scholarly journals Socioeconomic issues of United States military neurosurgery

2002 ◽  
Vol 12 (4) ◽  
pp. 1-6 ◽  
Author(s):  
Ross R. Moquin ◽  
James M. Ecklund

Although the practice of neurosurgery in the United States (US) Armed Forces is in many ways similar to the civilian practice of neurosurgery, there are many differences as well. The unique challenges, duties, and opportunities US military neurosurgeons are given, both in peacetime and in times of conflict, are discussed, as are pathways for entering into service. The advantages of military service for neurosurgeons include sponsored training, decreased direct exposure to tort actions, little involvement with third-party payers, significant opportunities for travel, and military-specific experiences. The most appealing aspect of military practice is serving fellow members of the US Armed Forces. Disadvantages include the extreme gap between the military and civilian pay scales, lack of support personnel, and in some areas low surgery-related case volume. The greatest concern faced by the military neurosurgical community is the failure to retain experienced neurosurgeons after their obligated service time has been completed, for which several possible solutions are described. It is hoped that future changes will make the practice of military neurosurgery attractive enough so that it will be seen as a career in itself and not an obligation to endure before starting practice in the “real world.”

2020 ◽  
pp. 088626052097031
Author(s):  
Cary Leonard Klemmer ◽  
Ashley C. Schuyler ◽  
Mary Rose Mamey ◽  
Sheree M. Schrager ◽  
Carl Andrew Castro ◽  
...  

Prior research among military personnel has indicated that sexual harassment, stalking, and sexual assault during military service are related to negative health sequelae. However, research specific to LGBT U.S. service members is limited. The current study aimed to explore the health, service utilization, and service-related impact of stalking and sexual victimization experiences in a sample of active-duty LGBT U.S. service members ( N = 248). Respondent-driven sampling was used to recruit study participants. U.S. service members were eligible to participate if they were 18 years or older and active-duty members of the U.S. Army, U.S. Navy, U.S. Marine Corps, or U.S. Air Force. This study included a sizeable portion of transgender service members ( N = 58, 23.4%). Sociodemographic characteristics, characteristics of military service, health, and sexual and stalking victimization in the military were assessed. Regression was used to examine relationships between health and service outcomes and sexual and stalking victimization during military service. Final adjusted models showed that experiencing multiple forms of victimization in the military increased the odds of visiting a mental health clinician and having elevated somatic symptoms, posttraumatic stress disorder symptomatology, anxiety, and suicidality. Sexual and stalking victimization during U.S. military service was statistically significantly related to the mental and physical health of LGBT U.S. service members. Interventions to reduce victimization experiences and support LGBT U.S. service members who experience these types of violence are indicated. Research that examines the role of LGBT individuals’ experiences and organizational and peer factors, including social support, leadership characteristics, and institutional policies in the United States military is needed.


2021 ◽  
Vol 13 (3) ◽  
pp. 12-47
Author(s):  
Yinan Li

The development of the PRC’s armed forces included three phases when their modernization was carried out through an active introduction of foreign weapons and technologies. The first and the last of these phases (from 1949 to 1961, and from 1992 till present) received wide attention in both Chinese and Western academic literature, whereas the second one — from 1978 to 1989 —when the PRC actively purchased weapons and technologies from the Western countries remains somewhat understudied. This paper is intended to partially fill this gap. The author examines the logic of the military-technical cooperation between the PRC and the United States in the context of complex interactions within the United States — the USSR — China strategic triangle in the last years of the Cold War. The first section covers early contacts between the PRC and the United States in the security field — from the visit of R. Nixon to China till the inauguration of R. Reagan. The author shows that during this period Washington clearly subordinated the US-Chinese cooperation to the development of the US-Soviet relations out of fear to damage the fragile process of detente. The second section focuses on the evolution of the R. Reagan administration’s approaches regarding arms sales to China in the context of a new round of the Cold War. The Soviet factor significantly influenced the development of the US-Chinese military-technical cooperation during that period, which for both parties acquired not only practical, but, most importantly, political importance. It was their mutual desire to undermine strategic positions of the USSR that allowed these two countries to overcome successfully tensions over the US arms sales to Taiwan. However, this dependence of the US-China military-technical cooperation on the Soviet factor had its downside. As the third section shows, with the Soviet threat fading away, the main incentives for the military-technical cooperation between the PRC and the United States also disappeared. As a result, after the Tiananmen Square protests, this cooperation completely ceased. Thus, the author concludes that the US arms sales to China from the very beginning were conditioned by the dynamics of the Soviet-American relations and Beijing’s willingness to play an active role in the policy of containment. In that regard, the very fact of the US arms sales to China was more important than its practical effect, i.e. this cooperation was of political nature, rather than military one.


Author(s):  
Sarah Sewall

This chapter argues that the changing character of conflict demands rethinking U S civil-military relations. The United States has long relied on a nuclear deterrent and conventional military superiority to defend itself, but its adversaries have changed the rules of the game to exploit civilian vulnerabilities in the U S homeland using non kinetic tools. To ensure continued civilian control of the military use of force and effective management of competition below the threshold of war, civilian leaders must assume greater responsibility for the political and operational management of hostilities in the Gray Zone. Because civilian leaders are underprepared for this new global competition, they will be tempted to default to conventional military solutions. Traditional civil-military frameworks did not envision permanent conflict or the centrality of civilian terrain, capabilities, and operational responsibilities. The United States needs civilian-led tools and approaches to effectively avoid the dual extremes of national immobilization in the face of non kinetic threats and inadvertent escalation of conflict without civilian authorization or intent. Civilian adaptation could also diminish the traditional role of the armed forces in defending the nation. The United States must rewire the relationship of the military and civilians through its decisions about how to manage Gray Zone competition.


Author(s):  
Joseph T. Glatthaar

American Military History: A Very Short Introduction outlines the forces shaping the American military for the past 400 years. Since the colonial period, the United States has struggled to balance standing armed forces with citizen soldiers and sailors. Technological developments and two world wars forced the military to embrace professionalism and its increased obligations. The United States emerged from World War II in a strong position but failed to recognize the limits of its power, a legacy that some might say continues. Recent wars highlight some of the problems of a volunteer-dominated force. To succeed, the American military needs improved communication, understanding, and support.


1977 ◽  
Vol 30 (1) ◽  
pp. 15-21
Author(s):  
Shannon D. Cramer

Like so many Americans in this Bicentennial Year I find myself reflecting more and more on our heritage, the present state of affairs and our future. As Director of the Defense Mapping Agency I am especially aware that I am in a line of succession that can be traced back to Robert Erskine, the first Geographer-Surveyor to the Continental Army under command of George Washington. This has naturally impressed upon me the more than 200-year service that my organization and its predecessors have rendered to the Armed Forces of the United States, and incidentally our maritime fleet.


Author(s):  
Andrew Goodhart ◽  
Jami K. Taylor

For most of its history, the U.S. military has maintained a policy of exclusion toward lesbian, gay, bisexual, and transgender (LGBT) people serving in uniform. The justifications for these exclusions have included the view that being homosexual or transgender is a psychological disorder, that it undermines military morale and effectiveness, and a fear that LGBT people would be vulnerable to foreign espionage. Explicit policies banning consensual homosexual sex—and excluding from service those who engage in it—date to the period between World Wars I and II, but de facto efforts at exclusion have existed since the early days of the republic. Regulations governing homosexuals in the military came under pressure in the 1970s and 1980s as societal views toward lesbian, gay, and bisexual (LGB) people changed, and those LGB service members discharged under the policy increasingly challenged their treatment in court. (Public pressure to change regulations governing transgender people in the military arose mostly in the 2000s, though litigation efforts date to the 1970s.) In addition to general shifts in public and legal opinion, the debate over LGB people serving in the U.S. military was affected by the experience of foreign militaries that allow LGB people to serve. United States law began to loosen formal restrictions on LBG people serving in uniform with the passage of “Don’t Ask, Don’t Tell” (DADT) in 1994, but it still required LGB people to serve in secret. Changing public perceptions of LGB people and problems implementing the ban galvanized support for eliminating such restrictions. In 2010, President Obama signed legislation repealing DADT and removing all restrictions on LGB people serving in the military. However, transgender people do not enjoy the same rights. The Trump administration has revised Obama-era rules on transgender service members to enable greater exclusion. The issue is being contested in the courts and appears ripe for further political and legal dispute.


2019 ◽  
pp. 209-222
Author(s):  
Marek Centkowski

The subject of this work is to clarify the issues of criminal jurisdiction set forth in articles 13-15 of the Agreement between the Government of the Republic of Poland and the Government of the United States of America regarding the status of the armed forces of the United States of America on the territory of the Republic of Poland of December 11, 2009 in Warsaw. The author simultaneously conducts analysis of the provisions in article VII NATO SOFA, a supplemental agreement between the Governments of Poland and the United States. In addition, memorandum of Understanding between the Minister of Justice of the Republic of Poland and the Command of the Armed Forces of the United States of America in Europe regarding foreign criminal jurisdiction, signed on October 23, 2014 in Warsaw is discussed. The memorandum specifies the provisions of the above-mentioned two international agreements, describing, among other things, how to proceed with American soldiers and members of their civilian staff as perpetrators of prohibited acts. Furthermore, this document contains templates for letters addressed to US military authorities, and Polish judicial authorities with respect to the priority of jurisdiction, as well as arrangements related to the performance of official duties by the perpetrator at the time of committing a prohibited act. The authorities that supervise or conduct preparatory proceedings against members of the United States forces and their civilian personnel are military prosecutors of the regional or the district prosecutor’s offices. The Police, on the other hand and Military Police are law enforcement agencies carrying out procedural activities at the scene and carryingout activities commissioned by the military prosecutor.


2021 ◽  
Author(s):  
Stanislav Mikhailovich Ivanov

The article analyzes the military operation of the United States and its NATO allies in Afghanistan, which lasted for 20 years, and the prospects for the withdrawal of all foreign troops from this country. The author states that the new US President D. Biden does not abandon the foreign policy course pursued by his predecessors earlier to reduce the US military presence in Afghanistan. Moreover, the new president reaffirmed his commitment to the peace agreement between the United States and the opposition Taliban, reached in the Qatari capital of Doha in February 2020, which provides for the withdrawal of US troops and their NATO allies from the country. However, the author comes to the conclusion that due to a number of objective and subjective factors, the timing of the final withdrawal of US troops from Afghanistan may be postponed indefinitely, and even the deadline recently declared by the White House on September 11, 2021, may be far from final and may be repeatedly subjected to revisions. The main obstacle to the implementation of this important clause of the bilateral agreement is the lack of progress in negotiations between the Taliban representatives and the central government, as well as the lack of security guarantees for the withdrawn contingent of the US Armed Forces, NATO and the remaining staff of Western foreign missions in Afghanistan. Not only the radical Taliban wing, but also a number of current ministers in Kabul are trying to sabotage the conclusion of a second peace agreement and the subsequent integration of the Taliban into power. Without a lasting agreement between the Taliban and the central authorities in Kabul and the formation of a new coalition government, the likelihood of a resumption of civil war in the country will remain. New terrorist attacks and outbursts of violence on the part of the radical wing of the Taliban movement against the central government and foreign troops are not excluded. The penetration of Islamic State gangs into Afghanistan, which can undermine the stability of the military-political situation from within and provoke new armed conflicts, also carries certain risks. Much will also depend on the position of one of the main external players in Afghan affairs — Islamabad. Time will show whether Pakistan will be ready to take on part of the functions of a peaceful settlement within the Afghan conflict. The US administration would like more participation in stabilizing the further situation in Afghanistan from other regional forces (China, Russia, India, Iran, Turkey, Uzbekistan).


Author(s):  
Federica Caso

Abstract After decades of refusal, neglect, and tacit admittance, the service of Indigenous people in the national armed forces of settler colonial states such as Australia, Canada, New Zealand, and the United States is finally gaining acknowledgment. Indigenous people are now integrated in the regular forces and represented in national war commemoration. This article maintains that while inclusion and recognition of Indigenous military service is a positive transformation in the direction of post-colonial reconciliation, it still operates within the logics of settler colonialism intended to eradicate Indigenous stories of connection to land and assimilate Indigenous people in settler society. Using the case study of Indigenous militarization in Australia, this article argues that, under conditions of settler colonialism, the inclusion and recognition of Indigenous people in national militaries advances the settler colonial project intended to dispossess Indigenous people from their land and assimilate them in the new settler society. It highlights that historically, military organization has supported settler colonialism, and positions the present inclusion and recognition of Indigenous people in the military as a continuation of this history.


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