several programs to pay for near-term shortfalls in war funding, which allowed flight training to resume.

In total, the budget sequestration triggered by Congress' inability to reach a broader deficit reduction agreement has cost the Air Force $10 billion in fiscal 2013. Absorbing that cut in just seven months forced many damaging steps beyond the halt to flying training, including a near freeze on repairs to buildings, significant reductions in maintenance of aircraft, and the 11 days of civilian furlough that began last week.

The halt to flying reduced expenditures by $857 million for fiscal 2013, but restoring readiness will require major additional investments in 2014 and beyond.

'We all understand that the Air Force has a part to play in the efforts to get the federal deficit under control,' said Dr. Jamie Morin, the assistant secretary of the Air Force for Financial Management and Comptroller. 'The updated defense strategy as well as the drawdown in overseas operations will let us make some reductions. But these arbitrary, across the board cuts from sequestration are undermining the Air Force's efficiency and effectiveness.'

Congressional approval of this reprogramming request, coupled with efforts under the 'Every Dollar Counts' campaign and belt tightening at bases around the world has allowed the Air Force to begin to undo some of the worst damage from sequestration. However, a recovery of flying proficiency will take several months.

According to Air Force officials, the damage will worsen if Congress does not act to avoid a further round of automatic cuts in time for fiscal 2014, which begins Oct.1. In that case, the Air Force would have to reduce training across an even wider swath of units, including likely more than half the Combat Air Forces.

Units across the Air Force are also feeling the effects of the 11 days of civilian furlough, which is reducing crucial services at bases around the world and is projected to cost the average Air Force civilian $3,000 in pay cuts.

'We rely on our civilian Airmen to keep the Air Force in the fight,' said Acting Secretary of the Air Force Eric Fanning. 'Their absence is felt across the board and it impacts our ability to accomplish the mission. General Welsh and I are committed to working with the Secretary of Defense to find a way to bring this disruptive furlough to an early end if at all possible.'

While flying operations will begin the long path to recovering readiness, many other areas of Air Force operations remain seriously degraded. The largest funding reductions came in areas like facilities maintenance, where many installations are addressing only emergency work orders.

'Right now, most bases only have the resources to do emergency facility and infrastructure repairs in order to avoid imminent mission failure or threats to life, health or safety,' said Maj. Josh Connell, who is assigned to Headquarters Air Force Office of the Civil Engineer. 'Therefore, vital preventive maintenance is being deferred. Just like with your car, you can save money by not changing the oil, but at some point, it's going to cost a lot more to repair the damage caused by that lack of maintenance.'

Similarly, the three Air Logistics Centers' depots have seen their workload reduced by $700 million, meaning that aircraft and engines will not be overhauled on schedule. A broad civilian hiring freeze remains in effect, resulting in thousands of vacant positions across the Air Force. Few of these reductions will be reversed even with approval of the reprogramming action, and the effects are projected to deepen if the sequester reductions last into 2015.

Major Air Force modernization projects were also hit by the sequestration. Some programs were targeted for even further reductions in order to transfer dollars to war requirements, and these cuts will have enduring consequences.

'When we have to disrupt complex acquisition efforts to find near-term savings, we almost always end up costing the taxpayer more for less capability in the long run,' said Lt. Gen. Charles R. Davis, the military deputy to the Air Force Service Acquisition Executive.

'We appreciate Congress' support for realigning dollars to meet wartime requirements so that we could restore our most critical flying training,' Morin said. While the flying stand down was one of the most visible actions we've had to take to reduce spending, no one should be under any illusion that this return to flight means the damage from sequestration has stopped.'

For more information on how sequestration is impacting the Air Force, visit http://www.af.mil/sequestration2013.asp

Monday, May 13, 2013

What does US accomplish by Guantanamo force feeding?


Of the 166 detainees at Guantanamo Bay, about 100 are on a hunger strike. About 20 are being force-fed, according to the New York Times. About 40 medical staff have arrived to ensure that the detainees are fed.

The men want their cases heard before a court. Many of them have been at Guantanamo for 12 years without being charged.

What are the medical ethics of force-feeding? It seems to violate the norms of informed consent and refusing burdensome treatment. The American Medical Association sent a letter to Secretary of Defense Chuck Hagel on April 25. It quoted the 1975 Tokyo Declaration of the World Medical Association which takes an umambiguous stand on the issue: "Where a prisoner refuses nourishment and is considered by the physician as capable of forming an unimpaired and rational judgment concerning the consequences of such a voluntary refusal of nourishment, he or she shall not be fed artificially".

It is not clear how many doctors, if any, are involved in the force-feeding.

However, President Obama has ignored the niceties of medical ethics for the hunger strikers. He simply told the media, "I don't want these individuals to die." Politically it is impossible to release the detainees; legally it is hard to try them. So they remain in limbo, frustrated and angry.

The military has not released much information about the force-feeding regimen. But in The Daily Beast, infectious diseases expert Kent Sepkowitz, of Memorial Sloan-Kettering Cancer Center, makes it sound excruciating:

"Without question, it is the most painful procedure doctors routinely inflict on conscious patients. The nose--as anyone knows who ever has received a stinger from an errant baseball--has countless pain fibers. Some patients may scream and gasp as the tube is introduced; the tear ducts well up and overflow; the urge to sneeze or cough or vomit is often uncontrollable... The procedure is, in a word, barbaric. And that's when we are trying to be nice."

However, he also is unsure what is to be done.

"In this debate individual doctors are stuck at a crossroads of unusual complexity. Sworn to alleviate pain and prevent death where possible, we also are sworn to respect the wishes of the individual. For us, there is no simple way out. Though sharing some similarities, the situation is distinct from respecting the wishes of a patient dying from an untreatable illness--starvation has a remedy."

From here.