How to get things done in military medicine, and how to carry that skill into every area of life. 

Like everything in government, military medicine is a vast bureaucracy. As such, military medicine is inherently resistant to change; sometimes it seems that people work four times as hard to get one-fourth of the work done. Nonetheless good people do good things every day, and slowly the prow of this lumbering battleship gets pointed in the right direction. I have spent over 23 years in military medicine, including 18 months as a liaison in Washington at the Department of Health and Human Services, and have learned a few things along the way. This paper is intended to help my staff, others currently in military medicine, and perhaps even those after us, get good things done in the US military health system.

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