US Army Puts Policy First, Soldiers Last and Soldiers are Dying


Full disclosure: I have a personal interest. My oldest son, whom I cherish and of whom I am more proud than I could ever say, is a crew chief on a Chinook helicopter and due to deploy for his second tour in Afghanistan next year.

I have nothing but respect for members of the US Military. When duty calls, they answer; putting lives and skills on the line. With them being involved in a few shooting wars, that answer regularly results in casualties. What happens when one of these men and women are shot, stabbed, blown up or otherwise wind up WIA?

The simple answer is they send a medevac helicopter to get you. That simplicity is misleading as there are factors involved which impact how soon it arrives.

It’s not the medevac crews. To them, it doesn’t matter how bad the weather is. It doesn’t matter how many enemy are shooting at you. Nothing matters except you need them to be there 5 minutes ago. The sooner they take off, the sooner they get there, the sooner a soldier gets attention. That’s what they do.

Marine and Air Force medevacs arrive equipped to deal with any situation. The aircraft sport mini-guns and personnel carry weapons. They carry medical gear and their medical training is elite. They play offense and defense ridiculously high above the rim. Michael Yon writes about them in an insightful piece, Pedros.

The one thing these angels of mercy don’t have is a red cross painted on their aircraft.

Army medevacs still display the cross. They don’t have to. The Army chooses to. According to the Geneva Convention, an aircraft with the cross cannot be armed. Thus, for Army medevacs, before they take off, they wait for an armed Apache helicopter to defend them since they cannot defend themselves.

This is not a swipe at Army medevac crews. They are just as highly trained and committed to their craft as their Marine and USAF counterparts. In fact, their unofficial motto is “No guns, just balls!” This is an accusation of malfeasance and dereliction against those who continue to insist on outdated and dangerous policy which puts soldiers lives at risk when seconds matter.

The problems with this policy are legion. It gives the enemy two targets, it takes Apaches away from other combat missions, it adds wear and tear on aircraft, and, most importantly, it puts soldiers lives at risk. It has resulted in the death of American soldiers who waited longer than necessary. Michael Yon personally witnessed such a travesty. He wrote about it in Red Air: America’s Medevac Failure.

If you sell helicopters and parts, this is a good deal. Ditto if your military command wants bragging rights to controlling all those aircraft. If you are family to a soldier in harm’s way, not so much, to say nothing of what it means to soldiers themselves.

The simple fix, remove red crosses and add guns to Army medevacs, is being resisted by the Army. Why seems irrelevant and unacceptable given the stakes. Soldiers need to know help is inbound. Now! Not after 10 minutes; not after 10 seconds but 10 seconds ago!

Please, write your US Congressmen and Senators. Send them Michael Yon’s open letter to the President and the Secretary of Defense. Tell them to tell the Army to take crosses off, put guns on and go, go, go … somewhere a soldier needs that medevac!

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There was a time when rules of war made sense

Doc Holliday (Diary) Wednesday, October 26th at 2:41PM EST (link)

There was a time when red crosses, white flags, and ceasefires to collect the wounded were de rigueur, or at least common. When warring nations maintaine a shared humanity, they can follow rules, even in war.

Though it is true the people we fight today are the most radical, the most inhuman we have ever fought, most of our enemies in the twentieth century were not much better, at least during wartime.

US Army brass, you best pull your head out!

Molon Labe!

Applies to politics with the left as well

wennejunk (Diary) Saturday, October 29th at 2:52PM EST (link)

“When warring nations maintaine a shared humanity, they can follow rules, even in war. “

We need to understand that they do not play by the rules that once ruled politics and adjust accordingly.

There are only two kinds of people in the end: those who say to God, ‘Thy will be done,’ and those to whom God says, in the end, ‘Thy will be done.’ -C. S. Lewis

 
 

Another perspective

YnotNOW (Diary) Wednesday, October 26th at 2:46PM EST (link)

My experience with Army ambulances is from a few years ago, and with ground ambulances not Medevac helicopters, but illustrates my perspective. Our medics only caried “defensive use only” M-16s (and 9mm pistols for docs and nurses, who usually weren’t on ambulances anyway) – for “defense of themselves and their patients” only. This somewhat limited where they could go without escort, and we much appreciated the help of engineers or logistics convoys when needed.

But if we armed them better, would they really be more capable of going into hostile situations? With a few notable exceptions, our medics were not as trained or mentally prepared to engage the enemy as the combat personnel. They were medical personnel. And to ask them to expand that role was (usually) setting them up to get themselves in over their heads. I would rather be realistic on what they could be expected to do, and bring in the “experts” when more was needed.

YnotNOW
If not me, who? If not now, when?

Great Perspective from one with Experience ...

Blue_Collar_Muse (Diary) Wednesday, October 26th at 3:10PM EST (link)

yet the Michael Yon story on Pedros, linked above, addresses that issue, at least partly.

There doesn’t seem to be much downside to the notion of arming the Medevacs. Especially since the USMC and USAF have already done this. Only the USA remains tethered to the notion of not arming medevacs.

A middle solution would be to at least remove the red crosses even if you didn’t add the guns. You could still send the Apaches to fly cover and you wouldn’t be advertising “Shoot at me and I won’t shoot back!” on your aircraft.

The reason I linked to 3 separate stories by Yon is that he covers all the bases on these things. I’m not trying to be all inclusive in 750 words. I’m trying to frame the issue and give resources for those wanting more info.

And, of course, I’m wanting input from folks such as yourself who have practical experience that would support or poke holes in the premise.

Thanks for both your service and your comment!

Blue Collar Muse

Smaller Government! Lower Taxes! Stronger Defense! More Liberty! Complete Transparency!

 

no one said put a brain surgeon on the mini gun

Doc Holliday (Diary) Wednesday, October 26th at 4:23PM EST (link)

The army has personnel who CAN engage the enemy. The point is that if medevacs are being fired upon, or they are not going into hot areas because they are not armed, something needs to be done. It is not our job to assign MOS’es, the commanders can figure out the how part of the equation.

Molon Labe!

 

My observations on this from a Stryker Battalion

theevenger (Diary) Thursday, October 27th at 1:14AM EST (link)

I was in a Stryker Battalion before a training injury ended my adventure during final trainup for my first deployment. A normal Stryker (Infantry Carrier Version) has at least two, more likely four armed men poking up through the hatches, one of which is operating a remote .50 Cal. In the Medevac variant, the spots the two rear air guards stood is taken up by the gurneys (we had a technical term for them but I forget what it was) and the medic who is working on the patients. One of those hatches up front that was manned by an armed soldier? Taken up by medical equipment. The remaining hatch, which would have been manned by the remote .50 Cal operator? Our medics took the chair he would be sitting in out so that they could get another medic working on the patients, since the medic was usually busy anyway, usually standing, and could use the extra room.

Needless to say, we escorted the MEV everywhere. I can completely see your point regarding ground ambulances. I would argue that air ambulances have more room. A door gunner doesn’t take up much internal space. From my experience, there is never a shortage of people willing to man the machine guns, so there would be no problem finding someone qualified to man the door guns. In all honesty, the medevacs go where the action is, and young adventurous door gunners want to be where the action is. I know I did, before I got hurt and it became clear my adventure was done.

 

Does not apply to the Vehicle or Flight crews

Raven (Diary) Thursday, October 27th at 1:40AM EST (link)

They are not medical personnel.
Put the medical personnel into vehicles with crews capable of defending them.
We do it in Route Clearance with our Combat Medics. Why the medevac units do not do the same, is a good question.

“If you do not have a sword, sell your cloak and buy one.”
Luke 22:36

 
 

Highly recommended

Finrod (Diary) Wednesday, October 26th at 4:01PM EST (link)

I read Michael Yon’s story and was extremely annoyed at the Army for their lack of clue on this subject. This story needs all the attention it can get to change this bogus policy.

Let’s get down to brass tacks here. How much for the ape?

 

There are actually 2 separate issues

Ed54 (Diary) Wednesday, October 26th at 9:22PM EST (link)

The first is the arming of the MEDEVAC brds. The second is the restriction on unescorted MEDEVACs.

Frankly, defensive weaponry on helicopters is only marginally effective. It’s tough to see the enemy, and even tougher to shoot back accurately. Machine guns are not much use against RPGs, which are the most significant current threat, because the gunner typically won’t see the enem y until AFTER the RPG has been fired. Basically, the guns may make you feel better, but they won’t do much to keep you getting shot down, and they certainly won’t deter the enemy from trying.

Escort fire is far more effective. Apaches can throw down a hail of lead from their guns and rockets, and they have excellent optics to see the enemy and shoot accurately. The enemy knows from years of experience against us and the Russians to fear gunships. An Apache on station will make the enemy think twice before exposing himself by firing at the MEDEVAC bird.

So, the bottom line is that an Apache-MEDEVAC pair is much less likely to get shot down than a lone armed MEDEVAC bird. Getting MEDEVAC birds shot down is not going to help the troops on the ground waiting to get rescued.

The Marine/Air Force comparison is a bit disingenuous. To my knowledge, only the Army provides dedicated full-time MIEDEVAC aircraft, because of their Theater logistics Executive Agent responsibilities. Marine and Air Force birds are dual purpose aircraft. In other words, they are set up for combat missions (Marines) or Combat Search and Rescue (Air Force) but can be used for MEDEVAC missions when not otherwise employed, and they are already mounted with guns. Army MEDEVAC birds, by contrast, are specially configured aircraft with rotary litter carriers and on-board medical systems. They are never used for anything but MEDEVAC.

The no-fly-without-escort decision is a bit sketchier. IMO there are probably tactical situations where an escort is not critical. If the ground tactical situation is secure, such as after a typical IED strike, the ground commander should be able to call for an unescorted MEDEVAC in an urgent situation. But allowing this would always entail some additional risk, and most field grade and flag rank commanders are not going to take additional risk unless they are forced to.

Operational decisions are not being made by Obama, or by some goateed policy analyst in the Pentagon. Such decisions are made by the commanders in theater, based on the recommendation of the leaders of the units who conduct operations. While that doesn’t mean the decisions are always correct, it does suggest that we consider we may not have all the information or experience that the man making the decision does.

“If all men were just, there would be no need of valor.”
- Agesilaus

Something my old Sergeant used to say stuck with me....

theevenger (Diary) Thursday, October 27th at 1:17AM EST (link)

When I first got to my unit, they had just returned from deployment less than a month earlier. One of the things he used to tell me was that whenever they had Apache air support, they never got hit.

 

A good explanation

Raven (Diary) Thursday, October 27th at 1:49AM EST (link)

But it begs the question of why escort elements are not integrated with the medevac units at the company/squadron level.

Ah, right. That would require more vehicles/aircraft, more personnel, more cost. The mission benefits are beside the point…

“If you do not have a sword, sell your cloak and buy one.”
Luke 22:36

it seems to me someone is well meaning

Doc Holliday (Diary) Thursday, October 27th at 6:31AM EST (link)

but focused on their personal, limited, world too much. Michael Yon is the real deal, did the poster read his entire post? See it does not matter if there are good reasons why the Army continues this policy. This is a political site, we advocate for change when needed. There is no reason to tamp down on people who just want an answer, if the Army has a good answer why they don’t allow medevac’s to be armed, then they should tell us the reason.

Molon Labe!

 
 

There are many issues here....

evilleramsfan Thursday, October 27th at 8:56AM EST (link)

First of all, in the piece “Red Air”, Michael spell out that the Pedros were on base ready to fly, but since it did not meet certain conditions, a MEDEVAC had to be sent. The problem was that the MEDEVAC wasn’t cleared to take off because it had no available support. The author had been on many missions in Afghanistan and said that usually the birds were circling the LZ by the time they made it there. The bird was still on the ground at that point. A Pedro could have been there waiting for them.

It took over 60 minutes to get the soldier to the airfield and he died on the tarmac. They had the resources available for him to be there in 30.

“First make sure you’re right, then go ahead.” – Davy Crockett

 
 

Reality Based War

appealtoheaven Thursday, October 27th at 12:58AM EST (link)

It is naive to expect our enemies will have any sort of respect for our nutty notions of civility in war. It is naive to expect them to respect a red cross. It is naive to expect them to treat prisoners humanely.

They rarely ever do.

Simple put, the military should not be creating policy based upon false hope.

It worked, for a time... when both sides would...

acat (Diary) Saturday, October 29th at 10:37AM EST (link)

proactively punish anyone who violated a flag of truce or shot at a red cross.

As the current enemy uses the red cross to hide weapons shipments and as a good way to find unarmed Americans, it seems a policy that has outlived its’ usefulness.

Two options exist. First, arm the rescuers and remove the red cross. That’s likely cheaper than the second, which is to train our enemy to the point that they will also proactively punish anyone shooting at a red cross.

To implement this re-education, though, we’ll have to remove the iron fist from the multi-layered velvet gloves.. and I don’t see the political will to do it.

Mew

——
self-portrait

Caveat Suffragator

 
 

Misguided

wennejunk (Diary) Thursday, October 27th at 9:30AM EST (link)

The Army does have lots of red tape. Yes, there are huge profits in the defense industry. Yes, the Army does have an institutional inertia to change and, yes, there are commanders who are excited about larger fiefdoms.

However, to suggest the policy is a result of war profiteering, pig-headedness or command-growing ego is misguided.

I believe the policy is the correct one in the larger picture.

While I was not Medevac, I flew and commanded platoons of both reconnaissance aircraft (Scouts) and Apaches (Guns),

Each occupation has a specific mindset and tactical focus.
.
The scouts were essentially unarmed, except with defensive weapons. Our job was to go out and observe – to “see” the battlefield.

Weapons, other than defensive, would take our focus off reconnaissance and allow us to get pulled into situations we could not properly exploit, but more importantly – could reveal our presence to the enemy and potentially cripple a larger planned offensive/defensive action by the units equipped for that purpose.

I hated being equipped with only a .38 pistol and 2 Stinger missiles, but it did make us more cautious and less likely to start a fight.

Apaches have both the focus and the tools to escalate a situation.

However, in both cases, if you made landing and rescuing wounded soldiers part of the scout or Apache mission, they would have been distracted from our primary mission – finding the enemy or killing him and our losses would have been higher.

In the same way, forcing Medevac to focus on rescue and life saving will, in the end, lead to less loss of life vs. arming them for combat operations.

So, the Air Force and Marines operate differently. OK, fine. they are not the Army.

They also operate in different environments, in general, than the Army. They have evolved their policies to be successful, in the larger picture, in the environments they operate in.

There are only two kinds of people in the end: those who say to God, ‘Thy will be done,’ and those to whom God says, in the end, ‘Thy will be done.’ -C. S. Lewis

With respect, I have to disagree on two points ...

Blue_Collar_Muse (Diary) Thursday, October 27th at 10:13AM EST (link)

If the reason the USA has continued its practice is not profiteering or command bloat or some other reason, all they have to do is explain what it is and how it makes their performance of their mission for medevacs – arriving fast and getting folks to the hospital – is best served by it. They could also explain that efficiency to the family and friends of the dead soldier whose story Yon wrote about in Red Air.

It does not have to be about profits or bloat … but it has to be about something! If the Army cannot or will not make the case for what it is about, well – something other than abiding by the Geneva Conventions, anyway – they are asking for reasoned speculation. That speculation does not of itself invalidate the ideas of profiteering or bloat.

The second point of disagreement is that the medevac units of the USA, USAF and USMC operate in different environments and have thus developed different strategies.

Were that the case, it seems logical to me that either only the USMC and the USA or just the USA would be operating medevacs in Afghanistan. After all, it’s been a while since we had a USAF pilot shot down or did an amphibious landing over there.

Further, according to Yon, the three usually operate interchangeably. But the reality is known that if you are in need of a medevac, you hope there are Pedros nearby. They fly – regardless! Regardless of weather, regardless of enemy presence, regardless … How odd that a USAF crew would risk far more to rescue what is likely to be an infantry unit and not a USAF unit if their tasks were so unique that they required such stratified differentiation.

Further, they “cover” each other. As Yon (and EvillerRamsFan above) notes, there was a Pedro spooled up and ready that could have been to the trooper in Yon’s piece in 30 minutes. That same stratified mission and command structure left the Pedro on the tarmac and had the USA medevac wait another 30 minutes for an Apache before taking off.

It would seem, at a minimum, that we are still fighting some other war or we are fighting the ones Yon and I mention, profits or command bloat.

Because if command is into accomplishing missions with the highest degree of success and efficiency, wouldn’t that argue for having far more or only Pedros? Which, of course, is the practical point of Yon’s observations.

Finally, according to Yon, these medevacs serve incredibly diverse situations and are prepared for them. They rescue combat personnel from US, coalition and Afghan units. They do so under fire and they do so from cold LZs. They do so night and day. The do so in desert, treelines and water. And on and on … their training and their commitment is to be ready to do all that at a moment’s notice and give friendly WIAs the best chance at survival.

With a son and friends in harm’s way, that is really what I practically care about. Give them the best chance to come home. Policy that is directed toward that end ought to be either easily defensible or, if far more complex than it appears it should be, the argument should be made as clearly as possible. Otherwise, change the policy. The Army has done neither.

Blue Collar Muse

Smaller Government! Lower Taxes! Stronger Defense! More Liberty! Complete Transparency!

 

The problem is...

evilleramsfan Thursday, October 27th at 10:24AM EST (link)

that the AF Pedros were on the tarmac with the waiting Medevac. No Apache was available for escort, so they should have let the Pedros go get him. Instead the Medevac sat on the tarmac for almost 30 minutes…

“First make sure you’re right, then go ahead.” – Davy Crockett

 
 

There is a reason our medbags no longer have a visible red cross anymore.

rogershru2 (Diary) Friday, October 28th at 7:55PM EST (link)

At least that’s the case with Navy Corpsmen (or corpse-men if you are the current president). The same should apply to the medevac birds as well. We should not be in the business of making our medics/corpsmen targets, end of story. An Apache escort is in general a very good idea, but its absence should not delay a medevac.

I was with a Marine unit that used Army medevacs, and I was extremely happy with their timeliness. All of our urgents that I can recall were under 30 minutes, and our priorities were usually 1-2 hours, sometimes sooner.

“We used to have the best infrastructure in the world here in America. We’re the country that built the Intercontinental Railroad …” – President Obama

 

There are two sides to every story.

Cargosquid (Diary) Saturday, October 29th at 10:27AM EST (link)

Yon likes to stir things up when he writes. His story is inaccurate in a number of ways.

http://www.blackfive.net/main/2011/10/michael-yon-vs-professional-soldiers-and-the-winner-is.html#more

He has a bone to pick with “management” every time he goes out. His earlier stuff was outstanding, but I’ve noticed it dropping in quality.

His accusations of profiteering are horrible. If he has actual evidence, then write about it. Otherwise, all that does is reduce morale and faith in the chain of command. That part of the article was very unprofessional.

Every policy should be reviewed and improved. None are perfect. But accusing the Army of having this policy because someone makes money on helos is paranoid.