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US. GOVERNMENT
INFORMATION
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                  DEPARTMENT OF DEFENSE APPROPRIATIONS
                                 FOR   FISCAL YEAR 2010


                                 WEDNESDAY, MARCH 18, 2009

                                                        U.S. SENATE,
                       SUBCOMMITTEE OF THE COMMITTEE  ON APPROPRIATIONS,
                                                             Washington, DC.
                    The subcommittee met at 10:30 a.m., in room SD-192, Dirksen
                  Senate Office Building, Hon. Daniel K. Inouye (chairman) pre-
                  siding.
                    Present: Senators Inouye, Murray, Cochran, and Bennett.
                                  DEPARTMENT OF DEFENSE
                                  MEDICAL  HEALTH  PROGRAMS
                  STATEMENT  OF LIEUTENANT  GENERAL  ERIC B. SCHOOMAKER, M.D.,
                      Ph.D., SURGEON GENERAL, U.S. ARMY MEDICAL COMMAND
                         OPENING STATEMENT  OF SENATOR DANIEL K. INOUYE
                    Chairman INOUYE. I'd like to welcome all of the witnesses today
                  as we review the Department of Defense (DOD) medical programs.
                  There'll be two panels this morning. First we'll hear from the serv-
                  ice surgeon generals: General Eric Schoomaker, Vice Admiral
                  Adam  Robinson, Jr., General James Roudebush. Then we'll hear
                  from our chiefs of the Nurse Corps: General Patricia Horoho, Rear
                  Admiral  Christine M.  Bruzek-Kohler, and  General Kimberly
                  Siniscalchi. Did I get it correct?
                    I'd like to welcome back all of the three surgeon generals to our
                  subcommittee once again. I look forward to continuing our work to-
                  gether to ensure the future of our military medical programs and
                  personnel.
                    As you may have noted, this is the first defense hearing that the
                  subcommittee will be holding this year. We deliberately selected
                  the medical programs as our inaugural topic to underscore the im-
                  portance that this issue has to our subcommittee. Our surgeon gen-
                  erals and the chiefs of the Nurse Corps have been called upon to
                  share their insight on what is working and what is not working.
                    Military medicine is a critical element in our defense strength.
                  Our ability to care for our wounded soldiers on the modern battle-
                  field is a testament both to the hard work and dedication of our
                  men and women  in uniform and to the application of the new tech-
                  nology which is a hallmark of the U.S. armed forces, and so to our
                  medical programs' demonstrated commitment  to provide for our
                  servicemembers and their families, which is unsurpassed in any
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