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Aerospace Power Journal, Published Quarterly, Is the Professional Flagship Publication of the United States Air Force

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Aerospace Power Journal, Published Quarterly, Is the Professional Flagship Publication of the United States Air Force Air Force Chief of Staff Gen John P. Jumper Commander, Air Education and Training Command Gen Donald G. Cook http://www.af.mil Commander, Air University Lt Gen Donald A. Lamontagne Commander, College of Aerospace Doctrine, Research and Education Col Bobby J. Wilkes Editor Col Eric A. Ash http://www.aetc.randolph.af.mil Senior Editor Lt Col Scott G. Wierschke Associate Editors Dr. Doris Sartor Maj Donald R. Ferguson Capt Gilles Van Nederveen Professional Staff Marvin W. Bassett, Contributing Editor http://www.au.af.mil George C. Porter, Contributing Editor Mary J. Moore, Editorial Assistant Steven C. Garst, Director of Art and Production Daniel M. Armstrong, Illustrator L. Susan Fair, Illustrator Mary P. Ferguson, Prepress Production Manager Aerospace Power Chronicles http://www.cadre.maxwell.af.mil Luetwinder T. Eaves, Managing Editor The Aerospace Power Journal, published quarterly, is the professional flagship publication of the United States Air Force. It is designed to serve as an open forum for the presentation and stimulation of innova­ tive thinking on military doctrine, strategy, tactics, force structure, readiness, and other matters of na­ tional defense. The views and opinions expressed or implied in the Journal are those of the authors and should not be construed as carrying the official sanc­ tion of the Department of Defense, the Air Force, Air Education and Training Command, Air University, or other agencies or departments of the US government. Articles in this edition may be reproduced in whole or Visit Aerospace Power Journal on line at in part without permission. If they are reproduced, http://www.airpower.maxwell.af.mil the Aerospace Power Journal requests a courtesy line. or e-mail to [email protected] Winter 2001 Volume XV, No. 4 AFRP 10-1 Flight Lines Medicinal Thoughts . 5 Ricochets and Replies . 6 Features Focus:Aerospace Medicine New Millennium, New Mind-Set: The Air Force Medical Service in the Air Expeditionary Era . 8 Lt Gen Paul K. Carlton Jr., USAF, MC, CFS Challenges of Aeromedical Evacuation in the Post-Cold-War Era . 14 Brig Gen Bruce Green, USAF Operational Medical Support for the Tip of the Spear: The Heart of Air Force Special Operations Forces (AFSOF) Medicine . 27 Col James J. Dougherty, USAF, MC, CFS, DMO Linking Resource Allocation to Performance Management and Strategic Planning: An Air Force Challenge . 34 Maj Gen Stephen R. Lorenz, USAF Lt Col James A. Hubert, USAF Maj Keith H. Maxwell, USAF Ira C. Eaker Award Winners . 46 Silver Flag: A Concept for Operational Warfare . 47 Col Bobby J. Wilkes, USAF The Cult of the Quick . 57 Dr. Thomas Hughes Thinking about China and War . 69 Dr. Jeffrey Record Airpower versus a Fielded Army: A Construct for Air Operations in the Twenty-First Century . 81 Lt Col Phil M. Haun, USAF PIREP C-9 Nightingale: From Dedicated Aeromedical Evacuation to Theater Transport . 89 Capt Gilles Van Nederveen, USAF, Retired VORTICES The War on Drugs: Two More Casualties . 91 Lt Col Stephen P. Howard, USAF Net Assessment Military Assistance: An Operational Perspective . 96 William H. Mott IV Reviewer: Capt Clifford E. Rich, USAF Pearl Harbor . 97 Touchstone Pictures Reviewer: Maj Gary Pounder, USAF, Retired MacArthur and the American Century: A Reader . 99 William M. Leary Reviewer: Lt Youssef H. Aboul-Enein, USN Desert Warriors: Australian P-40 Pilots at War in the Middle East and North Africa, 1941–1943 . 99 Russell Brown Reviewer: Maj Robert F. Tate, USAFR Angels Zero: P-47 Close Air Support in Europe . 100 Robert V. Brulle Reviewer: Dr. Daniel Mortensen Ripcord: Screaming Eagles under Siege, Veitnam 1970 . 101 Keith William Nolan Reviewer: 1st Lt Glenn D. Leinbach, USAF Attack and Die: Civil War Military Tactics and the Southern Heritage . 102 Grady McWhiney and Perry D. Jamieson Reviewer: Maj James P. Gates, USAF The Myth of the Lost Cause and Civil War History . 102 Gary W. Gallagher and Alan T. Nolan Reviewer: Maj James P. Gates, USAF The Cause Lost: Myths and Realities of the Confederacy . 103 William C. Davis Reviewer: Maj James P. Gates, USAF Drawn with the Sword: Reflections on the American Civil War . 103 James M. McPherson Reviewer: Maj James P. Gates, USAF The Korean War . 104 Korea Institute of Military History Reviewer: Kenneth P. Werrell Right Backed by Might: The International Air Force Concept . 105 Roger Beaumont Reviewer: Col Phillip S. Meilinger, USAF, Retired Black Sheep One: The Life of Gregory “Pappy” Boyington . 106 Bruce Gamble Reviewer: Lt Col Phil Bossert Jr., USAF The Three Meter Zone: Common Sense Leadership for NCOs . 107 J. D. Pendry Reviewer: CMSgt Gilbert Duenas, USAF Winter Journey through the Ninth: The Story of Tactical Air Power as Illustrated by the Exploits of the Ninth Air Force in Europe . 108 Harry A. Franck Reviewer: Kenneth P. Werrell The Second-Luckiest Pilot: Adventures in Military Aviation . 109 D. K. Tooker Reviewer: C1C Brooke Carr, USAF Academy The Ultimate Terrorist . 110 Jessica Stern Reviewers: Col (Dr.) Jim Davis and CDR Drew Mullin, USN Index . 112 Mission Debrief . 126 Aerospace Power Journal Board of Reviewers For many years, we have informally used a referee process of anonymous peer review to help select articles for publication and to enhance the content and quality of APJ. We would like to recognize the now formally es­ tablished Board of Reviewers and thank its members for the invaluable service they provide as recognized au­ thors and experts in various fields of aerospace power. Along with our Editorial Board (listed on the inside back cover), the Board of Reviewers is critically important to promoting APJ as the premier forum for aero­ space power dialogue and debate. Prof. Tami Davis Biddle Dr. Tom Keaney Duke University School of Advanced International Studies Lt Col Price T. Bingham, USAF, Retired Johns Hopkins University Melbourne, Florida Prof. Theodore Kluz Lt Col Matthew Caffrey, USAFR USAF Air War College Operations Directorate Dr. Charles Krupnick Headquarters USAF US Army War College Brig Gen Phillip D. Caine, USAF, Retired Dr. Benjamin S. Lambeth Monument, Colorado RAND Dr. Don D. Chipman Lt Col David MacIsaac, USAF, Retired USAF Squadron Officer College Montgomery, Alabama Dr. Clayton K. S. Chun Dr. Karl P. Magyar US Army War College Montgomery, Alabama Prof. Mark Clodfelter Col Edward Mann, USAF, Retired National War College Montgomery, Alabama Dr. James Corum Dr. Jerome V. Martin USAF School of Advanced Airpower Studies Peru State College Dr. Conrad Crane Col Phillip Meilinger, USAF, Retired Strategic Studies Institute Science Applications International Corporation US Army War College Dr. John H. Morrow Jr. Dr. Dik A. Daso University of Georgia National Air and Space Museum Smithsonian Institution Dr. Daniel Mortensen USAF College of Aerospace Doctrine, Research and Education Dr. Lee Dowdy Alabama State University Prof. James Mowbray USAF Air War College Col Dennis M. Drew, USAF, Retired USAF School of Advanced Airpower Studies Dr. Karl Mueller RAND Col Charles Dunlap Jr., USAF Staff Judge Advocate Dr. Richard R. Muller USAF Air Education and Training Command USAF Air Command and Staff College Dr. Stephen Fought Col Robert Owen, USAF USAF Air War College Headquarters Air Mobility Command Col David M. Glanz, USA, Retired Dr. Reina J. Pennington Journal of Slavic Military Studies Norwich University Col Thomas E. Griffith, USAF Dr. James Smith USAF 39th Support Group USAF Institute for National Security Studies Incirlik, Turkey Col James Spencer, USAF Dr. John F. Guilmartin Jr. USAF Academy Ohio State University Col Richard Szafranski, USAF, Retired Dr. Grant T. Hammond Toffler Associates Center for Strategy and Technology Air University Dr. James Titus Air University Prof. Daniel Hughes USAF Air War College Col Mark Wells, USAF USAF Academy Dr. Thomas Hughes USAF Air War College Dr. Ken Werrell Christianburg, Virginia Lt Col Mark P. Jelonek, USAF Space Division Dr. Harold R. Winton USAF Weapons School USAF School of Advanced Airpower Studies 4 COL ERIC ASH,EDITOR Medicinal Thoughts E USUALLY DON’T think about ous organizations, it experiences the growing breathing until we can’t. This lit­ pains of new wineskins. Global engagement erally involves one of the most has tremendous implications for the Air important facets of war—medi­ Force Medical Service, and just as airmen— cine.W Just as weaponry, reconnaissance, com­ from fighter pilots to joint force air component munications, and myriad other technologies commanders—have to accommodate the de­ have experienced phenomenal advance­ mands of timely decision making, so does the ments, so too has military medicine pro­ medical service find itself in an observe- gressed in quantum leaps of a revolutionary orient-decide-act (OODA) loop in its world- nature. Far removed from the era of Florence wide challenges. Basically, the challenge calls Nightingale during the Crimean War, military for doing more things faster with a lighter, medicine now enjoys capabilities that trans- leaner medical force. The argument presented late into significantly increased comfort and by Dr. Tom Hughes in one of our articles— prospects of survival for injured combatants that quicker may not always be better—has a on the battlefield or for innocent civilian vic­ perplexing application to military medicine, tims of terrorist attacks or natural disasters. in which one measures the difference be- Despite its critical importance and the dra­ tween life and death in seconds and heart- matic improvements in practices, military beats. medicine has remained an obscure topic in Threats to national security, vital national most professional military journals, including interests, and international stability are be- this one. In fact, a cursory glance at the his- coming increasingly complex and unpre­ tory of Aerospace Power Journal (as well as that dictable. Similarly, military medicine is facing of its predecessor, Airpower Journal) reveals a far more complicated challenges. But as some paucity of attention afforded to aerospace medicine—until now.
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