With the formation of the Aviation Branch in 1983, the Chief of Staff of the Army approved the Army Surgeon General's request to retain control of the Army aeromedical evacuation assets to include exclusion of the MSC aviator from being incorporated into the new branch. Over the past six years the issue has continued to be discussed, although no formal action has been proposed to challenge the original decision. The real questions remains, is DUSTOFF, collectively referred to as all Army aeromedical evacuation assets, aviation or is it medical evacuation? This study seeks to look at the historical development of the medical evacuation function as well as the historical development of DUSTOFF itself. The question posed of aviation vice medical evacuation is reviewed within the historical context and conclusions drawn based on that frame of reference.