A 2014 report by the National Commission on the Structure of the Air Force recommended the Air Force increase its use of the Air Reserve Component (ARC) and transfer as many missions as possible to its reserve components. This research evaluated whether the US Air Force should, or even could, entrust the entire Aeromedical Evacuation mission to the ARC. The concept of moving the AE mission to the ARC was examined using three criteria: financial implications, effects on recruitment and retention, and the effects on mission readiness. The financial impacts and effects on recruitment and retention seemed to be mostly off-setting, with positive and negative aspects present for both of these criteria. The effects of this move on mission readiness, however, were deemed too significant to make this a viable plan. While the ARC performs a significant amount of the AE mission and brings unique advantages, like long-term experience and strong clinical backgrounds, the AC also provides unique advantages, including the ability to maintain a higher level of readiness. The AE enterprise needs both Active and Reserve components in order to be effective and ready.