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US. GOVERNMENT
INFORMATION
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                  DEPARTMENT OF DEFENSE APPROPRIATIONS
                                FOR   FISCAL YEAR 2011


                                WEDNESDAY, MARCH 10, 2010

                                                       U.S. SENATE,
                      SUBCOMMITTEE  OF THE COMMITTEE ON APPROPRIATIONS,
                                                           Washington, DC.
                   The subcommittee met at 10:13 a.m., in room SD-192, Dirksen
                 Senate Office Building, Hon. Daniel K. Inouye (chairman) pre-
                 siding.
                   Present: Senators Inouye, Murray, and Cochran.
                                 DEPARTMENT OF DEFENSE
                                 MEDICAL  HEALTH  PROGRAMS
                 STATEMENT  OF  VICE ADMIRAL ADAM  M. ROBINSON, JR., SURGEON
                      GENERAL, DEPARTMENT  OF THE NAVY
                        OPENING STATEMENT OF CHAIRMAN DANIEL K. INOUYE
                   Chairman  INOUYE. The hearing will come to order.
                   This morning, we will review the Department of Defense's med-
                 ical programs.
                   And  we'll have two panels. First, we'll hear from the Surgeon
                 Generals of the services: General Schoomaker, Admiral Adam Rob-
                 inson, Jr., and General Charles Green. Then we'll hear from the
                 Chiefs of the Nurse's Corps, General Patricia Horoho, Admiral
                 Karen Flaherty, and General Kimberly Siniscalchi.
                   And  I'd like to welcome all of you this morning, and I'd like to
                 welcome back General Schoomaker, Admiral Robinson, and a spe-
                 cial welcome to General Green, when he gets here.
                   Welcome, sir.
                   General GREEN. Thank you. My apologies.
                   Chairman  INOUYE. This is your first hearing, and we look for-
                 ward to working together.
                   The subcommittee holds a special hearing each year for an oppor-
                 tunity to  discuss the critically important issues related to
                 healthcare, the well-being of our servicemembers and their fami-
                 lies. As such, the Surgeons General and the Chiefs of the Nurse's
                 Corps have been called upon to share their insight on areas that
                 need  improvement and  areas that see continuing success and
                 progress.
                   Military medicine is a critical element in our defense strength
                 and  an  essential component of the benefits provided to our
                 servicemembers and their families. We must ensure that the most
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