Joint Force Quarterly
Abstract
Health services support is a critical yet often overlooked component of distributed maritime operations (DMO) and expeditionary advanced base operations (EABO). In exercises and wargames, medical logistics are frequently “fairy dusted”—assumed to function without realistic planning—despite the immense challenges of managing high casualty rates, complex supply chains, and limited evacuation timelines in contested environments like the Indo-Pacific. This article highlights the need for better integration of health services into wargames and exercises, emphasizing the importance of realistic scenarios, multilateral cooperation, and investment in modeling tools. By addressing these gaps, military planners can improve readiness, reduce risks, and better prepare for the medical realities of large-scale combat operations, ensuring that health services are no longer sidelined in critical planning and training efforts.
Recommended Citation
Debra D. Buckland-Coffey, Robert P. Gerbracht, Kengo Nishida & William R. Gureck, "Bullets, Bandages, and Fairy Dust: Improving DMO Health Services Support With Wargaming," Joint Force Quarterly 116 (1st Quarter 2025), 101-107, https://digitalcommons.ndu.edu/joint-force-quarterly/vol116/iss4/13.
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