(c) Laceration or contusion of dura or brain. Marine Corps ranks for officers are split into two tiers: Officer and General. (7) Penile infectious lesions, including herpes genitalis and condyloma acuminata, acute or chronic, not amenable to treatment. (10) Any organic disease of the eye or adnexa not specified above, that threatens vision or visual function. g. Sinusitis, chronic, when evidenced by chronic purulent nasal discharge, hyperplastic changes of the nasal tissue, symptoms requiring frequent medical attention, or x-ray findings. (3) Undiagnosed enlargement or mass of testicle or epididymis. (4) Detachment of the retina, history of surgery for same, or peripheral retinal injury or degeneration that may cause retinal detachment. Unfortunately, medical standards are not eased for these less physically demanding positions. If the United States becomes involved in another major counter-insurgency, for instance, the armed forces may need more sociologists and psychologists. (1) Inflammatory bowel disease. These are the Army ranks, Air Force ranks, Coast Guard ranks, Marine Corps and Navy ranks... Understanding military ranks can be tricky, especially when it comes to knowing the military ranks in order. As anyone who has served will tell you, the “needs of the military” come before any individual servicemember and, by extension, applicant. And while there are some promising initiatives, including an Army effort to directly commission and provide recruitment bonuses to cyber warriors, the overly restrictive medical accessions process is preventing countless similar applicants from joining military service. (2) Anal or rectal polyp, prolapse, stricture, or incontinence. b. b. Joe Schuman is a recent graduate of the Massachusetts Institute of Technology and an Air National Guard applicant. I propose creating an “assisted accessions process” for shepherding these applicants through the bureaucratic and often dysfunctional accessions process. g. Muscular paralysis, contracture, or atrophy, if progressive or of sufficient degree to interfere with military service and muscular dystrophies. (1) Diplopia, documented, constant or intermittent. Recovery from disease or injury with residual weakness or symptoms such as to preclude satisfactory performance of duty, or grip strength of less than 75 percent of predicted normal when injured hand is compared with the normal hand (non-dominant is 80 percent of dominant grip). Ulceration, varices, fistula, achalasia, or other dismotility disorders; chronic or recurrent esophagitis if confirmed by appropriate x-ray or endoscopic examination. (3) Applicants with a history of moderate head injury are unfit for a period of at least 2 years after injury, after which they may be considered fit if complete neurological evaluation shows no residual dysfunction or complications. Current or history of disorders with psychotic features such as schizophrenia (295), paranoid disorder (297), and other unspecified psychosis (298) is disqualifying. (1) Absence of the distal phalanx of either thumb. (2) Opacities of the lens that interfere with vision or that are considered to be progressive. A history of self-mutilation is also disqualifying. d. Specific academic skills defects, chronic history of academic skills or perceptual defects, secondary to organic or functional mental disorders that interfere with work or school after age 12. Meridian-specific visual field minimums are as follows: (2) Absence of an eye, congenital or acquired. b. Hemorrhagic disorders. a. Reliable history of a moderate to severe reaction to common foods, spices, or food additives. Many conditions included in these categories may inhibit an applicant’s ability to serve effectively. (2) Neurosyphilis of any form, general paresis, tabes dorsalis meningovascular syphilis. ALL RIGHTS RESERVED. Gigantism or other disorder of pituitary function. However, the costs of tens or even hundreds of potential assisted applicants will be relatively small compared to the 100,000–150,000 military accessions per year. (2) Splenectomy, except when accomplished for trauma, or conditions unrelated to the spleen, or for hereditary spherocytosis. a. (4) Standards. Left varicocele, if painful, or any right varicocele. (2) Physical findings of an unstable or internally deranged joint. In addition, the following cases should be qualified if on careful review they meet the following criteria: individuals who have a history of childhood cancer who have not received any surgical or medical cancer therapy for 5 years and are free of cancer; individuals with a history of Wilm's tumor and germ cell tumors of the testis treated surgically and/or with chemotherapy after a 2-year disease-free interval off all treatment; individuals with a history of Hodgkin's disease treated with radiation therapy and/or chemotherapy and disease free off treatment for 5 years; individuals with a history of large cell lymphoma after a 2-year disease-free interval off all therapy. Presence is confirmed by repeatedly reactive enzyme-linked immunoassay serological test and positive immunoelectrophoresis (Western Blot) test, or other DOD-approved confirmatory test. How many disqualified applicants might fall into these categories? Limitation of motion. Moderate head injuries are defined by unconsciousness or amnesia, alone or in combination of 1 to 24 hours duration or linear skull fracture. (4) Individuals with a past history of active tuberculosis MORE than 2 years prior to enlistment, induction and appointment are QUALIFIED IF they have received a complete course of standard chemotherapy for tuberculosis. Military Medical Standards For Enlistment And Commission, Military Service Disqualification (CNS, Eczema, Head Injuries, Acne), Lungs, Chest Wall, Pleura, and Mediastinum, Aviation Medical Exams: Disqualifying Medical Conditions, Enlistment Disqualifying Gastrointestinal System Issues, Medical Standards for Military Enlistment: Upper Extremities, Military Medical Standards for Enlistment and Appointment, Hearing: Military Medical Standards for Enlistment, United States Military Enlistment Standards, How to Get a Medical Waiver to Join the Military, Military Medical Standards - Nose, Sinuses, Larynx, Medical Conditions That Could Disqualify You From Military Enlistment, Military Medical Standards For The Heart - Enlistment Or Appointment, Spine And Hip Issues With Military Service, General Military Medical Standards for Enlistment, Military Medical Enlistment Standards for Dental Issues, Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder. a. Similar trends exist between 2010 and 2015 (the last year for which AMSARA data is available) and across the Reserve and National Guard components. Thus, the assisted accessions process would be little more than a drop in the ocean — but it would be an important start. a. Benign tumors (M8000) that interfere with function, prevent wearing the uniform or protective equipment, would require frequent specialized attention, or have a high malignant potential. (6) Osteochondritis of the tibial tuberosity (Osgood-Schlatter disease), if symptomatic. A history thereof, or dysfunctional residuals from surgical correction of these conditions. a. Cerebrovascular conditions, any history of subarachnoid or intracerebral hemorrhage, vascular insufficiency, aneurysm, or arteriovenous malformation. (3) It is symptomatic and associated with positive physical finding(s) and demonstrable by x-ray. j. Hyperhidrosis of hands or feet, chronic or severe. Limitation of motion. g. Ruptured nucleus pulposus, herniation of intervertebral disk or history of operation for this condition. Sleepwalking after 13th birthday is disqualifying. The internet is on fire about the possibility of World War III and an impending draft is hanging over the heads of America's... "Keep an eye out for the official announcement, and know that we are working for our airmen," Chief Master Sgt. (2) It interferes with wearing a uniform or military equipment. These conditions largely hold across years and components. Eligible applicants could be evaluated by a number of factors, including undergraduate university, grade point average, military aptitude test score, and/or physical fitness test score. j. Deformities or conditions of the mouth, tongue, palate throat, pharynx, larynx, and nose that interfere with chewing, swallowing, speech, or breathing. (2) Hypothyroidism, uncontrolled by medication. k. Pharyngitis and nasopharyngitis, chronic. (2) 20/30 in one eye and 20/100 in the other eye. If you think the examples discussed above are simply a few bad cases, consider this: In 2012, according to the Department of Defense’s Accession Medical Standards Analysis & Research Activity (AMSARA) Annual Report, 38,000 of 200,000 active duty applicants (or 19 percent) across all military services were medically disqualified from service. This includes complex (multiple fixture) dental implant systems that have associated complications that severely limit assignments and adversely affect performance of world-wide duty. f. Bullous dermatoses, such as Dermatitis Herpetiformis, pemphigus, and epidermolysis bullosa. (2) Hyperopia over 8.00 diopters spherical equivalent. Current or history of chronic pelvic pain or unspecified symptoms associated with female genital organs is disqualifying. Today’s highly qualified applicants, who are already asking what they can do for their country, deserve to know that there is something their country is willing to do for them. a. Some, like Jacquelyn Schneider, advocate a complete reevaluation of the military accessions process and standards.
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