Remarks on the nature of war and the implicit importance of America's wartime medical system introduce a discussion of the Department of Defense's medical operation and the associated planning effort. A discourse on the inadequacies of the Nation's airlift capabilities and the ensuing concept of using the Civil Reserve Air Fleet to support aeromedical airlift follows. An explanation of the planning that is being accomplished to make this new asset a viable entity of the wartime and peacetime medical system completes the background for the author's views on the capabilities of the system. The lack of a central controlling organization manned with people of diverse specialties and the inability to see aeromedical airlift as a specialized entity in itself are seen as the main drawbacks. Suggestions to overcome these deficiencies are provided. Keywords: Air Force operations; Aeromedical logistics; Medical services.