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HMC-FMF-PJ
09-19-2006, 07:41
HMC-FMF-PJ wrote: [] The HM/DT merger is only Phase I of a much larger plan to consolidate 14 medical NEC's down to 5 NEC's and outsource at least 4 other NEC's to the civilian sector in Phase II. Phase III will likely involve additional consolidation and outsourcing of HM NEC's. Thinking aloud without any inside knowledge, I might be incline to say contractors and civilians are going to replace many HM jobs in a manner similar to what has already occurred in other ratings/duties. You won't see civilians humping a pack with the Marines or running sickbay on ship, but the vast majority of shore billets can be outsourced (CONUS & O-CONUS) rather easily. The Navy as a whole, to include Navy Medicine (officer & enlisted), WILL BE DOWNSIZING over the next few years. There will also be a transition away from branch specific medical service (towards a DoD Medicine, instead ofNavy Medicine)


http://www.military.com/features/0,15240,112706,00.html
The Defense Business Board unanimously recommended that Defense Secretary Donald Rumsfeld immediately appoint a task force to oversee establishment of a Unified Medical Command by Jan. 1, 2007, a year sooner than Defense officials had planned. The command would take charge of all direct-care health services of the Army, Navy and Air Force. It would streamline medical logistics, purchasing, information technology, research and development, facility operations, and the education, training and assignment of medical personnel.

The services would continue to control medical care in support of front line units and field hospitals. But Level III operational medicine, which includes all fixed military hospitals and clinics, would be run by the new command which would report directly to the defense secretary.

In the most sweeping reorganization of military medicine in 60 years, the Unified Medical Commandis envisioned tobe a major combatant command similar to theSpecial Operations Forces Command (SOCOM), and reporting directly to the Secretary of Defense. A four-star medical officer (general or admiral) given unprecedented authority would command all medical personnel, equipment and facilities, just as SOCOM controls combined special forces.

Several examples of a unified approach to medical care are operating are in the works. For example, Landstuhl Regional Medical Center in Germany is a joint medical facility.

The 2005 Base Realignment and Closure plan, with big changes to military medicine in Washington and San Antonio offers a snapshot of what's likely to be ahead. It establishes the Walter Reed National Military Medical Center on the grounds of the National Naval Medical Center in nearby Bethesda, while closing the existing Walter Reed campus in Washington and Malcolm Grow Medical Center at nearby Andrews Air Force Base, Md.

BRAC 05 also creates the joint San Antonio Regional Medical Center at Brooke Army Medical Center and makes San Antonio the training hub for all enlisted medical technicians. (bye-bye Great Lakes??)

Corpsman77
09-19-2006, 08:37
LOL

Just what I wanted to hear before I ship out. Now there's a chance I can get laid off in the Military now!

Just what I needed -- more lay offs.

Da-Chief
09-19-2006, 08:58
That's right we are already gearing up for the move.. Should be around 2011, after they clear theNative Americanburial grounds etc.. (Seriously not joking).

We have known this since last year.

Also get ready to see the day's fo the Quad "0" being gone, if we don't have a specialty you will either have to get one or get out.

No one will be kicked to the curb as long as you do something the Navy needs..

Later

Da-Chief

HMC-FMF-PJ
01-03-2007, 20:06
Much of this has been cancelled (Dec06) primarily due to problems the Air Force had with it; but other aspects will still be moving forward.

It is also unclear if all the HM cuts will continue. Lots of HM positions will be outsourced to civilians and some will be syphoned off to SpecOps, but there all calls for increases elsewhere that may minimize planned reductions.

Da-Chief
01-03-2007, 20:12
What we have heard from the pipeline, Outsource Hospital Billets, Overload 8404 positions...

I don't know how this is going to work as we can't do back to back to back sea duty..



The CO was in the office today and we were mentioning how does it make sense to move all the school houses to Fort Sam to build all new stuff if we are all doing our own thing still and not sharing, when we already have school houses up and running etc on our respective bases?

Don't know if this will be rolled back as well.. I do know the Army was very receptive to us sharing assets, it was the Zoomies who were not..

Who knows..

HMC

HMC-FMF-PJ
01-03-2007, 21:02
Since the BRAC is basically written in stone and was written to prevent modification once passed, I don't really see how it won't happen in the not too distant future. It may be 5 years before it goes into effect, but I think the die has already been cast.

The unified command plans were not part of the BRAC and thus were much easier to change than the single enlisted med tech training site. However, the school could be organized so that even if everything is colocated in the same building, the Navy teaches Navy, Army teaches Army, etc. Sort of like EWTGPAC. The Navy & Marines share the building but there are two separate systems & two chains of command with a whole different set of students. Maybe that's what we'll see in the first incarnation of the single site plan.

Da-Chief
01-03-2007, 21:51
One word...

FUNDING

Under BRAC you have to be done by a certain time. We were already asking for waivers etc becuase it is going to take so long to build the stuff at FT Sam Houston.

Who knew we had to check if we were on "AMERICAN INDIAN" Burial Grounds.(Not a joke!)

As it is now they are talking 2011, when we were supposed to be done at the latest in 2010.

So it is all about funding, if it is not there, they can throw it out.

We are all up on BRAC here..

;-)
Ltr

HMC