Think Tank Meeting

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31 May 2006
Think Tank Meeting Air Force Requirements for New
Tanker/ Airlifter Boeing Concerns
Paul K. Carlton, Jr., MD, FACS Lt.
Gen, USAF, Ret Director,
Homeland Security The Texas AM University
System Health Science Center
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All of us need to be heretics/learners! It is our
Air Force Culture!
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Heretics

• Having medical people involved in the formulation
  of requirements for aircraft acquisition is bit
  heretical!
• Define your terms!

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Heretics Defined

• Someone who sees a truth that contradicts the
  conventional wisdom of an organization, remains
  loyal to that truth... AND at the same time,
  remains loyal to the organization

Emotional
Rational
Political
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Heretics Wont Shut Up

• Not because they are being
• difficult, but
• Because they see a truth that is
• difficult to deal with

Emotional
Rational
Political
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Big Five Heresies (cont)

• 4. No one can predict the future all we can do
  is choose our contribution to the circumstances
  out of which the future will later take shape

Emotional
Rational
Political
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Learners!
In times of change the learners will inherit the
worldwhile the learned will find themselves
beautifully equipped to deal with a world that no
longer exists Eric Hoffer
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Complaints without Solutions Whining
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Whining
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New Threats

• These have the potential to affect us all!
• Air Force
• Need to look at special use aircraft in
  light of these new threats.
• How we manage the waste water issues.
  
• How we manage the air quality in the
  cabin.
• How we protect against future threats!
  Current tanker was acquired 50 years ago, so we
  can expect this tanker to be around until at
  least 2060!
• Boeing
• Need to look at Special use aircraft.
• Consider potential of having to fulfill
  an AF requirement for new tanker/airlifter
• Consider potential impact on commercial
  side!

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New Solutions

• Killer Masks
• Directed airflow
• Killer Filter
• Killer surface protection
• Surface active agents
• Toilet investigation/redesign

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Toilet Investigation/Redesign

• This potential affects us all!
• Air Force need to look at special use aircraft,
  
• How we manage the honey bucket brigade
• How we protect against future threats!
  Current tanker was acquired 50 years ago, so we
  can expect this tanker to be around until at
  least 2060!
• Boeing
• Need to look at Special use aircraft
• Consider potential impact on commercial
  side!

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Waste Water

• Concern over aerosolization must be addressed!
• Brooks City Base, Human Systems Division, is
  logical place to do so.
• Recommend Air Force consider formal study to
  identify whether or not this is a potential
  source of spread of disease and formulate
  mitigation strategies.

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Air Quality in Airplanes

• The AF transports very ill patients on a regular
  basis, frequently without knowing the cause of
  the illness.
• The potential methods of spread discussed need to
  be verified, rank ordered in terms of threat, and
  then an investment strategy needs to be developed
  for addressing these issues!
• Recommend The AF bring these concerns to senior
  leadership so that a proper investment strategy
  is developed to address and then mitigate these
  issues.

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Acquisition Timeline

• Current KC-135 tanker was bought over a 10 year
  span from 1956- 1965.
• Planned replacement tanker/ airlifter planned for
  2010- 2020 as current tanker is no longer
  economically viable to maintain! This means we
  must plan on having this next generation tanker/
  airlifter around until 2060-2080!
• Future threats must be mitigated by design, not
  add on fixes, to the best of our knowledge, up
  front in the requirements document!

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Acquisition Timeline
Recommend AMC/SG bring these discussions to
senior leadership for consideration to
incorporate into requirements document for new
tanker/ airlifter that could be with us for a
long time!
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Boeing

• Take these medical concerns about safety for
  passengers and crew to senior leadership for
  discussion, knowing solutions are available!
• This day was to start the process of how to best
  protect our passengers and crew.
• You can contact these participants today directly
  and continue to work these concerns or ask AM
  to continue to broker such discussions.

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Special Use AircraftBoeing Military

• Discuss these ideas put forth with your senior
  leadership.
• Formulate an investment strategy to protect your
  high value passengers.
• Work with Boeing Commercial to mitigate these
  threats!
• Work with Human Systems Division on verification
  and mitigation of these threats!

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Bad News

• Bad news, unlike fine wine, does not get better
  with age!
• We must address these issues now!

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All of us need to be heretics/learners! It is our
Air Force Culture!
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To obtain a copy of this presentation
www.tamhsc.edu/homeland/
Questions?
Dr Paul K. Carlton, Jr. Lt Gen, USAF, Ret
Director, Homeland
Security The Texas AM University System Health
Science Center