Editor-in-Chief, Chester 'Trip' Buckenmaier III
MD, COL, MC, USA
As the first decade of the 21st century passes into history, Outlook 2011 provides a forum for federal medicine’s leadership to examine this past decade of unprecedented change and provide their vision of the future. Some of the highlights of this issue include perspectives from the service Surgeons General.

Dr Robert Petzel
Under Secretary for Health, Department of Veterans Affairs
The Veterans Health Administration, a part of the Department of Veterans Affairs, is in the midst of a major transformation in how we provide services to our veteran patients. We are creating a healthcare system that is, first and foremost, patient centered and characterized by team care.

Lt Gen Eric B Schoomaker
Surgeon General of the Army and commander of US Army Medical Command
Army medicine is committed to serving the military family. We achieve this through strategic performance improvement to optimize health and well-being and to maximize the value of health services provided soldiers, retirees, their family members, and commanders in support of the nation.

Vice Adm Adam M Robinson Jr
36th Surgeon General of the United States Navy and Chief of the Navy’s Bureau of Medicine
Navy medicine is a thriving, global healthcare system fully engaged and integrated in providing high quality healthcare to beneficiaries in wartime and in peacetime.

Lt Gen (Dr) Charles B Green
Surgeon General US Air Force
We in the Military Health System have made ourselves a tough act to follow. Our achievements have changed the face of war. We can deploy and set up a hospital in 12 hours almost anywhere in the world.

George Peach Taylor, MD,
performing the duties of the Assistant Secretary of Defense for Health Affairs
It is an exciting time to be leading the Military Health System (MHS). Never before has our healthcare mission been more vital or our contributions more significant.

Rear Adm Thomas J McGinnis, RPh
USPHS Chief, Pharmaceutical Operations Directorate, TRICARE
In the past 16 months, TRICARE has significantly expanded and enhanced pharmacy operations in support of more than 9.6 million active duty and retired servicemembers and their families around the world.

Yvette Roubideaux, MD, MPH
Director, Indian Health Service
Over a year ago, I was honored to be asked to assume the role of director of the Indian Health Service (IHS). Immediately, it was clear that tribes, our staff, and the patients we serve wanted to see IHS change and improve.

Carolyn M Clancy, MD
Director, Agency for Healthcare Research and Quality
As the nation’s lead federal agency charged with improving the quality, safety, efficiency, and effectiveness of healthcare for all Americans, the Agency for Healthcare Research and Quality (AHRQ) has a broad mission that puts AHRQ squarely in the middle of all efforts to meet challenges and take advantage of the opportunities facing the American healthcare system.

Howard K Koh, MD, MPH
Assistant Secretary for Health, US Department of Health and Human Services
At the Office of the Assistant Secretary for Health (OASH) for the US Department of Health and Human Services (HHS), we uphold mobilizing leadership in science and prevention as a cornerstone of our mission.