The Foreign Service Journal, September 2010
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1 C-C 4_FSJ_09_10_COV:proof 8/17/10 11:20 AM Page C1 CALLING ALL WAVE-MAKERS ■ A SOUTH ASIAN BLIND SPOT ■ POP-TART DIPLOMACY $4.50 / SEPTEMBER 2010 OREIGN ERVICE FJ O U R N A L STHE MAGAZINE FOR FOREIGN AFFAIRS PROFESSIONALS JUST SAY “AH” Examining the Office of Medical Services 1 C-C 4_FSJ_09_10_COV:proof 8/17/10 11:20 AM Page C2 01-15_FSJ_09_10_FRO:first 8/17/10 11:11 AM Page 1 01-15_FSJ_09_10_FRO:first 8/17/10 11:11 AM Page 2 01-15_FSJ_09_10_FRO:first 8/17/10 11:11 AM Page 3 OREIGN ERVICE FJ O U R N A L S CONTENTS September 2010 Volume 87, No. 9 F OCUS ON The Office of Medical Services TO YOUR HEALTH / 17 The Office of Medical Services not only treats employees but evaluates their fitness for duty. Balancing those roles is a tricky business. By Shawn Zeller DOES STATE DISCRIMINATE AGAINST PEOPLE WITH DISABILITIES? / 27 When the medical clearance process intersects with personnel policies, the results can be unhealthy. By Carol Shuh Cover illustration by Paul Levinson A UNIQUE PRACTICE / 33 Practicing medicine in the Foreign Service is akin to working in a small town — a very small town. By Judie Pruett PRESIDENT’S VIEWS / 5 AFSA’s Role As a Professional Association F EATURE By Susan R. Johnson PAKISTAN: WASHINGTON’S BLIND SPOT IN AFGHANISTAN / 36 SPEAKING OUT / 13 By ignoring core issues and realities in South Asia, U.S. policy in Recognizing Those Who Afghanistan inadvertently contributes to the very instability that leaders Have Made a Difference in Washington seek to forestall. By Edward L. Peck By Malou Innocent REFLECTIONS / 68 Pop-Tart Diplomacy By Nina Killham FS HERITAGE AMERICA’S FIRST AMBASSADOR TO ISRAEL: LETTERS / 6 JAMES G. MCDONALD / 43 Meet an ambassador who spent the years before his appointment CYBERNOTES / 9 publicly denouncing the policies of the administration that sent him. MARKETPLACE / 14 By Frank Brecher BOOKS / 62 INDEX TO ADVERTISERS / 66 SEPTEMBER 2010/FOREIGN SERVICE JOURNAL 3 01-15_FSJ_09_10_FRO:first 8/17/10 11:11 AM Page 4 OREIGN ERVICE CONTENTS FJ O U R N A L S EWS Editor AFSA N STEVEN ALAN HONLEY Senior Editor AFSA HONORS COURAGE AND EXCELLENCE / 49 SUSAN B. MAITRA Associate Editor STATESMEN OR HAGGLERS? — AFSA BOOK DISCUSSIONS / 49 SHAWN DORMAN AFSA News Editor A LEGISLATIVE VIEW OF THE FS: REP. NITA LOWEY / 49 FRANCESCA KELLY Ad & Circulation Manager NEWS BRIEFS / 50 ED MILTENBERGER Art Director TATE EMBERS OOD EYOND THE XPIRATION ATE VP S : FS M — G B E D ? / 51 CARYN SUKO SMITH Editorial Intern VP RETIREE: GOING FOR LEGISLATION FOR LAURA CATON RE-EMPLOYED ANNUITANTS / 52 EDITORIAL BOARD VP FCS: AMIDST FISCAL UNCERTAINTY, TED WILKINSON Chairman COMMERCE LEADERS REMAIN COMMITTED TO GROWTH / 53 MAY G. BAPTISTA JOSEPH BRUNS THE OVERSEAS PAY GAP: MORE PROGRESS / 54 STEPHEN W. B UCK JULIE GIANELLONI CONNOR TEN YEARS AT AFSA: ASSOCIATE EDITOR SHAWN DORMAN / 54 JEFF GIAUQUE MARY E. GLANTZ FAMILY MEMBER MATTERS: THRIVING OVERSEAS / 55 GEORGE JONES LYNN W. R OCHE CLASSIFIEDS / 58 RIMA J. VYDMANTAS THE MAGAZINE FOR FOREIGN AFFAIRS PROFESSIONALS Foreign Service Journal (ISSN 0146-3543), 2101 E Street, N.W., Washington, D.C. 20037-2990 is published monthly with a combined July-August issue by the American Foreign Service Associa- tion (AFSA), a private, nonprofit organization. Material appearing herein represents the opin- ions of the writers and does not necessarily rep- resent the views of the Journal, the Editorial Board or AFSA. Writer queries and submissions are invited, preferably by e-mail. Journal sub- scription: AFSA members – $13 included in an- nual dues; others – $40. For foreign surface mail, add $18 per year; foreign airmail, $36 per year. Periodical postage paid at Washington, D.C., and at additional mailing offices. Indexed by Public Affairs Information Services (PAIS). The Journal is not responsible for unsolicited manuscripts, photos or illustrations. Advertising inquiries are invited. The appearance of advertisements herein does not imply the endorsement of the services or goods offered. TELEPHONE: (202) 338-4045 FAX: (202) 338-8244 or (202) 338-6820 E-MAIL: [email protected] WEB: www.afsa.org; www.fsjournal.org © American Foreign Service Association, 2010. Printed in the U.S.A. Send address changes to: AFSA Attn: Address Change 2101 E Street N.W. Washington DC 20037-2990 Printed on 50-percent recycled paper, of which 10 percent is post-consumer waste. 4 FOREIGN SERVICE JOURNAL/SEPTEMBER 2010 01-15_FSJ_09_10_FRO:first 8/17/10 11:11 AM Page 5 PRESIDENT’S VIEWS AFSA’s Role As a Professional Association BY SUSAN R. JOHNSON AFSA does vital work as our own government? And sion is and what it requires; how well the union representing all are we developing a profes- their agency is preparing leaders to Foreign Service employees of sional diplomatic service and manage both institutional and global the five foreign affairs agen- operational cadre that are as change; and whether they have taken cies, a role it has carried out skilled in the multilateral required leadership and management since 1973. However, it has world as the bilateral? courses (and, if so, what were their performed an equally impor- To address these issues, as three most important “takeaways?). tant function as a professional part of our support for the AFSA received more than 1,700 association ever since its creation in Academy of American Diplomacy’s responses (almost 20 percent of AFSA 1924. It is that side of the equation I Diplomatic Professional Education members in those cohorts) to the two wish to highlight this month. and Training Project, AFSA represen- surveys within a week. Many partici- Specifically, AFSA is leading the tatives participate in the advisory group pants commented that “it’s about time charge to reinforce the relevance and chaired by retired Ambassador Thomas someone addressed these issues.” effectiveness of American diplomacy Pickering. We have also set up a mid- Preliminary analyses of the survey re- and development in the 21st century, level focus group coordinated by two sults are available at www.afsa.org/ and to identify the diplomatic skills and AFSA State representatives to provide professionalismsurveys.cfm. substantive knowledge essential to feedback on draft DPET materials via In addition, AFSA reached out to a meeting new challenges. We want to a SharePoint site, giving active-duty dozen former Foreign Service officers make sure the Foreign Service is as ef- personnel an opportunity to be heard. now in academia to solicit their fective as possible at acquiring and ap- To participate, contact Austin Tracy at thoughts on an appropriate core cur- plying essential skills and know-how [email protected]. riculum for a one-year master’s pro- like foreign-language proficiency, re- Earlier this year, we surveyed two gram in diplomatic studies. This gional expertise, analysis, reporting, sets of active-duty members on these could complement AAD’s DPET communication, negotiation, manage- issues. Among other things, we asked project. ment and institutional leadership. entry-level members to say what at- To follow up, we held a workshop Toward that end, we are exploring tracted them to the Foreign Service; at the end of June that is generating the following questions: Is diplomacy a whether they equate the Service with new papers, many of which will be recognized profession in the United diplomacy; what training best pre- posted on a new page on our Web site States, as in most other countries? If pared them for their first assignment; and will appear in future issues of the so, what are the basic requirements what their professional expectations FSJ. and content of professional formation, were; and whether their agency and I invite all members to submit expectations and ethics for American the Foreign Service have communi- comments, questions and suggestions diplomats? How well do we pass on cated core values. about these initiatives to President@ knowledge of the role of diplomacy in We posed some of the same ques- afsa.org, but I particularly encourage tions to mid-level members, but also active-duty members to get involved. Susan R. Johnson is the president of the asked whether they consider them- It is your future — make sure to have American Foreign Service Association. selves professionals; what that profes- your say in how it develops. ■ SEPTEMBER 2010/FOREIGN SERVICE JOURNAL 5 01-15_FSJ_09_10_FRO:first 8/17/10 11:11 AM Page 6 LETTERS Interviews Matter observe that it is a pity that State did not ten letters to members of Congress and I really appreciated Richard Silver’s revoke the Christmas Day bomber’s op-ed columns asking that sunlight be article, “Why Consular Interviews Mat- tourist visa. shone on the Abdulmutallab visa case ter,” in the June issue. I’m a consular- However, in his sidebar, “What and never received a substantive reply coned officer who did two straight Went Wrong with the Nigerian Bomb- — it appears that, on both counts of consular tours in Yerevan and Paris be- er,” Alden does not investigate the cen- terrorism and illegal immigration, our fore my current out-of-cone excursion. tral question: Why was a visa issued in visa defenses were down in London, if Reading the article made me miss the first place? Why was an out-of- not worldwide. working at the visa window. district “tourist” (especially one from a Heaven forbid that they are still I still remember the pep talk we got country with such a high rate of visa down. in A-100 from Assistant Secretary for fraud) “visaed” in London, instead of Richard W. Hoover Consular Affairs Maura Harty about being told to apply in his home country FSO, retired how important it is to be the face of where authorities knew him best? Front Royal, Va.