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Wed Jun 13 12:42:32 BST 2012

Robert:

>From my experience with the military after the BRACC (Base ReAlignment and Closure Committees) in general, and military medicine in particular, I'm reading that the consideration is to replace a Regional Medical Center (500 plus beds, IIRC) with something more in terms of what used to be called an Army Community Hospital (more on the order of 200 beds). 

Even if they dedicate an area around said hospital to be saved to set up a Combat Support Hospital, this would represent a marked reduction of capability for the US Military Medical System, especially in the form of forward care and surge capacity.

ck

Charles S. Krin, DO
Retired FM/EM/EMS Physician; Author and Educator

-----Original Message-----
From: Robert Smith <rfsmithmd at comcast.net>
To: Trauma-List [TRAUMA.ORG] <trauma-list at trauma.org>
Sent: Tue, Jun 12, 2012 10:27 am
Subject: Re: Landstuhl

Ron,
Obviously I share your concerns. But I've read the article twice and unless I 
ompletely misreading  it (which is totally possible) they are, as Dr. Mattox 
ointed out, just listening to testimony, collecting information and planning 
or the new hospital. I do not see that is says they are going to close LRMC 
EFORE building a new hospital. I am missing something?
Of course the outcome of this debate and planning is critical for the care of 
resent and future men and women who choose to serve to keep us safe.
Rob

n Jun 12, 2012, at 8:28 AM, Gross, Ronald wrote:
> And you want to know why our healthcare system is in the state that it is in?  
ets allow those leaders that you speak of to keep blaming those greedy 
ercenary doctors and hospitals for the high cost of health care while we ignore 
he issues such as end of life decisions and the money we spend for our last 8 
onths of life.  Lets keep on allowing our "entitlement system" to pervade our 
ociety so that those that are on the "lower end of the contributory/recipient 
pectrum" continue to get for free what the rest of us have to pay for.  (I am 
oing my best to be PC which in my case often has been referred to as 
perpetually crass"!)  Lets keep sending good kids into harms way and forgetting 
bout them when they come home........to nothing!  Lets continue to fund the war 
ut not the fix the issues that just might prevent the next one.  Lets continue 
o elect people who can, as you said, segregate our foreign policy from its 
ftermath.

 OMG - I have become my father!!!!!!!!!!

 -----Original Message-----
 From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
n Behalf Of Bjorn, Pret
 Sent: Tuesday, June 12, 2012 8:19 AM
 To: 'Trauma-List [TRAUMA.ORG]'
 Subject: RE: Landstuhl

 Setting aside our leaders' sad habit of neatly segregating our foreign policy 
ecisions from their aftermath, it's just fascinating to me how much easier it 
s to fund a war than a hospital.  

 ANY hospital.

 Pret Bjorn, RN
 Bangor, ME USA

 -----Original Message-----
 From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
n Behalf Of Robert Smith
 Sent: Monday, June 11, 2012 9:54 PM
 To: Trauma-List [TRAUMA.ORG]
 Subject: Re: Landstuhl

 No, you'd better not.

 Sent from my iPad

 On Jun 11, 2012, at 5:48 PM, "Gross, Ronald" <Ronald.Gross at baystatehealth.org> 
rote:

> As I see it, this is just one more example of how terribly short-sighted the 
overnment bean counters are, and just how spineless our elected officials 
ontinue to be.  LRMC has proved to be the best example of the best that 
ilitary medicine has to offer.  This hospital has earned the distinction of 
eing a ACS COT verified Level I Trauma Center - the only one outside of CONUS 
the continental United States) and the only one in the military.  The care they 
ave given to so many of our heroes is mind-boggling, and aging or not, white 
lephant or not, this medical .facility has done so much with so little and done 
t well.
> 
> I am perhaps reacting emotionally, and I will admit that, but I am also 
eacting as one who has seen first-hand what has been done by the LRMC staff.  
losing this medical center with no alternative IN PLACE is, in my mind, 
riminal - and there is no other word for it.  
> 
> 
> Have we no heart?  Have we no conscience?  It appears that our elected 
fficials forgot that the best way to demoralize an amry is to inject the threat 
hat their medical care won't be there when they really need it most!  I wonder 
hat would happen to the decision if a half dozen Senators and Congressmen had 
ids wounded and needed care..........
> 
> I better shut up - 
> 
> Ron
> 
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
n Behalf Of Robert Smith
> Sent: Monday, June 11, 2012 4:45 PM
> To: Trauma-List [TRAUMA.ORG]
> Subject: Re: Landstuhl
> 
> http://www.nytimes.com/2012/06/11/world/europe/landstuhl-hospital-to-be-replaced-but-with-what.html
> 
> Curious what Ron and others having to do with these decisions think.
> 
> Rob
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Landstuhl