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Next Steps In Advancing Pediatric Care In Southern Nevada, The Lincy Institute

Lincy Institute Events

The Lincy Institute released new research evaluating the Southern Nevada pediatric care ecosystem. The report, "An Evaluation of Southern Nevada’s Pediatric Care Ecosystem," offers recommendations to develop a stronger and more coordinated pediatric care ecosystem before the stand-alone children’s hospital being developed by Intermountain Health opens in 2030 and identifies the components of an integrated statewide network to provide all of Nevada’s children with access to high-quality care. The event also featured panel discussions with pediatric care providers and policymakers.

Panel 1 - Pediatric Care Providers

Moderator — Tina Quigley, Project Facilitator, The Lincy Institute

Panelists — Lisa …

An Evaluation Of Southern Nevada’S Pediatric Care Ecosystem, David Damore, Tina Quigley, Nick Fiore

Policy Briefs and Reports

In 2024, The Lincy Institute and the Nevada Health and Bioscience Corporation released a report prepared by the consulting firm Tripp Umbach detailing the case for a stand-alone children’s hospital in Southern Nevada. Shortly thereafter, Intermountain Health announced it would build Nevada’s first such facility in Las Vegas, expected to open in 2030. To complement the hospital’s development, The Lincy Institute undertook an independent evaluation of the regional pediatric care landscape. The analysis draws on secondary data and discussions with advocates, health system administrators, practitioners, and providers. The report examines:

• Fiscal, resource, and workforce challenges underlying Nevada’s poor population-level pediatric …

Politics Of Maritime Security Governance: Institutional Fragmentation, Securitization And Community Engagement In Decentralized Border Area Of Indonesia, Suhirwan Suhirwan, Siswo Hadi Sumantri, Lukman Yudho Prakoso, Ahmad Gafuri Dohamid

Jurnal Wacana Politik

ABSTRACT. Decentralized archipelagic states face governance challenges in translating national security frameworks into localized institutional practices. This paper analyses the formalization of coastal community participation into maritime security governance in Batam, Indonesia through multi-layered political mechanisms. The study uses a qualitative case study design incorporating insights from securitization theory and multi-level governance frameworks. Data were collected between March and July 2025, comprising 18 semi-structured interviews, policy document analysis, mapping of institutional coordination, and field observations. The findings reveal a persistent multi-level securitization gap: national threat narratives, particularly those articulated in terms of sovereignty, have not been proportionally translated into regional …

Developing A Climate-Adaptive Public Service Framework For Sustainable Agriculture: Preliminary Evidence From A Disaster-Prone Village In Indonesia, Susila Susila, Rizky Aditya Surya Pratama, Muhammad Daud Yusuf, Diah Apriliani

Jurnal Wacana Politik

Artikel ini bertujuan mengkaji bagaimana pelayanan publik tingkat desa dapat diintegrasikan dengan Climate-Resilient Agriculture (CRA) untuk mendukung kapasitas adaptasi petani di kawasan rawan bencana hidrometeorologi di Jawa Barat, Indonesia, serta mengidentifikasi dimensi kandidat bagi kerangka Climate-Adaptive Public Service for Sustainable Agriculture (CAPSSA). Menggunakan desain studi kasus kualitatif eksploratif yang dilandasi tinjauan literatur terstruktur dan analisis dokumen kebijakan, penelitian ini menghimpun wawancara semi-terstruktur dengan empat informan di Desa Cibiru Wetan, Kecamatan Cileunyi, Kabupaten Bandung—Kepala Desa, Kepala Dusun, Ketua RW, dan anggota kelompok tani setempat—disertai kajian dokumen kebijakan kebencanaan dan pertanian tingkat kabupaten dan provinsi yang tersedia untuk publik. Analisis awal menemukan …

Graduate Medical Education (Gme) In The Mountain West, 2025, Mia Tschan, Phillip Seo, Kerima Awol, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet presents data on graduate medical education (GME) capacity and physician retention across five Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah. Data are reported on the number of Doctor of Medicine (MD) and Doctor of Osteopathy (DO) granting institutions, teaching hospitals, residents in training, Medicare-supported GME slots, residents training in slots not supported by Medicare direct GME (DGME), and the percentage of physicians trained in each Mountain West state. The data are derived from the 2025 Association of American Medical Colleges (AAMC) report, “State-by-State Data on Graduate Medical Education,” which includes graduate medical education data …

Fuji Fire: Sifting Ashes Of A Forgotten U.S. Marine Corps Tragedy, Ken Allard

Joint Force Quarterly

Colonel Ken Allard, USA (Ret.), reviews Chas Henry’s Fuji Fire: Sifting Ashes of a Forgotten U.S. Marine Corps Tragedy, an account of the October 1979 fire at Camp Fuji, Japan, that killed 13 Marines and injured more than 73. Drawing on interviews, archival records, maps, command chronologies, and other sources, Henry reconstructs the conditions that produced the disaster, including a fuel farm located uphill from troop quarters, hazardous terrain, and the effects of Typhoon Tip. The book also documents the response of Marines, medical personnel, and commanders, who improvised the collection, treatment, and evacuation of severely burned casualties amid …

War And Power: Who Wins Wars—And Why, Frank Hoffman

Joint Force Quarterly

Frank Hoffman reviews Phillips Payson O’Brien’s War and Power: Who Wins Wars—and Why, which proposes a multidimensional framework for assessing national power and explaining military outcomes. O’Brien argues that success in war depends on more than the size of a state’s armed forces or inventories of weapons. His concept of “Full Spectrum Powers” evaluates five interacting elements: economic and technological strength, political leadership, social and governmental structures, military effectiveness, and alliances. Drawing on conflicts including the world wars, the Cold War, Kosovo, Iraq, Afghanistan, and the Russo-Ukraine War, the book examines how states generate, adapt, and sustain military power. …

Training For Victory: U.S. Special Forces Advisory Operations From El Salvador To Afghanistan, Tobias Bernard Switzer

Joint Force Quarterly

Tobias Bernard Switzer reviews Frank K. Sobchak’s Training for Victory: U.S. Special Forces Advisory Operations from El Salvador to Afghanistan, a comparative study of efforts to build host-nation special operations forces in El Salvador, Colombia, the Philippines, Iraq, and Afghanistan. Sobchak evaluates five factors that may influence advisory outcomes: consistency in advisor pairing, language proficiency, partner-to-advisor ratios, authority to organize host-nation units, and combat advising. He finds that advisors’ ability to organize partner forces is most strongly associated with combat effectiveness, while language proficiency is less decisive than commonly assumed. Switzer interprets these factors as measures of two broader …

“Creating The Point Of The Spear”: The Deployment Of Kitty Hawk (Cv-63) As An Afloat Forward Staging Base During Operation Enduring Freedom, Justin B. Blanton

Joint Force Quarterly

On 27 September 2001, Kitty Hawk (CV-63) received orders to deploy to the northern Arabian Sea to serve as an afloat forward staging base for joint special operations forces (SOF) tasked with conducting raids into Afghanistan as part of Operation Enduring Freedom (OEF), the U.S. military response to the terrorist attacks of 11 September. In order to accommodate the SOF, the aging, large-deck carrier reconfigured to deploy with fewer than 20 aircraft: Eight F/A-18Cs, three S-3Bs, two C-2As, and two SH-60F/HH-60H Seahawks. On 1 October Kitty Hawk departed Yokosuka, Japan, transited to Masirah Island, Oman, and embarked Task Force Sword, …

Resilient By Design: Reforming Medical Logistics To Support Global Operations, Michael Ackman, Jonathan Fowler

Joint Force Quarterly

History has shown that global medical supply chains can be easily disrupted by war, disaster and of course pandemics. As we plan for global military operations and shift our focus from Counter-insurgency Operations (COIN) to Large Scale Combat Operations (LSCO) we need to ensure our medical supply chains are flexible, resilient and adaptable. In the current state, our ability to leverage the medical supplies of our Allies and Partners is difficult to achieve in peacetime, and very uncertain in the face of global conflict. We need real and effective solutions today so that we can build and refine a resilient …

Reimagining U.S. Industrial Mobilization, Alexis R. Johnson

Joint Force Quarterly

This paper identifies a critical vulnerability in U.S. defense sustainment strategy and proposes a solution: the Civil Reserve Sustainment Readiness Program (CRSRP). The CRSRP focuses on bolstering Maintenance, Repair, and Overhaul (MRO) capabilities. Given the intensifying great power competition and the increasing likelihood of a contested conflict in the Indo-Pacific, the current Organic Industrial Base (OIB) lacks the surge capacity and agility necessary for rapid, distributed sustainment. Drawing on historical lessons from World War II and contemporary analysis of OIB limitations, this study details how the CRSRP would leverage public-private partnerships, incentivize commercial sector participation, and utilize digital tools like …

Disjointed Command And Air Domain Challenges In Alaska: The Case For A Single U.S. Combined/Joint Force Air Component Commander, Jeffrey W. Kempff

Joint Force Quarterly

The current command and control (C2) organizational structure over the air domain in Alaska is fragmented and doctrinally inconsistent, undermining homeland defense and reducing wartime lethality. Disjointed roles between the North American Aerospace Defense Command (NORAD) and the United States Northern Command (USNORTHCOM)—particularly in the Alaska Theater of Operations (AKTO) and Alaska NORAD Region Area of Operations (ANR AO)—create gaps in unity of command and effort, especially within the air component. This article examines Alaska's fractured air domain organization and command relationships, illustrating operational ambiguity, duplicative efforts, and inconsistencies that delay decision-making. It proposes a focused, near-term solution: unify the …

Mission Over Bureaucracy: Special Operations Command’S Warrior-Driven Model For Defense Innovation, Robert D. Seader

Joint Force Quarterly

In an era of accelerating technological change, military organizations must rapidly develop and field new capabilities to maintain battlefield superiority. Traditional defense acquisition processes, optimized for peacetime oversight and risk avoidance, now take four times longer than in the 1950s, threatening to undermine military effectiveness against rapidly modernizing adversaries. This paper examines how the United States Special Operations Command (USSOCOM) has pioneered a fundamentally different acquisition approach that delivers new capabilities in months rather than the decades typical of conventional programs.

Through extensive interviews with senior acquisition leaders, this analysis identifies three core elements of USSOCOM’s success: a mission-centric culture …

Cyberspace Collaborative Awareness: A Model For Unity Of Effort In Homeland Defense, Mike Knapp, Sean Atkins, Matthew Mclaughlin

Joint Force Quarterly

The increasing frequency and severity of cyberattacks against U.S. critical infrastructure continue to confound homeland defense efforts. Defending against state cyber campaigns that threaten the nation’s most critical systems requires a new awareness model that can enable unity of effort across public and private actors. Examining homeland defense awareness in other domains reveals principles and approaches that can inform the development of a collaborative awareness model in cyberspace. This new framework acknowledges the interconnectedness of government and commercial networks and the independent goals of each player in the domain. Doing so provides a viable path to achieving shared domain awareness …

Boot Camp For The Mind: The Role Of Jpme In Developing National Security Strategists, Joseph Gagliano, Nick Gvosdev, Derek Reveron, Rebecca Russo, Dana Struckman

Joint Force Quarterly

Joint professional military education (JPME) plays a deliberate and pivotal role in an officer’s operational and strategic growth. JPME provides a structured environment for officers to develop the intellectual agility, critical thinking, and collaborative skills necessary to lead complex decisionmaking at headquarters away from the battlefield. Translating broad strategic guidance into employable strategies and executable plans requires (1) assessing the international security environment and (2) analyzing domestic policymaking system constraints. This approach stresses that a comprehensive education in national security affairs must acknowledge that a well-crafted security strategy is meaningless if not informed by the domestic policymaking system that develops …

Building The Mental Golden Dome: Arming The Joint Force For Defensive Cognitive Warfare, James Davitch

Joint Force Quarterly

Modern conflict increasingly hinges on mental strength, yet current military thinking lacks a clear defense for the mind. This article introduces a vital new concept: protecting military personnel from an adversary's attempts to distort their perceptions, disorient their judgment, and degrade their decision-making. Building on established research into behavioral psychology, the essay integrates this defense into existing military functions, proposing practical steps. It offers a precise explanation of this protective strategy, suggests pre-deployment exercises for joint personnel, and outlines ways to measure effectiveness even under pressure. A detailed, multi-year plan describes how to update joint doctrine, create training programs, and …

Examining The Lavelle Affair 54 Years Later: An Injustice That Needs To Be Rectified Now, Mark Clodfelter

Joint Force Quarterly

Mark Clodfelter reexamines the case of U.S. Air Force Major General John D. Lavelle, who was relieved as commander of Seventh Air Force in 1972 and reduced in retired rank following allegations that he ordered unauthorized airstrikes against North Vietnam and the falsification of mission reports. Drawing on documentary and recorded evidence, including materials that remained classified until 2015, Clodfelter challenges the findings of earlier congressional and official reviews. He argues that Lavelle acted within an ambiguous command environment shaped by evolving North Vietnamese air defenses, unclear rules of engagement, and guidance from senior military and civilian leaders. The article …

Determining Operational Objectives, Milan Vego

Joint Force Quarterly

Full knowledge and understanding of the true meaning of operational objectives are the main prerequisites for sound planning and execution of major operations A major operations (on land, at sea, in the air) is aimed at accomplishing a single operational objective. They can be conducted predominantly by a single service or two or more services. A campaign in a high-intensity conventional war consists of a series of related major/joint operations (on land, in the air, at sea) plus numerous tactical actions aimed to achieve a single military- or theater-strategic objective. Yet despite their importance, relatively little attention is …

From Data To Victory: The Race For Analytic Superiority In Warfare, Robert Grossman, Emily Goldman

Joint Force Quarterly

Artificial intelligence technologies have reached a tipping point after decades of development. They are diffusing widely across defense and national security applications. Twenty-first century warfighters rely on analytic models in all systems, at all echelons, and in all domains. As more powerful models built on ever larger data sets become ubiquitous, militaries are in a new competition to deploy artificial intelligence. Operational art must embrace “analytic superiority.” This is the operational advantage from collecting and ingesting data, building robust models and computing infrastructure, deploying the models into operational systems, and denying adversaries' ability to do the same

This article explains …

Executive Summary, William T. Eliason

Joint Force Quarterly

In his executive summary for Joint Force Quarterly 120, Editor in Chief William T. Eliason reflects on the 40th anniversary of the Goldwater-Nichols Department of Defense Reorganization Act of 1986 and its enduring influence on jointness, military command relationships, and defense reform. He examines General David C. Jones’s role in advancing reforms that strengthened the Chairman of the Joint Chiefs of Staff, streamlined the operational chain of command, and improved cooperation among the military Services. Eliason also considers continuing debates over the law’s effectiveness and the future organization of the joint force. He then introduces the issue’s articles on cyber …