text: Chapter 6
  Medical Support During Multinational Operations
  This chapter begins by discussing multinational considerations for medical support. It
  continues by discussing Army Health System support and functions, medical planning,
  and health threat assessment. This chapter then discusses medical support policies and
  issues, medical countermeasures, and standards of care. Lastly, this chapter provides
  considerations for commanders and staffs.
  MULTINATIONAL CONSIDERATIONS FOR MEDICAL SUPPORT
  6-1. The multinational force commander ensures that forces deliver medical care rapidly, effectively, and
  efficiently without interfering with the multinational force mission. Medical care is a national responsibility.
  The command assesses medical support requirements and capabilities both quantitatively and qualitatively
  and provides guidance to enhance the effectiveness of medical support through shared use of assets. Any
  medical services that a nation cannot provide requires coverage by agreements between national governments
  of the nations in the multinational force. This agreement requires coordinating all medical assets, providing
  a detailed support plan, and performing effective liaison among senior medical officers of each nation. The
  multinational command surgeon plans, coordinates, and synchronizes the medical support plan based on
  actual capabilities of troop contributing nations with standing medical agreements among the troop
  contributing nations. The concept of one nation’s forces being treated by another nation’s medical personnel
  or in another nation’s medical treatment facilities should be achievable.
  ARMY HEALTH SYSTEM SUPPORT TO MULTINATIONAL
  OPERATIONS
  6-2. Military medical operations are typically joint in nature and often conducted with the armed forces of
  two or more partner nations. Army medical units may be tasked to conduct multinational operations in pursuit
  of common objectives. Each multinational operation is unique. Key considerations involved in planning and
  executing these types of operations vary with the international situation and perspectives, motives, and values
  of the organization’s members. Partner nations are primarily responsible for providing medical support to
  their forces. Nations can also transfer responsibility for this support through agreements with other nations
  or the appropriate multinational planning staffs and multinational force commanders. Due to differences in
  medical standards, national sensitivities, customs, and training, the United States relies on national resources
  to provide joint health services to the maximum extent. (Refer to FM 4-02 for more information on the Army
  Health System. Refer to JP 4-02 and JP 3-16 for information on health services.)
  ARMY HEALTH SYSTEM FUNCTIONS
  6-3. Army Health System support includes both the health service support and force health protection
  missions as well as the capabilities in each of the 10 medical functions. The 10 medical functions are medical
  treatment (organic and area support), hospitalization, dental services, medical logistics (including blood
  management), medical evacuation (including medical regulating), combat and operational stress control,
  veterinary services, force health protection, laboratory services, and medical C2. The medical C2 function
  integrates, coordinates, and synchronizes the other nine functions into operation plans and operation orders.
  Army medical units from each of the 10 medical functions may support multinational operations to ensure
  the highest standard of care to wounded or ill Service members.
  6-4. The Army medical command (deployment support)—known as MEDCOM (DS)—is the theater medical
  command responsible for C2, integration, synchronization, and execution of Army Health System support
  throughout the area of responsibility. The Army medical command is assigned to the Army Service
  component command and works with the theater army surgeon, multinational force surgeon, and surgeon
  cells at each echelon. Together they provide the continual planning, coordination, and synchronization
  necessary to reduce health risks, evacuate casualties, provide medical care, and return personnel, as
  appropriate, to the fight. The Army medical command integrates and synchronizes all Army Health System