A new report from the U.S. Government Accountability Office (GAO) highlights persistent staffing shortfalls at Department of Defense (DOD) medical facilities, with military medical personnel levels down significantly since 2015 and unlikely to recover before 2027. The report warns that incomplete and inaccurate data tracking is preventing effective workforce planning, potentially affecting health care access for service members and their families.
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Between fiscal years 2015 and 2023, the number of military medical personnel assigned to DOD facilities declined by about 16%, while the number of authorized positions dropped by nearly 7%. This decline coincides with the transition of medical facility management to the Defense Health Agency (DHA), which has led to a more complex and less efficient staffing structure. Although DHA and the military departments launched a more collaborative approach in 2024 to address staffing gaps, implementation challenges remain.
The GAO found that the tools used by the DOD to monitor personnel availability rely heavily on flawed timecard data. These records are both incomplete and inconsistent, lacking essential details such as distinctions between on-site medical duties and time spent on deployments or administrative tasks. Furthermore, the current monitoring system does not account for differences in how various categories of medical personnel—such as those exclusively assigned to facilities versus those with split duties—spend their time.
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To address these deficiencies, GAO issued seven recommendations, including evaluating activity codes to better distinguish medical facility work time, improving data accuracy through communication with personnel, and requiring timecard compliance across the Army and Navy. The Department of Defense concurred with all recommendations. If implemented, these changes could improve the military’s ability to allocate medical staff where they are needed most, potentially enhancing care delivery and facility readiness.
Article by multiple contributors, based upon information from the U.S. Government Accountability Office press release dated July 21, 2025.
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