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	<title>Comments on: This could be a problem</title>
	<atom:link href="http://www.neptunuslex.com/2008/05/29/this-could-be-a-problem/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.neptunuslex.com/2008/05/29/this-could-be-a-problem/</link>
	<description>The unbearable lightness of Lex. Enjoy!</description>
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	<item>
		<title>By: ExLine Doc</title>
		<link>http://www.neptunuslex.com/2008/05/29/this-could-be-a-problem/comment-page-1/#comment-429995</link>
		<dc:creator>ExLine Doc</dc:creator>
		<pubDate>Sun, 01 Jun 2008 19:34:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/?p=4195#comment-429995</guid>
		<description>Love the blather about Lean Six Sigma. Navy medicine has embraced this to the hilt. Seems to be a great way to optimize the production and sale of widgets. The problem: I learned very early in medical school that patients are not widgets. I&#039;ve even had hospital CO&#039;s refer to patients as &quot;customers.&quot;

The issue here, as in the line, is a question of &#039;availability&#039; versus &#039;productivity.&#039; You cannot have both. Availability costs money in the bean counters&#039; eyes, because you run the risk of your people and assets being underutilized when things are calm. Availability is indeed life-saving and crucial when the brown hits the fan. It can make the difference between winning/losing or living/dying. That is a cost that does not fit neatly on a spreadsheet.

Productivity is the new mantra. Fewer docs, even fewer nurses and corpsman. Doing more with less, until you&#039;re doing everything with nothing. CO&#039;s look good, because their hospitals are &quot;productive.&quot; Lost in all of this is the cost of being unable to meet demand for services when crisis occurs. In other words, when war happens.</description>
		<content:encoded><![CDATA[<p>Love the blather about Lean Six Sigma. Navy medicine has embraced this to the hilt. Seems to be a great way to optimize the production and sale of widgets. The problem: I learned very early in medical school that patients are not widgets. I&#8217;ve even had hospital CO&#8217;s refer to patients as &#8220;customers.&#8221;</p>
<p>The issue here, as in the line, is a question of &#8216;availability&#8217; versus &#8216;productivity.&#8217; You cannot have both. Availability costs money in the bean counters&#8217; eyes, because you run the risk of your people and assets being underutilized when things are calm. Availability is indeed life-saving and crucial when the brown hits the fan. It can make the difference between winning/losing or living/dying. That is a cost that does not fit neatly on a spreadsheet.</p>
<p>Productivity is the new mantra. Fewer docs, even fewer nurses and corpsman. Doing more with less, until you&#8217;re doing everything with nothing. CO&#8217;s look good, because their hospitals are &#8220;productive.&#8221; Lost in all of this is the cost of being unable to meet demand for services when crisis occurs. In other words, when war happens.</p>
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	<item>
		<title>By: Skippy-san</title>
		<link>http://www.neptunuslex.com/2008/05/29/this-could-be-a-problem/comment-page-1/#comment-430028</link>
		<dc:creator>Skippy-san</dc:creator>
		<pubDate>Sat, 31 May 2008 12:13:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/?p=4195#comment-430028</guid>
		<description>BE 603,

   You said the name of the Devil! Nose and I had just about put the &quot;S&quot; name out of our heads............

Nose,

 We had already fixed the Seabats by the time you showed up. </description>
		<content:encoded><![CDATA[<p>BE 603,</p>
<p>   You said the name of the Devil! Nose and I had just about put the &#8220;S&#8221; name out of our heads&#8230;&#8230;&#8230;&#8230;</p>
<p>Nose,</p>
<p> We had already fixed the Seabats by the time you showed up.</p>
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	<item>
		<title>By: Skippy-san</title>
		<link>http://www.neptunuslex.com/2008/05/29/this-could-be-a-problem/comment-page-1/#comment-430027</link>
		<dc:creator>Skippy-san</dc:creator>
		<pubDate>Sat, 31 May 2008 12:11:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/?p=4195#comment-430027</guid>
		<description>A hummer would class up the joint to be sure...........

The Navy is the author of this current crisis. It kicked most of its major Naval Aviation procurement decisions down the road. Just about every platform we are buying was feasible back in 2000 (E-2D, F-18, Growler....). Naval Aviation leadership was so fixated on the F-18 E and F that it let so many other things slide, because the F-18 program &quot;cannot fail. We cannot have another A-12&quot; We got our wish. Now Helo procurement is a train wreck, the P-3 community is killing itself, JSF is bleeding us white, and there is still the problem of C&#039;s and D&#039; running out of shelf life.

And not once during the last 9 years did any of our flags bang on a table and complain about it. They were too busy trying to re-organize CNAP for the tenth time.

As for AT&#039;s-well they may be sending boxes to AIMD but to what purpose? Most of the AIMD&#039;s have been raped manpower wise because of the Regional Maintenance Center concept and the decline of overseas production capabilities. 

And for SJS, you obviously never flew with Burl (you know who I am talking about). You would not wax so eloquent on FT&#039;s if you did.</description>
		<content:encoded><![CDATA[<p>A hummer would class up the joint to be sure&#8230;&#8230;&#8230;..</p>
<p>The Navy is the author of this current crisis. It kicked most of its major Naval Aviation procurement decisions down the road. Just about every platform we are buying was feasible back in 2000 (E-2D, F-18, Growler&#8230;.). Naval Aviation leadership was so fixated on the F-18 E and F that it let so many other things slide, because the F-18 program &#8220;cannot fail. We cannot have another A-12&#8243; We got our wish. Now Helo procurement is a train wreck, the P-3 community is killing itself, JSF is bleeding us white, and there is still the problem of C&#8217;s and D&#8217; running out of shelf life.</p>
<p>And not once during the last 9 years did any of our flags bang on a table and complain about it. They were too busy trying to re-organize CNAP for the tenth time.</p>
<p>As for AT&#8217;s-well they may be sending boxes to AIMD but to what purpose? Most of the AIMD&#8217;s have been raped manpower wise because of the Regional Maintenance Center concept and the decline of overseas production capabilities. </p>
<p>And for SJS, you obviously never flew with Burl (you know who I am talking about). You would not wax so eloquent on FT&#8217;s if you did.</p>
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		<title>By: Nose</title>
		<link>http://www.neptunuslex.com/2008/05/29/this-could-be-a-problem/comment-page-1/#comment-430011</link>
		<dc:creator>Nose</dc:creator>
		<pubDate>Fri, 30 May 2008 18:00:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/?p=4195#comment-430011</guid>
		<description>Lex,

Don&#039;t want to tell you how to run your place, but it would add some curb appeal...

Blackeagle - I see your problem, you started out on the gay....er, sorry, I mean wrong....oops, West coast.

Have a nice weekend.</description>
		<content:encoded><![CDATA[<p>Lex,</p>
<p>Don&#8217;t want to tell you how to run your place, but it would add some curb appeal&#8230;</p>
<p>Blackeagle &#8211; I see your problem, you started out on the gay&#8230;.er, sorry, I mean wrong&#8230;.oops, West coast.</p>
<p>Have a nice weekend.</p>
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	<item>
		<title>By: blackeagle603</title>
		<link>http://www.neptunuslex.com/2008/05/29/this-could-be-a-problem/comment-page-1/#comment-430026</link>
		<dc:creator>blackeagle603</dc:creator>
		<pubDate>Fri, 30 May 2008 16:39:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/?p=4195#comment-430026</guid>
		<description>If only I could find the pic of the Miramar boresight range building the morning after our JO&#039;s snuck out and painted over the FIGHTERTOWNUSA sign to spell instead HUMMERTOWNUSA. 

One of &#039;em got a nice pic of it w/ one of our birds on the taxiway before they got busted and sent to repaint it.</description>
		<content:encoded><![CDATA[<p>If only I could find the pic of the Miramar boresight range building the morning after our JO&#8217;s snuck out and painted over the FIGHTERTOWNUSA sign to spell instead HUMMERTOWNUSA. </p>
<p>One of &#8216;em got a nice pic of it w/ one of our birds on the taxiway before they got busted and sent to repaint it.</p>
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	<item>
		<title>By: lex</title>
		<link>http://www.neptunuslex.com/2008/05/29/this-could-be-a-problem/comment-page-1/#comment-429997</link>
		<dc:creator>lex</dc:creator>
		<pubDate>Fri, 30 May 2008 15:57:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/?p=4195#comment-429997</guid>
		<description>Need to change my header to a Hummer, this keeps up. Let me just do a little Google image searching....

Oh.</description>
		<content:encoded><![CDATA[<p>Need to change my header to a Hummer, this keeps up. Let me just do a little Google image searching&#8230;.</p>
<p>Oh.</p>
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