I'm a few days late with this, but October has passed us by. It was a tumultuous month to say the least. Things have been a little quieter the last few days. Summer is still holding on here with daily temps into the 80s although it's colder in the evening. They finally finished the new dining facility although the quality of the food remains unchanged. November 11th is the four month mark so we're nearing 1/3rd of the tour complete. November will hopefully mark a decrease in enemy activity as the weather continues to get colder.
Back in the US yesterday, we elected our first African American president, Barack Obama. This is obviously one of the most significant events in American history, easily the most significant political event in the last generation. He goes into office with a democratic majority in Congress and arguably the hardest presidential task in history. He's going to have to deal with the ongoing war on terror and the wars in Iraq and Afghanistan; this will probably pale in comparison to the task of turning the economy around. It's a very optimistic time in our political landscape, hopefully the optimism will be justified.
I'm currently trying to negotiate my next assignment whilst deciding about my long term career options. In October word came out about the new bonus program for the Army PA's and it's very significant if it comes to pass. Final approval is predicted for next spring, and for retirement eligible PA's (yours truly) the amount will be substantial. With the creation of the CSRB bonus program in 2006, I had initially considered signing another contract at the expiration of the first which would lock me in until 27 years active duty.
However, after nearly a year with a regular unit I was all but dead set against remaining any longer in the Army. Now, after being deployed for four months I have begun to feel different. Most of my dissatisfaction last year had to do with the typical primary care and predeployment mission that dominates stateside military healthcare operations. The overwhelming majority of patients we treat in the states either don't need medical attention, or are trying to use a medical issue as a means to avoid doing their real job. That will never go away, but after practicing real medicine on a predominately truly sick and injured patient population, I have garnered a new appreciation for my work.
That experience, combined with the changing political landscape and the tentatively planned troop reductions in Iraq have actually got me feeling optimistic about the Army again. The ongoing struggle here in Afghanistan and the likelihood of continued (albeit decreased) violence in Iraq essentially guarantees that combat deployments will be a regular part of Army life for years to come. However, the optempo may very well decrease to the frequency of one deployment every 3 or 4 years (or even longer) if the positive gains continue.
My current contract expires in October 2010, when I would be eligible to retire with nearly 23 years active duty. I can stay in without doing anything since I have to request retirement for it to actually happen. I'll have essentially one year to think about it after returning from this deployment. The Army typically recommends requesting retirement a year ahead, but no less than 90 days. I'm hopeful that a lot of uncertainty about the next several years (for the military) will be cleared up after President Obama completes his first year in office. If things continue to improve, I might decide to stick around for another four years.
Monday, December 15, 2008 at 5:40AM 
