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This study examined whether there might be a medical supply and distribution structure for U.S. Central Command (USCENTCOM) that would maintain or improve performance while reducing costs. We evaluated the likely performance and cost implications of the range of possibilities, considering both the medical and nonmedical logistics structures, for providing medical supplies to support medical activities in USCENTCOM. We found that three options would preserve or improve performance while either lowering or not increasing costs. Additionally, we considered how the value of these solutions would likely change with future shifts in USCENTCOM operations.

Table of Contents

  • Chapter One


  • Chapter Two

    Evaluation of the DDKS and CONUS Options

  • Chapter Three

    Evaluation of Options to Support the USCENTCOM AOR Class VIII Requirements from One Location

  • Chapter Four

    Comparison of Options and Recommendations

  • Appendix A

    Medical Logistics as a Distinct Discipline

  • Appendix B

    Payment of Commercial Tender Air Bills Comes Out of Medical Logistics Budget

  • Appendix C

    Data Sources Used for Analysis

  • Appendix D

    Our Analysis Focused on Twenty Major Customers at Ten Destinations in Iraq, Afghanistan, and Kuwait

  • Appendix E

    FY2009 Consolidation and Transportation Times to Critical Locations

  • Appendix F

    Distribution Data Populations by Segment: USAMMCE and USAMMC-SWA

  • Appendix G

    Origin-Destinations in the Data Analyzed for Transportation Performance

  • Appendix H

    Sensitivity Analysis: Cost per Issue over Time

  • Appendix I

    Theater Express City Pair List

Research conducted by

The research described in this report was sponsored by the United States Army and conducted by the RAND Arroyo Center.

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