National Suicide – Lincoln at Lyceum

America is killing itself. We penalize marriage, devalue children, and abort infants. We are unforgiving, hypocritical, and we deny the truth. We are selfish, vain, craven, and weak. But we can choose to be otherwise. Hope yet remains. 

By Mark D. Harris

In our ongoing study of Lincoln’s words to the Young Men’s Lyceum in Springfield, IL on 27 January 1838, we have briefly examined some of the amazing blessings of America. These include her geography, her resources, her development, and her political institutions. Most people throughout history have been crushed by the boot of tyranny, from Argentina to Japan to Zimbabwe. Even today in China, Russia, Turkey, and many other nations, the light of liberty is flickering, or has gone out. The American people, working through brilliantly conceived and enduring political institutions, have lived in freedom, limited primarily by their own industry and imagination.

We have also discussed the men and women who made the United States the amazing country that it is. As heirs to their wisdom and to their labors, we must be grateful. As heirs to their folly and mistakes, we must be humble, because it is not clear that we are any wiser, or any more industrious, than they were. Looking at the United States today, one wonders if we are not greater fools and greater sluggards. Those who cast aside the Greek democracy and the Roman Republic thought they were building better societies.

Today we must explore Lincoln’s next passage, asking where the danger to America would come.

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JTF Cap Med/NCR-MD Leadership Studies

Pursuant to the Base Realignment and Closure Law of 2005, the Joint Task Force National Capital Medicine (JTF Cap Med) was established in 2008. Its mission was to integrate military health care in the National Capital Region, including the merging of the Walter Reed Army Medical Center (WRAMC) and the National Naval Medical Center (NNMC), and the transition of the DeWitt Army Community Hospital (DACH) into the Fort Belvoir Community Hospital (FBCH). On 15 September 2011 WRAMC and NNMC united to become the Walter Reed National Military Medical Center (WRNNMC) in Bethesda and the billion-dollar FBCH opened its doors. To handle the myriad of issues involved in such a major transformation, the JTF Cap Med endured.   Having completed its mission, it was disestablished on 30 September 2013.

In March 2013 the Deputy Secretary of Defense, Ashton B. Carter, directed that the Defense Health Agency (DHA) and a subordinate organization, the National Capital Region Medical Directorate (NCR-MD) , be established on 1 October 2013. The purpose of the DHA was to integrate services that could be shared between Army, Navy and Air Force medicine such as information technology, logistics, education, research, and others. The purpose of the NCR-MD was to continue the work of the JTF Cap Med in integrating military health care in the Joint facilities, WRNMMC and FBCH) and optimize and integrate military medical care in the rest of the military health facilities in the National Capital Region market. This includes the Malcolm Grow Medical Clinic and Surgical Center (MGMCSC – Joint Base Andrews), the Kimbrough Army Community Clinic (KACC – Fort Meade), the Navy clinics at Quantico and Annapolis, the Joint Pathology Center, the National Center of Excellence for Traumatic Brain Injury, and their subordinate facilities.

I came to the National Capital Region (NCR) as Chief Medical Officer at the DACH in July 2007 and have been serving in military medicine in the NCR since. In January 2012 I took over as the Director for Clinical, Business and Warrior Operations at JTF Cap Med headquarters and I maintained that position through the transition to the NCR-MD. These experiences and others have provided many leadership lessons that I hope will be useful to my staff, my students, and others who have interest in these areas. I have assigned one to two readings per month to my teammates at the NCR-MD, and now make them available to all.

Month

Article

January

Fighting for Health – The Future of the Military Health System

http://mdharrismd.com/2013/06/13/fighting-for-health-the-future-of-the-military-health-system/

Encouragement When Nothing Seems Right

http://mdharrismd.com/2013/05/13/encouragement-when-nothing-seems-right/

February

Getting Things Done in Military Medicine

http://mdharrismd.com/2013/03/31/getting-things-done-in-military-medicine/

March

Communication in and Between Military and Military Medical Organizations

http://mdharrismd.com/2013/03/31/communication-in-and-between-military-and-military-medical-organizations/

The British Campaign in Afghanistan 1839-1842

http://mdharrismd.com/2013/03/31/the-british-campaign-in-afghanistan-1839-1842/

April

Using the Military Decision Making Process in Civilian Organizations

http://mdharrismd.com/2013/03/31/using-the-military-decision-making-process-in-civilian-organizations/

May

Bridging Strategic Thinking with Tactical Operations

http://mdharrismd.com/2013/03/31/bridging-strategic-thinking-with-tactical-operations/

Jonathan Potts – American Revolutionary Physician

http://mdharrismd.com/2013/06/07/jonathan-potts-american-revolutionary-physician/

June

Briefing Senior Leaders

http://mdharrismd.com/2013/04/20/briefing-senior-leaders/

The Informative Brief

http://mdharrismd.com/2013/11/22/the-informative-brief/

July

In Praise of the Battle Rhythm

http://mdharrismd.com/2013/03/31/in-praise-of-the-battle-rhythm/

Making Meetings Matter

http://mdharrismd.com/2013/03/31/making-meetings-matter/

August

The Dance of the Headquarters

http://mdharrismd.com/2013/03/31/the-dance-of-the-headquarters/

September

Awards and Recognition Ceremonies – Are They Really All About You?

http://mdharrismd.com/2013/03/31/awards-and-recognition-ceremonies-are-they-really-all-about-you/

October

The Importance of Learning Many Ways to Communicate

http://mdharrismd.com/2013/03/31/the-importance-of-learning-many-ways-to-communicate/

Formal Business Visits and Town Halls

http://mdharrismd.com/2013/10/12/formal-business-visits-and-town-halls/

November

A Sense of Time and Place

http://mdharrismd.com/2013/03/31/a-sense-of-time-and-place/

Getting People to Answer

http://mdharrismd.com/2013/11/01/getting-people-to-answer/

December

DOTMLPF-P Analysis and Military Medicine

http://mdharrismd.com/2013/11/09/dotmlpf-p-analysis-and-military-medicine/

Taking Intelligence Threats Seriously

http://mdharrismd.com/2013/03/31/taking-intelligence-threats-seriously/

 

The Future of the Military Health System

What will the Military Health System look like in the future? The operational forces will be more military, and the CONUS facilities will be more civilian. 

In the book Retribution: The Battle for Japan, 1944-1945, Max Hastings described how ships’ crews took on the characteristics of their commanders. One captain was not well liked but was respected because “he had a mind like a slide rule.” Most good commanders took care of their sailors.

One characteristic of all effective commanders was that they communicated all that they knew about the strategic situation to their crews. In December 1944 the US Navy had 1100 warships and 5000 support ships. Most sailors never saw the big battles and instead spent the war shipping cargo between ports. For example, it is 5100 nautical miles from Honolulu, Hawaii to Darwin, Australia. Cargo ships took 21 days each way to make the trip. Temperatures in these all-metal ships reached 110 degrees, the odor of fuel and sweat was ubiquitous, and the noise was deafening. Men swabbed, repaired, ate, slept and repeated the process endlessly. They saw nothing but the sea, the sky, their ship, and each other. Few knew how their part, no matter how small, fit into the overall plan for victory.

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