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August 28, 2026 · 27 min read
On October 3, 2025, three days after a Navy reservist finished more than 1,400 consecutive days on active duty, the Defense Health Agency told him he was no longer eligible for TRICARE, as determined by information in DEERS. Congress had deleted the words that disqualified him eight years earlier. The benefit he lost includes the dental coverage that decides, more than any other single factor, whether a reserve soldier can deploy.
August 25, 2026 · 22 min read
VA's Inspector General reported in June that clinicians were drafting patient notes with two generative AI chat tools, neither designated high-impact under federal AI policy. One of those tools does not appear in VA's 367-record AI use case inventory at all. It reached the department inside a $4.65 billion Microsoft enterprise agreement, and it is logged in a separate spreadsheet with three columns, under the heading of generating first drafts of documents.
August 18, 2026 · 21 min read
On August 11 in New Orleans, the Director of the Defense Health Agency told an industry audience that the character of warfare is shifting and health IT is part of that shift. The FY2027 request his enterprise submitted asks Congress for $1.019 billion in medical research, forty-seven million above last year's ask. A Marine Corps procurement line called Field Medical Equipment went from $15.7 million to $227.8 million across the same two budgets.
August 11, 2026 · 25 min read
Flock's drone lifts off a dock on three triggers, and the third is a license plate hit. VA has bought the plate readers. The records notice that governs VA Police data was rewritten from top to bottom in April 2024 and does not contain the word camera.
August 7, 2026 · 19 min read
In April I wrote that the ecosystem would either build a shared evidence layer before the Pentagon asked for one, or scramble after. On August 3 the President asked, and the ninety days that follow decide which kind of answer he gets.
August 4, 2026 · 18 min read
On July 27, the Army approved BATDOK-J for Army-wide fielding as a download to hardware Soldiers already carry. The software had been in operational use with Air Force pararescuemen since 2019. What changed in the last ten months was the path to the Soldier, and that mechanism is the part worth copying.
July 31, 2026 · 20 min read
Federal law has looked at one of them. On January 1, 2027, it looks at all seven, and the two exceptions holding medical equipment out of the fight are the thinnest part of the wall.
July 24, 2026 · 17 min read
The White House released two documents on July 21. The report names a million veterans' genomic records as an asset to be unlocked. The memo carries the deadline, assigns the work to six agencies, and never uses the word. The VA is not one of the six.
July 17, 2026 · 19 min read
The Department of War suspended third-party certification on July 13. The mechanism that cost Health Net's parent eleven million dollars was never part of it, and the network that mechanism asks you to vouch for is changing faster than the document describing it.
July 10, 2026 · 15 min read
The federal government put the most capable commercial AI models inside its agencies last year at about a dollar a seat. That price is the tell. In federal health the value moved to everything the dollar did not buy: the platforms the models ride on, the accreditation that lets them run, the governance that keeps them safe, and the encryption that has to outlive the patient.
2026-07-09
July 7, 2026 · 13 min read
The FY2027 budget cut combat-medicine research 59 percent and moved the work into an autonomy account growing toward a reported $55 billion. The machines that account funds read a wounded soldier's vitals off a drone and write them into a de-identified research file. The federal office that owns record modernization has not been tasked with the record the battlefield now generates.
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