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Ready today, ready tomorrow - Air Force prepares for the future of medical readiness

  • Published
  • By Peter Holstein
  • Air Force Surgeon General Public Affairs
The future of warfare is uncertain, and tomorrow’s conflicts may not look like today’s. To prepare for this uncertainty, the Air Force is assessing how it prepares its medical forces to support the warfighter.

For the last 17 years, the Air Force honed a medical force that excels at delivering life-saving care on the battlefields of the war on terrorism, offering unparalleled medical evacuation for wounded, ill, and injured service members. The Air Force Medical Service worked closely with combatant commanders to develop the deployment platforms appropriate to those environments and adversaries.

Now as times change, the AFMS must prepare for what is on the horizon.

“Our medical readiness needs are based on the types of conflicts we engage in,” said Chief Master Sgt. George Cum, Chief, Medical Enlisted Force, office of the Air Force Surgeon General. “For the past 17 years, we’ve been fortunate to have the highest survival rate on the battlefield of any conflict in history. But, that has been in a relatively uncontested state.”

The war on terrorism takes place primarily in combat theaters where the U.S. and its allies have mostly free access to the skies and can place in-theater hospitals with few restraints. A future conflict against a peer adversary with a broad array of capabilities may restrict this access. This requires a change to the Air Force’s strategy for treating and evacuating injured service members.

The 2018 National Defense Strategy outlines these concerns, and the need for U.S. forces to adapt. For the AFMS, this process starts by coordinating closely with combatant commands to make sure Air Force Medicine meets their needs.

“The AFMS has to stay responsive to combatant commanders,” said Col. Colin Smyth, director, Expeditionary Medical Policy and Operations at the AFMS. “We conduct regular assessments of requirements, and adjust our capabilities accordingly.”

This process has already led to changes in Air Force medical deployment platforms. The Air Force deployed a new forward surgical model, the Ground Support Team, in 2017. GSTs incorporate lean, agile surgical capability with integrated logistical support, allowing them to deliver life-saving care in austere conditions over a much longer time.

“Providing care over the long term isn’t just about skills and surgical capability, it’s also about logistics,” said Cum. “How do you manage your supplies for long missions? How do you balance your work/rest cycles with a small team of medics when patients need constant monitoring? What happens when an adversary contests our ability to evacuate or resupply that surgical team?”

Air Force medicine has not had to address these questions on a large scale for many years. Even in Vietnam and the first Gulf War, U.S. forces relied on aeromedical evacuation and in-country hospital facilities to deliver higher levels of care.

“You really have to go back to Korea and World War II to find combat theaters like we need to prepare for today,” said Cum. “When we deploy medical forces forward, they need to be ready to survive on their own and deliver care for the long haul.”

Aeromedical evacuation forces must also adjust to prepare for future conflicts. With the possibility that fewer in-theater hospitals will be available, the Air Force must be ready to transport more critically injured patients.

“Evaluating combatant commanders’ requirements revealed that we need more Critical Care Air Transport Teams,” said Smyth. “We are building additional teams to meet that requirement.”

As the Air Force prepares for the future, readiness will continue to play a vital role. In future conflict scenarios, the AFMS might not have time to plan readiness cycles in advance. If a conflict begins abruptly, or entails a total commitment of forces, there may not be time for medical Airmen to spin-up their training before deployment.

“When we consider potential adversaries, it’s going to take a full effort to provide the medical capability our forces rely on now,” said Cum. “Future conflicts may limit the time for just-in-time training, or spin-up training. We need to be ready today.”

The AFMS is finding new ways to incorporate medical readiness training into medics’ everyday duties. Air Force hospitals and clinics remain vital pieces of this readiness puzzle, through training, exercises and simulations. Much like the medical teams the Air Force deploys to the battlefield, the AFMS must stay agile to remain aligned to the needs of line forces.

Cum captures his feelings on this topic with a quote from President John F. Kennedy, found at his gravesite in Arlington National Cemetery.

“There’s one inscription that caught my eye,” said Cum. “It’s from President Kennedy’s inaugural address. ‘In the long history of the world, only a few generations have been granted the role of defending freedom in its hour of maximum danger. I do not shrink from this responsibility - I welcome it.’

“More than 50 years from when he said that, I think it’s still relevant. As a medical force, we should welcome that responsibility by being ready today.”

Gunfighter Videos

366th Fighter Wing Vice Commander
Command Chief 366th FW
Mountain Home Air Force Base and Idaho Power conducted the first in a series of tests aimed at sending power directly from a hydroelectric dam to the base. If further tests are successful, the dam will provide Mountain Home Air Force Base with continued power even in the event of large-scale power outage. (U.S. Air Force photo by Staff Sgt. Austin Siegel, Public Affairs Specialist, 366 FW)
A U.S. Air Force F-15E Strike Eagle, assigned to the 366th Fighter Wing, takes off in front of a C-130J Hercules, assigned to 317th Airlift Wing, Dyess Air Force Base, Texas, as part of Exercise Raging Gunfighter at Mountain Home Air Force Base, Idaho, May 17, 2022. Raging Gunfighter is an exercise to prepare the 366th Fighter Wing for future Agile Combat Employment (ACE) operations around the world. (U.S. Air force photo by Airman 1st Class Alexandria Byrd)
U.S. Air Force Airmen load cargo onto a C-17 Globemaster III from Joint Base Lewis-McChord, Washington, as part of Exercise Raging Gunfighter at Mountain Home Air Force Base, Idaho, May 17, 2022. Raging Gunfighter is an Air Combat Command (ACC) exercise designed to simulate the 366th Fighter Wing operating as a lead wing from a remote environment. (U.S. Air Force photo by Airman 1st Class Alexandria Byrd)
U.S. Air Force Airmen assigned to the 366th Fighter Wing board a C-130J Hercules, assigned to the 317th Airlift Wing, Dyess Air Force Base, Texas, as part of Exercise Raging Gunfighter at Mountain Home Air Force Base, Idaho, May 17, 2022. Raging Gunfighter is an Air Combat Command (ACC) exercise to prepare the 366th Fighter Wing to operate as a lead wing in a remote environment for future Agile Combat Employment (ACE) operations around the world. (U.S. Air Force Photo by Airman 1st Class Alexandria Byrd)
U.S. Air Force Airmen assigned to the 366th Fighter Wing receive sleeping bags for Exercise Raging Gunfighter from the 366th Logistics Readiness Squadron Individual Protective Equipment (IPE) section at Mountain Home Air Force Base, Idaho, May 17, 2022. Raging Gunfighter is an Air Combat Command (ACC) exercise to prepare the 366th Fighter Wing to operate as a lead wing in a remote environment for future Agile Combat Employment (ACE) operations around the world. (U.S. Air Force photo by Airman 1st Class Alexandria Byrd)
Readiness Challenge VIII participants from Air Combat Command's 366th Civil Engineer Squadron, Mountain Home AFB, Idaho, take part in the rapid airfield damage repair event April 19, 2022, at the Silver Flag Exercise Site, Tyndall Air Force Base, Florida. The Department of the Air Force CE event is hosted by the Air Force Civil Engineer Center. After a 20+ year hiatus, the challenge, a premier event for Department of the Air Force civil engineers, is back. This year's Readiness Challenge is the initial operating capability event before the challenge reaches full operating capability within the next two years. At this year's event, which runs through April 22, eight teams representing major commands and U.S. Space Force are facing off in about 20 events showing myriad of CE capabilities from emergency airfield lighting and water purification to building a guard shack from the ground up and firefighting and EOD operations. (U.S. Air Force photo by Emily Misfud)
Readiness Challenge VIII participants from U.S. Air Forces in Europe's 31st Fighter Wing, Aviano Air Base, Italy, take part in the airfield spall repair event April 20, 2022, at the Silver Flag Exercise Site, Tyndall Air Force Base, Florida. The Department of the Air Force CE event is hosted by the Air Force Civil Engineer Center. After a 20+ year hiatus, the challenge, a premier event for Department of the Air Force civil engineers, is back. This year's Readiness Challenge is the initial operating capability event before the challenge reaches full operating capability within the next two years. At this year's event, which runs through April 22, eight teams representing major commands and U.S. Space Force are facing off in about 20 events showing myriad of CE capabilities from emergency airfield lighting and water purification to building a guard shack from the ground up and firefighting and EOD operations. (U.S. Air Force photo by Debbie Aragon)
Readiness Challenge VIII participants from Air Force Reserve Command take part in the guard shack build event April 18, 2022, at the Silver Flag Training Site, Tyndall Air Force Base, Florida. The Department of the Air Force CE event is hosted by the Air Force Civil Engineer Center. After a 20+ year hiatus, the challenge, a premier event for Department of the Air Force civil engineers, is back. This year's Readiness Challenge is the initial operating capability event before the challenge reaches full operating capability within the next two years. At this year's event, which runs through April 22, eight teams representing major commands and U.S. Space Force are facing off in about 20 events showing myriad of CE capabilities from emergency airfield lighting and water purification to building a guard shack from the ground up and firefighting and EOD operations. (U.S. Air Force photo by Emily Misfud)
Readiness Challenge VIII participants from Air Force Reserve Command take part in an explosive ordnance disposal event April 18, 2022, at the Silver Flag Training Site, Tyndall Air Force Base, Florida. The Department of the Air Force CE event is hosted by the Air Force Civil Engineer Center. After a 20+ year hiatus, the challenge, a premier event for Department of the Air Force civil engineers, is back. This year's Readiness Challenge is the initial operating capability event before the challenge reaches full operating capability within the next two years. At this year's event, which runs through April 22, eight teams representing major commands and U.S. Space Force are facing off in about 20 events showing myriad of CE capabilities from emergency airfield lighting and water purification to building a guard shack from the ground up and firefighting and EOD operations. (U.S. Air Force photo by Emily Misfud)
Readiness Challenge VIII participants from Air Force Reserve Command take part in an explosive ordnance disposal event April 18, 2022, at the Silver Flag Training Site, Tyndall Air Force Base, Florida. The Department of the Air Force CE event is hosted by the Air Force Civil Engineer Center. After a 20+ year hiatus, the challenge, a premier event for Department of the Air Force civil engineers, is back. This year's Readiness Challenge is the initial operating capability event before the challenge reaches full operating capability within the next two years. At this year's event, which runs through April 22, eight teams representing major commands and U.S. Space Force are facing off in about 20 events showing myriad of CE capabilities from emergency airfield lighting and water purification to building a guard shack from the ground up and firefighting and EOD operations. (U.S. Air Force photo by Debbie Aragon)
The City of Mountain Home Mayor Rich Skyes signed a proclamation on Mountain Home Air Force Base on April 4, 2022. The City of Mountain Home will be observing the Month of the Military Child to show support and appreciation to military children. (U.S. Air Force photo by Airman 1st Class Krista Reed Choate)
A U.S. Marine Corps pilot assigned to Marine Fighter Attack Training Squadron (VMFAT) 501 climbs off an F-35B Lightning II fighter jet, at Mountain Home Air Force Base, Idaho, Mar. 22, 2022. The VMFAT-501 are here to conduct deployment for training 1-22, to train student pilots to be proficient in air support and high explosive ordnance drops for their future-fleet F-35B unit. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Marine Corps F-35B Lightning II fighter jet assigned to Marine Fighter Attack Training Squadron (VMFAT) 501 taxis on the flightline, at Mountain Home Air Force Base, Idaho, Mar. 22, 2022. The base has a range complex that offers 9,600 square miles of airspace to train. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
A U.S. Marine Corps F-35B Lightning II fighter jet assigned to MArine Fighter Attack Training Squadron (VMFAT) 501 lands on the flightline at Mountain Home Air Force Base, Idaho, Mar. 22, 2022. In the training, the pilots will be able to execute 1000 level Training & Readiness manual progression to attain core skills further preparing them for follow-on orders to F-35B fleet units. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
A U.S. Marine Corps F-35B Lightning II fighter jet with a 25 millimeter gun pod assigned to Marine Fighter Attack Training Squadron (VMFAT) 501 flies into the sky at Mountain Home Air Force Base, Idaho, Mar. 22, 2022. Mountain Home Air Force Base has a range complex that offers 9,600 square miles of airspace to train. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Marine Corps quality assurance & power-liners from the Marine Fighter Attack Training Squadron (VMFAT) 501, watch an F-35B Lightning II fighter jet taxi on the flight line at Mountain Home Air Force Base, Idaho, Mar. 22, 2022. In the training, the pilots will be able to execute 1000 level Training & Readiness manual progression to attain core skills further preparing them for follow-on orders to F-35B fleet units. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Marine Corps pilot from Marine Fighter Attack Training Squadron (VMFAT) 501 climbs on to an F-35B Lightning II fighter jet at Mountain Home Air Force Base, Idaho, Mar. 22, 2022. The VMFAT-501 is here to conduct deployment for training 1-22, to train student pilots to be proficient in air support and high explosive ordnance drops for their future-fleet F-35B unit. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Marine Corps avionics and power-liners from Marine Fighter Attack Training Squadron (VMFAT) 501 walk across the flightline at Mountain Home Air Force Base, Idaho, Mar. 22, 2022. VMFAT-501 is a subordinate unit of 2nd Marine Aircraft Wing, the aviation combat element of II Marine Expeditionary Force. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Air Force Senior Airman Ely Shilaikis, 389th Fighter Generation Squadron consolidated tool kit primary custodian, performs a “180 day” inspection during Red Flag-Nellis 22-2 on Nellis Air Force Base, Nevada, March 10, 2022. The 180 day inspection is a thorough cleaning and examination to ensure serviceability of the tools assigned to a consolidated tool kit. (U.S. Air Force photo by Staff Sgt. Austin Siegel)
U.S. Air Force Staff Sgt. Brad Clifton, 389th Fighter Generation Squadron support NCOIC, organizes an e-tool charging station during Red Flag-Nellis 22-2 on Nellis Air Force Base, Nevada, March 10, 2022. Technical orders are loaded onto e-tools to be utilized for all aircraft maintenance procedures; ensuring aircraft safety and compliance. (U.S. Air Force photo by Staff Sgt. Austin Siegel)
U.S. Air Force Senior Airman Jake Lenoue, 389th Fighter Generation Squadron avionics technician journeyman, right, works with Senior Airman Jake Fallat, 389th FGS maintenance supply liaison, to locate parts during Red Flag-Nellis 22-2 on Nellis Air Force Base, Nevada, March 10, 2022. The supply liaison is directly integrated with the Squadron to track, source and retrieve parts efficiently for maintenance personnel. (U.S. Air Force photo by Staff Sgt. Austin Siegel)
A U.S. Air Force F-15E Strike Eagle from the 389th Fighter Squadron, Mountain Home Air Force Base, Idaho, lifts off for the Nevada Test and Training Range during Red Flag-Nellis 22-2 on Nellis Air Force Base, Nevada, March 9, 2022. The Nevada Test and Training Range is the U.S. Air Force’s premiere military training area with more than 12,000 square miles of airspace. (U.S. Air Force photo by Staff Sgt. Austin Siegel)
U.S. Air Force F-15E Strike Eagles from the 389th Fighter Squadron, Mountain Home Air Force Base, Idaho, taxi for takeoff as part of Red Flag-Nellis 22-2 on Nellis Air Force Base, Nevada, March 7, 2022. Red Flag provides several realistic training scenarios that saves lives while increasing combat effectiveness. (U.S. Air Force photo by Staff Sgt. Austin Siegel)
U.S. Air Force crew chiefs from the 389th Fighter Generation Squadron, greet F-15E Strike Eagle aircrew assigned to the 389th Fighter Squadron, Mountain Home Air Force Base, Idaho, before pre-flight inspection as part of Red Flag-Nellis 22-2 on Nellis Air Force Base, Nevada, March 8, 2022. Red Flag is hosted on the Nevada Test and Training Range, which spans more than 12,000 square miles of airspace and 2.9 million acres of land. (U.S. Air Force photo by Staff Sgt. Austin Siegel)
U.S. Air Force maintainers assigned to the 389th Fighter Generation Squadron, Mountain Home Air Force Base, Idaho, prepare an F-15E Strike Eagle for flight during Red Flag-Nellis 22-2 on Nellis Air Force Base, Nevada, March 8, 2022. Red Flag enhances readiness and realistic training necessary to respond to potential challenges across the globe. (U.S. Air Force photo by Staff Sgt. Austin Siegel)
U.S. Air Force Senior Airman Jeremiah Ables, an assistant dedicated crew chief assigned to the 389th Fighter Generation Squadron, Mountain Home Air Force Base, Idaho, signals to an F-15E Strike Eagle pilot to hold their position as part of Red Flag-Nellis 22-2 on Nellis Air Force Base, Nevada, March 7, 2022. Red Flag provides realistic combat training that saves lives while increasing combat effectiveness. (U.S. Air Force photo by Staff Sgt. Austin Siegel)
U.S. Air Force Maj. Christopher “Swat” Hale, left, an F-15E Strike Eagle weapons systems officer and Capt. Anthony “Rook” Mountain, right, an F-15E Strike Eagle pilot assigned to the 389th Fighter Squadron, Mountain Home Air Force Base, Idaho, complete pre-flight checks for Red Flag-Nellis 22-2 on Nellis Air Force Base, Nevada, March 7, 2022. Pilots practice a variety of offensive and defensive scenarios throughout Red Flag, including air-to-air interdiction, giving them a valuable combat advantage over adversaries. (U.S. Air Force photo by Staff Sgt. Austin Siegel)
Mountain Home Air Force Base
The 366th Fighter Wing is in the process of transitioning to a Wing organizational structure that includes groups and an A-Staff, in line with the Combat Air Force, Force Generation (CAFFORGEN) model. This graphic shows the wing structure, once all groups have been reactivated slated for, 23 March 2022. (U.S. Air Force graphic by Airman Alexandria Byrd)
U.S. Air Force Col. Ernesto DiVittorio, 366th Fighter Wing commander, passes the ceremonial guidon to Col. David Stamps, incoming 366th Operations Group commander at Mountain Home Air Force Base, Idaho, Mar. 11, 2022. This ceremony celebrates the reactivation of groups and assumption of group commanders within the base. The reactivation of groups is also part of the Lead Wing Organization model. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Air Force Col. Ernesto DiVittorio, 366th Fighter Wing commander, passes the ceremonial guidon to Col. Eric Phillips, incoming 366th Medical Group commander (MDG) at Mountain Home Air Force Base, Idaho, Mar. 11, 2022. This ceremony celebrates the reactivation of the 366th MDG and assumption of command. The reactivation of groups is also part of Air Combat Command’s standardization of wing structure. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
Airmen with the 726th Air Control Squadron set up a tent during the Agile Thunder Exercise 22-1 Feb. 22-March 4. (Courtesy photo)
The 726th Air Control Squadron in a convoy to their station to set up for the Agile Thunder Exercise 22-1 held Feb. 22-March 4. (Courtesy photo)
First Lt. Erin Dilorenzo, the convoy and site commander for the Deployed Radar Site during the Agile Thunder Exercise 22-1 held Feb. 22-March 4. (Courtesy photo)
U.S. Air Force Staff Sgt. Antoinette McCall, a medical technician from 633rd Medical Group, Joint Base Langley-Eustis, Virginia, supports hospital staff at St. Francis Medical Center, Monroe, Louisiana, Feb. 16, 2022. The U.S. Air Force medical team, working side-by-side with civilian medical professionals, is deployed in support of continued Department of Defense COVID response operations to help communities in need. U.S. Northern Command, through U.S. Army North, remains committed to providing flexible Department of Defense support to the whole-of-government COVID response. (U.S. Army photo by Sgt. Woodlyne Escarne, 14th Public Affairs Detachment)
U.S. Air Force 2nd Lt. Benjamin Eells, a clinical nurse assigned to Nellis Air Force Base, Nevada, gets fit tested for an N-95 mask while supporting the COVID response operations at University of Rochester Medical Center, Rochester, New York, Feb. 12, 2022. U.S. Northern Command, through U.S. Army North, remains committed to providing flexible Department of Defense support to the whole-of-government COVID response. (U.S. Army photo by Spc. Ashleigh Maxwell)
U.S. Air Force 2nd Lt. Sarah Cook, a registered nurse assigned to Nellis Air Force Base, Nevada, comforts a patient while supporting COVID response operations at University of Rochester Medical Center, Rochester, New York, Feb.14, 2022. U.S. Northern Command, through U.S. Army North, remains committed to providing flexible Department of Defense support to the whole-of-government COVID response. (U.S. Army photo by Spc. Ashleigh Maxwell)
U.S. Air Force Airman 1st Class Jaceline Cosby, a registered respiratory therapist from the 633rd Medical Group, Joint Base Langley-Eustis, sets up medical equipment in preparation for a patient’s hospital stay at St. Francis Medical Center, Monroe, Louisiana, Feb. 9, 2022. The U.S. Air Force medical team, working side-by-side with civilian medical professionals, is deployed in support of continued Department of Defense COVID response operations to help communities in need. U.S. Northern Command, through U.S. Army North, remains committed to providing flexible Department of Defense support to the whole-of-government COVID response. (U.S. Army photo by Sgt. Woodlyne Escarne, 14th Public Affairs Detachment)
Members of the Office of Special Investigations speak with Wing Inspectors on how they would inspect a crime scene at Mountain Home Air Force Base, Idaho, Mar. 2, 2022. The Wing Inspectors evaluated the Airmen on how well they performed their role in an active shooter exercise. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Air Force Staff Sgt. Dylan Strickland, 366th Healthcare Operations Squadron, paramedic (HCOS) (left) and U.S. Air Force Tech. Sgt. Robert Dooley, 366th Civil Engineer Squadron firefighter (CES) (right) inspect the condition of a simulated injured Airman at Mountain Home Air Force Base, Idaho, Mar. 2, 2022. This scenario is part of an active shooter exercise and trains the Airmen in the 366th HCOS and 366th CES on how to aid surviving victims. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Air Force 366th Security Forces Squadron (SFS) Airmen carefully lowers a simulated injured Airman to a stretcher at Mountain Home Air Force Base, Idaho, Mar. 2, 2022. This scenario is part of an active shooter exercise, it not only trains 366th SFS Airmen to respond to active shooter scenarios quickly, but it also trains them to search and support any surviving victims in the scenario. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Air Force Staff Sgt. Tristin Carey, 366th Security Forces Squadron (SFS) noncommissioned officer in charge of confinement applies a tourniquet around a leg of a simulated, injured Airman at Mountain Home Air Force Base, Idaho, Mar. 2, 2022. Airmen from SFS, 366th Civil Engineer Squadron and several other squadrons participated in the active shooter exercise. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
U.S. Air Force 366th Security Forces Squadron Airmen enter a room with simulated casualties at Mountain Home Air Force Base, Idaho, Mar. 2, 2022. This scenario is part of an Anti-Terrorism Force Protection active shooter exercise which helps Airmen prepare for real life scenarios. (U.S. Air Force photo by Senior Airman Akeem K. Campbell)
An F-15E Strike Eagle, assigned to the 389th Fighter Squadron at Mountain Home Air Force Base, Idaho, arrives for Red Flag-Nellis 22-2 at Nellis Air Force Base, Nevada, March 3, 2022. Red Flag-Nellis 22-2 provides realistic combat training that saves lives while increasing combat effectiveness. (U.S. Air Force photo by William R. Lewis)
A Republic of Singapore Air Force F-16 Fighting Falcon assigned to the 425th Fighter Squadron at Luke Air Force Base, Arizona, arrives for Red Flag-Nellis 22-2 at Nellis Air Force Base, Nevada, March 3, 2022. The 414th Combat Training Squadron conducts Red Flag exercises to provide aircrews the experience of multiple, intensive air combat sorties in the safety of a training environment. (U.S. Air Force photo by William R. Lewis)
A Royal Saudi Air Force F-15SA, assigned to the Royal Saudi Air Force Weapons School, lands in preparation of Red Flag-Nellis 22-2 at Nellis Air Force Base, Nevada, March 1, 2022. Participants conduct a variety of scenarios, including defensive counter-air, offensive counter-air suppression of enemy air defenses, and offensive counter air-to-air interdiction. (U.S. Air Force photo by William R. Lewis)

 

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