Star Army Medical Administration Working Group SAMA-WG

I think Wes's intention is to bring it all back to a SAoY agency

Correct.

And the civilian/refugee aspect of it?

Nekos without Borders

Assignments for first sections to be done:
@SageShooter Medic training
@RaWolfe Emergency Services
@Toshiro and @SageShooter Mental Health Services
@Yuuki Veteran's Hospitals and central administration

From @Wes official answer to my very firstest thread back in 2005:

As for my official game-master answer, I'm going to say that an enlisted medical crewman in the Star Army of Yamatai has skills about equal to that of a family practicioner and paramedic, and as the ranks get higher also those of an OR nurse. Green-shirt officers (white ranks) in the Star Army are the equivalent of medical doctors and specialists.

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Training info -

The Star Army Medical Administration (SAMA) will deal with both the initial training of medical personnel from boot camp, following up from time to time with continued education. They will have a board of administrators that will help conduct tests for certification, continue to advance medical techniques, develop technology both in the medbay and for use in the field, and act as an overseeing body for the medical community within the Yamataian Star Army.

They oversee the training of any new medics that enter the military right from bootcamp when professions are chosen. Because the position of a medic in the military is often very demanding, they require a demanding training path as well, starting a few weeks after the initial intake of new personnel in the military when professions are chosen. The courses and training run alongside the basic bootcamp to make sure that a medic is capable of performing under stress and pressure, and to make sure Medics are competent and capable of standing side by side with crew members in the field during battle and away missions.

Much of the training is done in Virtual environments such as Virtual Reality rooms, or through the use of VCE beds to help simulate scenarios where they are needed to help without having to endanger any fellow military members. The use of medical beds with holographic simulations are also used as the classes advance throughout the course.

For the first few weeks, a heavy focus is placed on life saving techniques that can be used to stabilize people in the field such as CPR, the use of AES, the use of tourniquets and stopping blood loss. The focus of these weeks is to help acclimate the medics to understanding how to best save their fellow crew members in the field should the worst happen and they are too far from the ship to use the medbay.

After the basic techniques are learned, they move on to situational training. Both in and out of various power armors, with different tools at their disposal, and different wounds. The second part of the course work has a heavier focus on the different types of injuries and complications that can arise from various weapons used against their crewmembers to understand how to best treat the injured. This section of the initial course work takes the longest as it is the most comprehensive part.

The final part of the course is mostly based around acting as a counselor for crew members and people they are assigned to work with. With the heavy toll of the wars and the constant stress placed upon military members, and with the rising number of personnel with PTSD and other mental stresses, SAMA decided to include and place an importance on Mental health services. While not complete in training, it at least gives the medical personnel a chance to start learning and be somewhat competent in helping anyone that is in distress.

After bootcamp, anyone coming out of the program will roughly have the equivalent medical knowledge to a family practitioner to aid on the ships and crew members, while continued education will help with learning more skills. Some medics coming out of basic, if the need for them on ships isn’t there, can attend a residency in local military hospitals as assistants to the doctors, or stand in for when they are busy. Many medics take this to gain knowledge, especially taking their skills to star bases or major hub planets where the fighting is closer.

At the time a medic becomes a Warrant Officer, they can request to attend more courses with SAMA, either on location at a hospital where courses are offered, or through tests and courses offered through Virtual reality decks and VCE bed if the members are ship based.

These courses go far more in depth with a heavier emphasis on actual surgeries, advanced life saving techniques, and much more involved medical knowledge. It also places more focus on the mental health side to help grow the medic as a counselor and psychiatrist for the ship or base they are stationed on. Upon completion of this course, they will be acknowledged as a full fledged doctor within the YSA.

Not sure how helpful this is but- Fort Tokyo has a Military Hospital.

Yes a list of particularly outstanding or unique facilities would be good too

Emergency Service

Dedicated teams of the Emergency Services personnel consist of Firefighters, SAR specialists and also of the Paramedics. They are easy to recognize by their neon green panels. The Paramedic personnel provides Medical Evacuations (Medivac) Services. They work in teams of two, are trained to operate the Kuma T8 Medevac Shutte and tend to patients in transit. Paramedics provide on-site medical services, their task is to triage and stabilize injured personnel by providing advanced medical and trauma care and get the patient ready for transport.

For more information go to Emergency Services: Paramedics.

I find it interesting that the medical profession is getting so much attention in SAOY. My first SAOY character was a medic, and I had him cross train because none of the ranking folks would listen to him during the start of the NMX War.

So the veteran / service member care contract IIS has will be severed with the Star Army because they want to do it in-house now? Is that correct?

I couldn't actually find a contract on the wiki or a page that says what IIS actually does so I guess it was a bit unclear from this article what IIS actually does in regards to Star Army veterans mental health needs. Even in the approval thread I noted that the SAOY doesn't really like to rely on corporations for its services, so yeah, they want an in-house solution and I'd like an article that's more detailed. I figure the way this would work is the Star Army, which is still in the midst of building its medical corp, would send soldiers to whichever service is available (SAoY or private) based on needs and availability. In other words they're not cutting IIS off but they're also not going to give them exclusivity of veterans care, and the idea is eventually to have a robust VA-type system so they don't have to rely on for-profit businesses. IIS has a lot of diverse subsidiaries so if we do this as a transition it shouldn't impact them too badly. Let me know what you think.

That all sounds fine to me. I believe as it says in the article you linked, IIS have a number of hospitals, half-way houses and asylums so they care for the patients in those. I assumed as with any public-private partnership as you characterised it in the approval thread, that there would be some sort of contract to ensure that agreement was official.

I created the health wing of IIS because as you said at the time here, it was something you wanted for a while and I was happy to fill in. Now that you want to make it a public sector service, I'm sure that agreement would have had clauses for such a case and the Star Army could simply activate those to change the provided services after some sort of fluff payment. To make sure people who may need to be laid off because of the reduction are paid for, investments in facilities don't wind up as unprofitable because of it etc.

Either way, as you say IIS has a number of revenue streams so it shouldn't be an issue and the Star Army can do what it wants regardless of anything. The as-available method you mentioned works, sending the patients where they're best suited to go. I imagine as with IRL public healthcare, sometimes patients want to go private to see a particular specialist, since they tend to be better paid outside of the public sector and therefore that is sometimes where the rare specialisms and most experienced people wind up.

On that point, if you need some knowledge-sharing from the IIS doctors that have been treating soldiers for some time to help equip the new Star Army psychologists, I'd be open to that. Especially if this is happening during the war we're currently in, as I imagine there will be a lot of patients in the aftermath needing expert help. Patient hand-overs and things will be part of that too, unless they're allowed to continue with their current private doctors?

I have a mental health section up, though it needn't be the final version if there are changes/improvements to be made.

I have added the Emergency Service paragraph to the wiki article

Great job everyone! I will get in there and wikify and clean and such and then speak to the administration and stuff itself. Probably need to invent an NPC to run it? @Wes you got one in mind?

I'd like to see it clarified that Star Army Training Administration does the boot camp for every Star Army soldier and they're only under the Star Army Medical Command for occupational training. Right now it's worded like SAMA runs a basic training site which seems weird. SATA is in charge of all training schools and the medical schoolswill have SAMA teachers for medical training. At least that's the way I'd imagine it would work.

Going to work on Wikifying and making those corrections today.

Okay Wikified, made a bunch of corrections, edited for content, length, and style... gonna answer the questions at the bottom, prob need to invent an NPC for it. Input welcome.