Giant Aspirin - Have One
Image by duncan via FlickrI do not think replacing DOD's gigantic footprint in Iraq with a smaller footprint by the Department of State (smaller compared to DOD but the largest in State's universe) would transform that country into a democracy that our then leaders imagined in la-la land.
That said, what I think obviously, does not make a difference in the scheme of things. Our Iraq project is a runaway train that has ran out of brake fluid; and who will put a stop to it?
The notion out there that we should pour more resources into that country even as we withdraw our troops so that the deaths we suffered in that foreign land would not be in vain is understandable. But it also borders on emotional blackmail and is code blue depressing. If the dead could speak up, would they really tell us -- if you love me, go off some more people over there? Would they? If the answer is "yes" -- this is going to be a war with no end, because as more deaths are avenged, more deaths will occur .... and we'll be in Iraq for 20 years more, 50 years, who knows -- a hundred years? There will be no basing rights, of course, so we'll be doing this on one-year TDYs for the next several decades.
But combat is over; we'll be doing our reconstruction there! Of course, we are; the real question is -- why are we doing it there instead of here? And let's not kid ourselves. The body bags will not stop coming home just because combat operation is over.
How many more of our young men and women must pay the price because we are too stupid to recognize when to stop?
But like I said, what I think obviously, does not make a difference in the scheme of things. I expect that the State Department will take over the Iraq headache as planned whether the giant aspirin is handy or not.
Not much I can do about this; but blogging about this, I sure can do. I figure good preparation is half the battle. If the civilians must now take over this mission, I'd like to know that State has won that part of the battle, or has it?
U/S Patrick Kennedy during his appearance at the Commission on Wartime Contracting last June 6 states that "a medical contract was awarded to Medical Support Services – Iraq on May 15, 2011 for $132 million for five years."
But according to FedBiz the medical support services contact (Number:SAQMMA11D0073) in the amount of $61,427,699.00 has been awarded to CHS Middle East LLC, a company based in Reston, Virginia on May 19, 2011.
So I went digging for the contract solicitation for the med services at FedBiz. I wanted to know what work can we expect from this medical support contract in Iraq. I have seen the statement of work posted online and will post that separately because the following distracted me.
During the pre-solicitation period, the Defense and State Departments did answer some questions about the work required from the prospective bidders. I've highlighted some of the questions and answers below extracted from materials publicly posted in FedBiz. This will give you an idea what the bidders were interested in and what the medical services might look like after contractors take over the function:
Third Country Nationals in Their Minds
Q: “Any U.S. citizen prime or subcontractor employee who will deploy to Iraq in conjunction with this contract, regardless of purpose of visit or duration of stay, must have a favorable investigation, no older than 2 years, resulting in issuance of a Final Secret or Top Secret personnel security clearance from Defense Security Service (DSS) or must have a favorable Moderate Risk Public Trust (MRPT) investigation conducted by the Department of State, Bureau of Diplomatic Security. Only employees with current clearances or whose MRPT’s are favorably adjudicated will be allowed to travel to Iraq.” Will the Government accept non-US citizen Third Country Nationals as employees on this contract?
A: If they can be cleared and will be acceptable to the Government of Iraq.
Q: H.1.1 lists countries from which no person may work on the contract in any capacity. Does the tem “any capacity” preclude the contractor from assigning work to any person from these countries who have the legal right to work in the U.S. performing “back office” (e.g., Accounting & Finance, Human Resources)? Does this clause only prohibit the contractor from assigning work in Iraq to persons from these countries?At this point, I must note that the private security contractors and static guards at our posts in Iraq are already made up of U.S. citizens and a host of third country nationals. We probably should not be surprised if the health units turn up with a medical crew made up of third country nationals.
A: The Government of Iraq is setting restriction regarding country of origin. This requirement restates that requirement/restriction. To the extent that we can determine the intent of the GOI, working in Iraq means any employee or person performing more than 30 days in Iraq. Experience shows that interpretation is often performed by the individual by the inspector on site on the given day. Therefore, until more specific definition is provided. it would be wise for the contractor to not incur cost to provide an employee that may not be acceptable to the GOI.
The Fitness Question with a Troubling Answer
Then there is that fitness question and the troubling answer. I don't know how often military personnel must now do a drug test; at one point, it was twice a year, they all pee in a cup and get checked. The USG seems to be saying, we don't care, it's up to you. Remember the contractors here will be working for the health units and the diplomatic support hospitals; there will be drugs/controlled substance/pharmaceuticals.
Q: “The Contractor shall provide technically competent Health Care Providers (HCPs) that are “medically and dentally fit” in the time frame stated in the task order award notice.” Will candidates be undergoing a Pre-Medical screening? Does the Pre-Medical screening include a drug test? If so, who will pay the cost and are the requirements similar to those deploying to the CRC at Ft. Benning, GA?If you're thinking about DOD residual support, there will be NONE
A: (We are not familiar with the CRC at Ft. Benning.) Contractor is responsible for providing personnel who are medically fit and able to perform their duties. If they are unable to perform due to drug impairment, either because they are not physically and mentally competent or because they are unable to receive and maintain an MRPT clearance, they will be found unacceptable.
Q: Will the military have no residual support in Iraq to provide for service members? Evacuation of service members? And only until December 2011?How about medical malpractice insurance?
A: USF-I will provide support, in some areas only, until the end of 2011. Where support is not available, active duty military will be deemed to fall under the DoS eligible population and will be supported by the Contractor. Beyond 12-2011, all military will fall under the Chief of Mission authority as applicable to eligibility.
Q: The cited clause does not contain the minimum malpractice insurance required. Will the government specify the minimum amount of malpractice insurance?There will be blood...will there be blood?
A: The RFP has been amended to include the following: a) Malpractice Insurance—for non-surgeon doctors, nurse practitioners, and physicians assistants, $1 million/ $3 million (per occurrence/total).
Q: For these blood and blood products, will the Government also provide transportation support through the TOC?I'm sorry I can't help myself -- must point out that the Q&A include an item indicating that 84 binders are NOT/NOT required for the proposal:
A: The contractor will be responsible for procuring blood and blood products from Qatar; Transportation to Baghdad will be made available from Kuwait and Amman via Embassy supported flights. Within Iraq, Embassy Air Operations will support further movement.
Q: Please confirm that the Government’s intent is for offerors to submit a total of 12 binders for each of the five Task Order Proposals. The total number of binders each offeror would be submitting is 84. Would the Government change the requirement to have all task order Technical Proposals in a single binder and task order Price Proposals in a single binder? The total number of binders would be reduced to 30.
A: No, it was not the Government's intent to require 84 binders. The language has been clarified, both in L.10 and in the attachments.
I must note that this Q&A is dated months ago. Recent news report seems to indicate that Iraq will request our troops to stay past December 2011.
I have posted previously about Embassy Baghdad General Hospital based on the OIG report which reviewed the embassy's transition preparation. I will have a related post to follow on this subject.