Observation One: Inherency

The Department of Defense’s MEDFLAG program fails in the status quo due to short-term, irregular implementation
Paul W. Pruden Lieutenant Commander, Medical Service Corps, United States Navy, 2-13-2006, “Should Medical Humanitarian and Civic Assistance Activities Focus on Building Public Health
Capacity in Africa to Better Influence Theater Security Cooperation Objectives?” http://handle.dtic.mil/100.2/ADA463935, p. 9-10
DSCA was able to provide

Therefore we present the following plan: The United States Federal Government should substantially increase public health assistance by creating research and surveillance clinics in east, west, central and southern Africa that will support long-term MEDFLAG missions dedicated to public health activities.
Advantage One: Disease Containment

Infectious disease kills millions of Africans every year
Paul W. Pruden Lieutenant Commander, Medical Service Corps, United States Navy, 2-13-2006, “Should Medical Humanitarian and Civic Assistance Activities Focus on Building Public Health
Capacity in Africa to Better Influence Theater Security Cooperation Objectives?” http://handle.dtic.mil/100.2/ADA463935, p. 6-7
Lack of adequate public health
This creates the potential for dangerous disease mutations that could spread globally
Denis Kaufman, with the Defense Intelligence Agency, 2-21-2001, “Medical Intelligence: A Theater Engagement Tool,” p. 6-7, https://carlisle-www.army.mil/srp/ex_paper/Kaufman_D_C_01.pdf
Diseases aren't static targets.

Unchecked disease causes human extinction
South China Morning Post, 1-4-1996 (Dr. Ben Abraham= “called "one of the 100 greatest minds in history" by super-IQ society Mensa” and owner of “Toronto-based biotechnology company, Structured Biologicals Inc” according to same article)
Despite the importance of

Advantage Two: Bioweapons

The US military is uniquely vulnerable to bioweapon threats now due to poor training of medical personnel
Captain Joseph W. DeFeo, United Sates Navy, 3-15-2006, “JOINT MEDICAL READINESS: ARE WE READY TO ANSWER THE WMD THREAT?,” http://handle.dtic.mil/100.2/ADA449697 p. 7
Having the right people

Effective response to any bioweapon attack would rely on military consequence management capabilities
James Jay Carafano, Ph.D. and Senior Research Fellow at The Heritage Foundation, September 15, 2005 (Improving the National Response to Catastrophic Disaster, Statement before the Committee on Government Reform, http://www.heritage.org/Research/HomelandDefense/tst091505a.cfm#_ftnref1)
Most disasters, including

The risk of bio-attack is high—we isolate two scenarios

A. International attack

The risk of biological terrorism is high and centered in Africa—surveillance and response measures are key
B. Njuguna ’05 (James Thuo Njuguna holds a master of science degree in biotechnology and is currently completing his PhD in medical parasitology at the University of Bonn. He previously worked for the International Livestock Research Institute in Nairobi on control of trypanosomosis and malaria. African Security Review Vol 14 No 1, 2005 -- http://www.iss.co.za/index.php?link_id=3&slink_id=1967&link_type=12&slink_type=12&tmpl_id=3)
Terrorist groups exist to promote
Uncontained bioattack leads to extinction—the risk is greater than nuclear war
Ochs ’02 (Richard Ochs, ANALYST FOR THE CHEMICAL WEAPONS WORKING GROUP, July 9 2002 -- “BIOLOGICAL WEAPONS MUST BE ABOLISHED IMMEDIATELY” -- http://www.freefromterror.net/other_articles/abolish.html)
Of all the weapons of mass destruction,

B. U.S. attack

Terrorists will use bioweapons to attack the United States
Deutch ’05 (John Deutch, qualified inside this piece of evidence, is now at The Massachusetts Institute of Technology – Meeting the Bioterrorism Challenge: Testimony before U.S. Senate Committee on Health, Education, Labor, & Pensions Subcommittee on Bioterrorism and Public Health Preparedness -- May 11, 2005 -- http://web.mit.edu/chemistry/deutch/policy/72MeetingBioterroism2005.pdf)
I base my views on my experience

The capacity to minimize the death toll in a domestic attack is crucial – large casualties ensures a US response that escalates to nuclear war.
Conley ’03 (Lt Col Harry W. is chief of the Systems Analysis Branch, Directorate of Requirements, Headquarters Air Combat Command (ACC), Langley AFB, Virginia. Air & Space Power Journal - Spring 2003 -- http://www.airpower.maxwell.af.mil/airchronicles/apj/apj03/spr03/conley.html
The number of American casualties

The U.S. has committed to siting a new military command in Africa. Its effectiveness will depend on integrating humanitarian soft power missions alongside hard power assets
J. Peter Pham, Director of the Nelson Institute for International and Public Affairs and a Research Fellow of the Institute for Infrastructure and Information Assurance, 2-15-07, World Defense Review, http://worlddefensereview.com/pham021507.shtml
Last week President George W. Bush

Unbalanced hard power means U.S. presence will be a source for African repression and instability
Ezekiel Pajibo, executive director of the Liberia-Based Center for Democratic Empowerment and Emira Woods, the co-director of Foreign Policy In Focus at the Institute for Policy Studies, 9-6-2007, “AFRICOM: Wrong for Liberia, Disastrous for Africa,” http://news.newamericamedia.org/news/view_article.html?article_id=5bc524c3606c66ad230a15ba52917d74
The Bush administration’s new obsession

MEDFLAG exercises are the single best way to increase DOD soft power on the continent and build deep U.S.-African relations
Dan Henk, Colonel, External Researcher at the Strategic Studies Institute of the U.S. Army War College, March 1998, “Uncharted Paths, Uncertain Vision: U.S. Military Involvements in Sub-Saharan Africa in the Wake of the Cold War,” http://stinet.dtic.mil/oai/oai?&verb=getRecord&metadataPrefix=html&identifier=ADA365414, p. 35-36
Few U.S. military activities in Africa

U.S.-African bilateral ties are essential to continental peace and stability
Richard Catoire, Commander in the US Navy, Winter 2000, Parameters, http://findarticles.com/p/articles/mi_m0IBR/is_4_30/ai_74522168/pg_6
Despite--or perhaps because of--the conflicts

U.S. conflict management credibility is key to prevent war, genocide and environmental devastation
Timothy Sisk, Brookings Institute Program Officer, July 1996, Future U.S. Engagement in Africa
Opportunities and Obstacles for Conflict Management http://www.usip.org/pubs/specialreports/early/USAfrica1.html
Africa's marginalization in U.S. foreign
African conflicts lead to nuclear war
Dr. Jeffrey Deutsch, founder of the Rabid Tiger Project, a political risk consulting and related research firm, 11-18-02, http://www.rabidtigers.com/rtn/newsletterv2n9.html
The Rabid Tiger Project believes

U.S. involvement in nation building missions is inevitable—the only question is whether they will be successful
L. Scott Leith, LTC in the Army, 4-14-2006, ‘Heroic Amateurs—The US Military in Stability Operations,” http://handle.dtic.mil/100.2/ADA451232, p. 1-2
As this paper is written, the United States leads two

Failed states and civil conflicts are increasing—effective intervention is key
Delia K. Cabe, writer/editor for the Radcliffe Quarterly at Harvard’s Radcliffe Institute for Advanced Study, Spring 2002, http://www.ksg.harvard.edu/ksgpress/bulletin/spring2002/features/nation_building.html, Rotberg= “director of the Program on Intrastate Conflict, Conflict Prevention, and Conflict at the Kennedy School”
Potential trouble is brewing elsewhere.

MEDFLAG is key to ensure US medicine is ready for participation in nationbuilding operations
Colonel C. William Fox, Jr., M.D., Commander of Bayne-Jones Army Hospital, where he concurrently serves as Command Surgeon of the Joint Readiness Training Center, Winter 1997-98, Parameters, http://www.carlisle.army.mil/USAWC/PARAMETERS/97winter/fox.htm
Some have questioned the wisdom of
Effective military medicine underpins effective nation building—it has a multiplier effect on other elements of the mission
Kimberly K. Armstrong, Colonel United States Army, 2-28-07, “Army Medical Department Support to Stability Operations,” http://handle.dtic.mil/100.2/ADA469380, p. 20-21
This century is still young but it promises can step forward to serve as a powerful force multiplier in support of our national security strategy.

Public health provision is key to winning hearts and minds
Raymond A. Zilinskas, directs the Chemical and Biological Weapons Nonproliferation Program and Tamara R. Chapman, Monterey Institute for International Studies, 1-24-07 (Security and Public Health: How and Why do Public Health Emergencies Affect the Security of a Country?, http://www.nti.org/e_research/e3_84.html
In working to create a new framework

Regional conflicts have the potential to spread into great power conflict—containment is key
David Bosco, senior editor at Foreign Policy magazine, 6-23-2006, http://realopinions.blogspot.com/2006/07/could-this-be-start-of-world-war-iii.html
This hot summer, as the world watches

Effective nation building capacity is essential to sustainable U.S. leadership
William Nash et al, General John W. Vessey Senior Fellow for Conflict Prevention and the Director of Center for Preventive Action at the Council on Foreign Relations, September 2005, “In the Wake of War: Improving U.S. Post-Conflict Capabilities,” http://www.cfr.org/content/publications/attachments/Post-Conflict_Capabilities_final.pd, p. 38-39
This report is being issued in a year when

Weak nation building capacity leads to self deterrence
Douglas Macgregor, colonel in the US Army and senior research fellow at the Center for Technology and National Security Policy, 2004, ‘Transforming for Stabilization and Reconstruction Missions,” p. 16
Military operations in Afghanistan

Independently, MEDFLAG boost U.S. leadership in all areas
Terry Carroll, Colonel US Army, 2001, “Engagement or Marriage: The Case for an Expanded Military Medical Role in Africa,” http://handle.dtic.mil/100.2/ADA390489, p. 1-2
This study examines current national

Collapse of hegemony results in economic collapse, mass institutionalized terrorism, and global nuclear wars.
Ferguson 04(Niall, Professor of History at New York University's Stern School of Business and Senior fellow at the Hoover Institution, “A world without power,” Foreign Policy 143, p. 32-39, July-August)
<So what is left? Waning empires



Observation Two: Solvency

Regional clinics integrated with MEDFLAG exercises leads to effective disease surveillance and containment capabilities, for natural and intentional pathogen threats
Colonel C. William Fox, Jr., M.D., Commander of Bayne-Jones Army Hospital, where he concurrently serves as Command Surgeon of the Joint Readiness Training Center, Winter 1997-98, Parameters, http://www.carlisle.army.mil/USAWC/PARAMETERS/97winter/fox.htm
To encourage the development of
Longterm MEDCAP deployments strengthens training, solves any of the programs current weaknesses, and builds sustainable public health capacity
Lieutenant Colonel Doug Logee, Army Pediatrician who is currently assigned to Brooke Army Medical Center and director of the San Antonio Military Pediatric Center’s civil military- medical training program in Honduras, February 2007, “Can We Build a Better Medical Civic Assistance Program?” The DISAM Journal, http://www.disam.dsca.mil/pubs/Journal%20Index/Journals/Journal_Index/Vol%2029_1/Lougee.pdf, p. 70-72
A short-term clinic of unproven benefit is

The military is the best actor—no other entity possesses similar capabilities
Paul W. Pruden Lieutenant Commander, Medical Service Corps, United States Navy, 2-13-2006, “Should Medical Humanitarian and Civic Assistance Activities Focus on Building Public Health
Capacity in Africa to Better Influence Theater Security Cooperation Objectives?” http://handle.dtic.mil/100.2/ADA463935, p. 16
Some may argue that some

DOD run regional research centers are integral to prevent global disease spread and guarantee effective countermeasures to bioattack
Colonel C. William Fox, Jr., M.D., Commander of Bayne-Jones Army Hospital, where he concurrently serves as Command Surgeon of the Joint Readiness Training Center, Winter 1997-98, Parameters, http://www.carlisle.army.mil/USAWC/PARAMETERS/97winter/fox.htm
The lack of US engagement with


Effective surveillance and response capabilities checks the impact to bioterrorism
Richard A. Falkenrath, Assistant Professor of Public Policy at the John F. Kennedy School of Government, Harvard University, Spring 2001, International Security, p. 159-160
Third, chemical and biological weapons--

Bioterror response capabilities deters the development of bioweapons
Stephen Flynn, Senior Fellow in National Security Studies at the Council on Foreign Relations, September/October 2004, Foreign Affairs, accessed electronically
This is not a defeatist position. Improving the



Finally—MEDFLAG missions deter conflict, increase force readiness and solve public health
Major Jeffrey L. Bryant, 1-3-1997, graduate Air Command and Staff College, Assessing the Long-Term Health Benefits of Medical Humanitarian Civic Assistance Missions, http://handle.dtic.mil/100.2/ADA398474, p. 3-4
Humanitarian operations promote