Nov 6, 2020

Others counter that this could damage military readiness and have implications for military culture. After seven months of navigating the medical accessions process, I was medically rejected from the Army on account of congenital scoliosis and a medical history of spinal fusion surgeries. (e) Rotation of 60 degrees (internal and external combined). Retainer appliances are permissible, provided all active orthodontic treatment has been satisfactorily completed. I have met a number of applicants with similar stories. (4) Refractive error corrected by orthokeratology or keratorefractive surgery. (6) Penis, amputation of, if the resulting stump is insufficient to permit normal micturition. (3) Residual physical or mental defects from past tuberculosis that would preclude the satisfactory performance of duty. d. Fusion, congenital, involving more than two vertebrae. Right in your inbox. (2) Anal or rectal polyp, prolapse, stricture, or incontinence. Dental implants systems must be successfully osseointegrated and completed. (1) Abnormal uterine bleeding, including menorrhagia, metrorrhagia, or polymenorrhea. (2) Neurosyphilis of any form, general paresis, tabes dorsalis meningovascular syphilis. i. Osteochondromatosis or Multiple Cartilaginous Exostoses. (4) Exophthalmos, unilateral or bilateral, non-familial. COPYRIGHT © 2019 WAR ON THE ROCKS. (4) Strabismus, surgery for the correction of, within the preceding 6 months. (3) Myopia over 8 diopters spherical equivalent. This material may not be published, broadcast, rewritten or redistributed. l. Scars, extensive, deep, or adherent to the skin and soft tissues that interfere with muscular movements. History of uncorrected anterior or posterior cruciate ligament injury. (1) Anal fissure if persistent, or anal fistula. I propose an assisted accessions process for applicants with STEM skills and other highly qualified applicants to address the shortcomings of the waiver process and meet the changing needs of the armed forces. If you have had a medical complication at any time in your life that is mentioned here, then you need to tell your recruiter. o. Rheumatic fever during the previous 2 years, or any history of recurrent attacks; Sydenham's chorea at any age. (2) Hyperopia over 8.00 diopters spherical equivalent. (2) If the diagnosis of asthma is in doubt, a test for reversible airflow obstruction (greater than a 15 percent increase in forced expiratory volume in 1 second (FEVI) following administration of an inhaled bronchodilator) or airway hyperactivity (exaggerated decrease in airflow induced by standard bronchoprovocation challenge such as methacholine inhalation or a demonstration of exercise-induced bronchospasm) must be performed. Applicants with a history of severe penetrating head injury are unfit for a period of at least 10 years after the injury. p. Pneumothorax during the year preceding examination if due to a simple trauma or surgery; during the 3 years preceding examination from spontaneous origin. (2) Applicants with a history of severe head injury are unfit for a period of at least 5 years, after which they may be considered fit if complete neurological and neurophysical evaluation shows no residual dysfunction or complications. l. Presence of human immunodeficiency virus (HIV-I) or antibody. (10) Uterus, congenital absence of, or enlargement due to any cause. Or other diseases of the vestibular system. (4) There is lumbar scoliosis greater than 20 degrees, thoracic scoliosis greater than 30 degrees, and kyphosis or lordosis greater than 55 degrees when measured by the Cobb method. m. Reactive tests for syphilis such as the rapid plasma reagin (RPR) test or venereal disease research laboratory (VDRL) followed by a reactive, confirmatory Fluorescent Treponemal Antibody Absorption (FTA-ABS) test unless there is a documented history of adequately treated syphilis. Limitation of motion. (1) Malunion or non-union of any fracture, except ulnar styloid process. EEG may be requested by the reviewing authority. And recruitment and accessions are just one piece of the military talent management system that needs to be reimagined, including assignments, promotion, retention, and retirement. The causes for rejection for appointment, enlistment, and induction are a history of such disorders resulting in any or all of the below: a. Note. (1) Loose or foreign bodies within the knee joint. My file then went to the office of the Air National Guard Surgeon General where, with strong advocacy from the State Air Surgeon, I received a waiver and was medically cleared for military service. ALL RIGHTS RESERVED. c. Refractive error (hyperopia, myopia, astigmatism), in any spherical equivalent of worse than -8.00 or +8.00 diopters; if ordinary spectacles cause discomfort by reason of ghost images or prismatic displacement; or if corrected by orthokeratology or keratorefractive surgery. Complicated cases requiring contact lenses for adequate correction of vision, such as corneal scars and irregular astigmatism. The assisted accessions process would be more agile and responsive to such needs, since it focuses on assisting current applicants, instead of recruiting and educating new applicants. Current or history of disorders with psychotic features such as schizophrenia (295), paranoid disorder (297), and other unspecified psychosis (298) is disqualifying. (6) Loss of normal pupillary reflex reactions to accommodation or light, including Adie's syndrome. The system proposed here would empower senior leaders to make more informed decisions earlier in the process, before highly qualified applicants are turned away or disqualified. q. Psoriasis, unless mild by degree, not involving nail pitting, and not interfering with wearing military equipment or clothing. Some readers might agree with the ends advocated here, but disagree with the means. This one is serious and unlikely to be eligible for the waiver process for acceptance into the military. (7) Intrinsic paralysis or weakness, including nerve palsy sufficient to produce physical findings in the hand such as muscle atrophy or weakness. Additionally, focusing on existing ROTC-type programs would necessarily be reactionary. (2) Ventricular arrhythmias, including ventricular fibrillation, tachycardia, and multi focal premature ventricular contractions. c. Degenerative and hereditodegenerative disorders affecting the cerebrum, basal ganglia, cerebellum, spinal cord, and peripheral nerves, or muscles. Theoretically, this is what the medical waiver appeals process is supposed to do. (4) Deformity of the lids, complete or extensive, sufficient to interfere with vision or impair protection of the eye from exposure. (c) Extension to 10 degrees (beyond 0 degrees). (4) Standards. Thousands of highly qualified applicants are rejected each year for medical conditions that may not impact their ability to serve. Recurrent spontaneous pneumothorax after surgical correction or pleural sclerosis. There are many disqualifying medical conditions to entry and continued service into the military, including several that concern mental health and illness. x. Xanthoma, if disabling or accompanied by hyperlipemia. (f) Cerebrospinal fluid rhinorrhea or otorrhea persisting more than 7 days. Any psychological testing that reveals a high degree of immaturity, instability, personality issues, impulsiveness, or dependency will also interfere with the ability to conform to the rules and regulations of the Armed Forces is disqualifying. However, expanding existing programs, like ROTC, will not solve the problem. Chronic mycotic diseases of the lung including coccidioidomycosis. (1) It prevents the individual from following a physically active vocation in civilian life. Left varicocele, if painful, or any right varicocele. (Individuals who are known to have tested positive for hepatitis C virus (HCV) infection require confirmatory testing. All such applicants will have a current neurology consultation with current EEG results. (2) Hyperopia over 8.00 diopters spherical equivalent. And while there are some promising initiatives, including an Army effort to directly commission and provide recruitment bonuses to cyber warriors, the overly restrictive medical accessions process is preventing countless similar applicants from joining military service. (7) Penile infectious lesions, including herpes genitalis and condyloma acuminata, acute or chronic, not amenable to treatment. a. Cerebrovascular conditions, any history of subarachnoid or intracerebral hemorrhage, vascular insufficiency, aneurysm, or arteriovenous malformation. The Balance Careers uses cookies to provide you with a great user experience. d. Hypertrophy or dilatation of the heart. Second, some may suggest that my proposal runs contrary to Secretary of Defense James Mattis’ “deploy-or-get-out” rule for the military. a. Abnormal elevation of the diaphragm, either side. (3) Ventricular conduction disorders, left bundle branch block, Mobitz type II second degree atrioventricular (AV) block, and third degree AV block. The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of: Mood disorders such as depression, bipolar disorder, psychoses, and other unspecified depressive issues are disqualifying. Generally, the Navy will not waive the following conditions (conditions listed in COMNAVCRUITCOMINST 1130.8K); Acquired Immune Deficiency Syndrome (AIDS), AIDS Related Complex (ARC), HIV Antibody, or history of any of the above. Verify your free subscription by following the instructions in the email sent to: Thousands of airmen across 13 eligible career fields have signed up to move permanently into the newest military branch. e. Healed fractures or dislocations of the vertebrae. e. Color vision. And if the military truly needs top talent and STEM skills to compete with U.S. adversaries, the cost of inaction will be orders of magnitude higher than the cost of action. h. Industrial solvent and other chemical intoxication. And that, too, is part of the problem. In the absence of clinical findings, the presence of reactive RPR or VDRL followed by a negative FTA-ABS test is not disqualifying if a cause for the false positive reaction can be identified and is not otherwise disqualifying. s. Scars that are so extensive, deep, or adherent that they may interfere with the wearing of military clothing or equipment, exhibit a tendency to ulcerate, or interfere with function. Given the unique mission and demands that the military puts on servicemembers, these standards are necessary for many roles. d. Recurrent headaches of all types if they are of sufficient severity or frequency to interfere with normal function within 3 years. An authenticated history of frequent incapacitating motion sickness after the 12th birthday. This includes hallux valgus. (a) Late post-traumatic epilepsy (occurring more than l week after injury). The standards delineated in this chapter define the conditions which are considered disqualifying for nuclear field duty. (8) Neuroma, confirmed condition and refractory to medical treatment or will impair function of the foot. The system would give select applicants access to senior military leaders and medical professionals, who would evaluate the applicant holistically, weighing the talent they bring to the military against the risk that their medical history presents. (1) Gastritis. (1) Viral hepatitis, or unspecified hepatitis, within the preceding 6 months or persistence of symptoms after 6 months, or objective evidence of impairment of liver function, chronic hepatitis, and hepatitis B carriers. But out of the 30,000+ applicants across all services and components who are medically disqualified each year without an appeal for a waiver, there are many who would provide tremendous value to the military despite their medical conditions — applicants who are “worth the risk.” These applicants should not be waived for certain physically demanding military occupations (Army and Marine Corps infantry, Air Force pilot) or career tracks (special operations), but have much to offer in other career fields (engineering, logistics, intelligence, cyber) where their medical histories will not have an impact on their job performance.

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