The Department of Defense has updated its policy on “humanitarian and civic assistance activities,” which are “conducted in conjunction with authorized military operations” abroad. See DoD Instruction 2205.02 (pdf), December 2, 2008.
Medical assistance is a potentially important element of counterinsurgency operations in Afghanistan, argued a senior military medical officer earlier this year. See “The Role of Medical Diplomacy in Stabilizing Afghanistan” (pdf), by Donald F. Thompson, Defense Horizons, May 2008. (Interestingly, however, he noted that such assistance can sometimes backfire by “undercutting the confidence of the local population in their own government’s ability to provide essential services.”)
Former Senator Bill Frist has called for increased investment in medical diplomacy, and warned against letting U.S. adversaries get “ahead” on this front.
“We cannot allow countries in direct security and economic competition with America … to use health diplomacy as a means of building new alliances, attracting new followers, or otherwise strengthening their position vis-a-vis our nation,” he wrote (pdf) in Yale Law and Policy Review (Fall 2007).
We came out of the longest shutdown in history and we are all worse for it. Who won the shutdown fight? It doesn’t matter – Americans lost. And there is a chance we run it all back again in a few short months.
Promising examples of progress are emerging from the Boston metropolitan area that show the power of partnership between researchers, government officials, practitioners, and community-based organizations.
Americans trade stocks instantly, but spend 13 hours on tax forms. They send cash by text, but wait weeks for IRS responses. The nation’s revenue collector ranks dead last in citizen satisfaction. The problem isn’t just paperwork — it’s how the government builds.
In a new report, we begin to address these fundamental implementation questions based on discussions with over 80 individuals – from senior political staff to individual project managers – involved in the execution of major clean energy programs through the Department of Energy (DOE).