Archive for the 'medical diplomacy' Tag
Five years ago, in days after the Indian Ocean Tsunami, I wrote an op-ed for the Boston Globe–a piece that, with the Haiti disaster, remains a relevant cautionary tale today:
The tsunami response, being hailed as one of the biggest U.S. military disaster relief missions in history, has been less effective than portrayed. When a deployment of just 40 navy helicopters requires 6 days, more than 9,000 sailors and $7 billion of military equipment, something, somewhere, has gone wrong, reinforcing Rumsfeld’s belief that the United States needs better tools to project power in the strategically critical zone where land meets sea.
Ships made for controlling the high seas have little utility in crowded, shallow waters. The enormous aircraft carrier off Indonesia, the Abraham Lincoln, has little to offer. With a medical staff of 40 and 17 small helicopters, the floating airbase is a marginally useful asset for anything other than all-out warfare.
A group of three amphibious warfare ships in the arriving expeditionary strike group can do more. Their complement of about 23 large helicopters and landing craft will speed the distribution of fresh water, food and medical care to areas cut off by the tsunami. But three amphibious ships can’t cover 3,000 miles of affected coastline.
An underlying problem is strategic. America simply lacks a presence in shallow intertidal zones. Had fast-moving assets been nearby, the Bush administration, by getting firsthand information from the disaster zone, would have better understood the scope of the tragedy and avoided making an embarrassingly low initial aid offer of $15 million.
This diplomatic fiasco is reason enough to demand an immediate transformation of American military posture. But Rumsfeld’s vision of a future Navy isn’t perfect. He overlooks the mundane nonfighting aspects of present-day military power. That is a problem for two reasons. First, the United States has a long history of using the military for diplomatic and humanitarian gain. Second, it is often the military support system that does the most in furthering American aims…
With the Haiti earthquake, we’ll discover that a lot has changed in the space of five years.
Today, in the aftermath of this earthquake, the initial response will be enormous. Unlike the Indonesian Tsunami, our initial aid may end up becoming a long-term commitment–lest we wish to see a desperate human tsunami start out for the U.S. from a shattered Haiti. Help sent to Haiti, however, may also pull assets from Afghanistan, forcing policymakers into an ugly debate over the relative importance of the Western Hemisphere vs. Afghanistan and Iraq.
At present, prior commitments are taking a backseat to lending a needed hand. A whole raft of ships are heading to help. The USS Carl Vinson (CVN-70) may stop off at Mayport to become, largely, a helicopter carrier (populated with Army helicopters, perhaps?). Not only will this highlight the importance of having a second carrier-ready port on the East Coast (and, in the process, hand ADM John Harvey’s call for strategic homeportingsome extra “omph!”), this will give the Carl Vinson crew a chance to grab extra gear for the task ahead.
The USS Bataan (LHD-5), USS Fort McHenry (LSD 43) and USS Carter Hall (LSD 50) are going to sea, and will likely prep for Haiti duties. Amphibs are the poor bloody infantry of disaster-response operations, and this deployment should be expected. That said, the USS Bataan is familiar with MV-22 “Osprey” operations, suggesting that the 24th MEU’s attached combat-ready MV-22 squadron may get it’s first real humanitarian/support to civil authorities mission. The ships with the 24th MEU may go as well, but we’ll see.
An Osprey deployment to Haiti will be high-profile test–an unexpected tasking, done under a full-bore media glare. It will likely not have the maintenance padding (the extra spare parts and private maintainers to allow for “aggressive sparing“) Ospreys enjoy on their overseas junkets. This is a real test. Now, to the Osprey’s benefit, this is low-altitude work in almost ideal conditions–and, as I’ve said before, a perfect way to demonstrate this platform’s effectiveness. If they go, expect to see the Osprey pressed into moving critically-injured foreign nationals from Haiti to Guantanamo for staging/stabilization and evacuation–a high-profile mission where speed is of the essence. (Might we see some of the first MV-22 operational landings on a U.S. aircraft carrier? I mean, in an emergency, anything might happen…)
Aviation, however, will be a sideshow (OK, an important sideshow). But the ports–and all the aid that will need to flow through them–are key. And the Coast Guard is already reporting that they’re damaged.
The earthquake’s havoc was challenging the ability to move supplies into the hardest hit areas, U.S. officials said. The damage threatened supply lines to the impoverished city and country, which relies in large part on ship-borne deliveries…
“The initial reports we are getting, it [the sea port] is very heavily damaged,” U.S. Coast Guard Rear Adm. James A. “Jim” Watson IV, director of Atlantic area operations, said in an interview from Portsmouth, Va. “If the port is severely damaged, that makes it very, very difficult” to get relief supplies in.
This situation offers amphibious vessels–the ones with well decks–an opportunity to really strut their stuff–giving the Marines another high-profile means to demonstrate why their next-generation big-deck amphibs need their well-decks returned.
As far as harbor exploitation goes, the USNS Comfort (T-AH-20) will likely have a hard time approaching a pier–meaning that her value as a large hospital will be reduced.
It’d be nice if the shallow-draft JHSVs were in service right now, but instead we’ll see if the former Hawaiian Superferries will be utilized or if the PCU Independence (LCS-2) gets orders to forgo commissioning and get underway for a mission. If the LCS-2 were sent, that’d be one heck of a familiarization cruise–but why not? Even if it just was to serve as a shuttle, what’s there to loose? Isn’t the LCS meant to be expendable? But, then again, the LCS-2 program office shouldn’t feel too bad…with the newly commissioned USS New York (LPD 21) stuck pier-side, the LCS-2 folks have some room to maneuver.
Will the local harbors need salvage expertise and resources? Will this disaster demonstrate our relative shortcomings in salvage assets? ADM Harvey may be right to worry about the utility of harbor infrastructure to blockade a port–but having a second port available won’t solve the problem. How would we be able to open a blocked U.S. port quickly–if we had to? Are we ready to do what we need to do–if we needed to do it? I don’t think so–and Norfolk isn’t the only problem, either.
We’re in the early stages of this thing–and we’re only looking at some initial signs and indications with this blogpost. I mean, in a few days we’ll probably be cheering as Navy Seabees start clearing blocked roads. There are a lot of ways this post-disaster situation may evolve. But, right here, right now, we’ve got an eerie warning of the future world–full of weak states crumbling under the blows of an unexpected natural disaster.
Read more at NEXTNAVY.COM
What do you think? Should the United States deploy a hospital ship to Gaza?
On a separate note, if you are interested in medical diplomacy, War & Health is one of the best blogs out there on the subject. I strongly recommend you add it to your blogreader after adding USNI Blog.
RADM Kernan’s response to USNI Blog’s question about CP 08 lessons learned is one for the history books. It was so thorough that there is no way I could synthesize it. To read the roundtable’s transcript click here. To listen to a mp3 file, click here.
Either way you will be glad you learned more about the importance of medical diplomacy.
Is there going to be a Continuing Promise 09? That is what USNI Blog asked Rear Adm. Joseph Kernan, commander of U.S. Naval Forces Southern Command and U.S. 4th Fleet told USNI blog during a recent DOD Bloggers Roundtable,
Yeah, there’s going to be Continuing Promise indefinitely, I mean, part of the thing I’m going to try to do is institutionalize our presence in the region, you know, it doesn’t do much good to go and do some great humanitarian stuff in my mind. It doesn’t in a tactical sense, i.e., right there that day, but enduring peace is real important to me and I think the Navy is going to support us on that, whether it be Comfort or whether it be a Kearsarge. We’re going to continue every year, we’re going to continue to do an exercise like a Continuing Promise, and also every asset that goes into the region or the theater is going to do Continuing Promise-like activities, you know, whether it’s humanitarian, whether it’s a construction project or things of that nature.
I can’t think of a better way to win so many hearts and minds in SOUTHCOM’s AOR. Go Medical Diplomacy!
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- On Midrats 29 March 15 – Episode 273: Partnership, Influence, Presence and the role of the MSC