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Coastal Carolina University professors Paul Olsen, Alan Case and Ken Townsend at Kandahar International Airport.

A most unusual and unexpected opportunity landed in our laps in August 2005. Coastal Carolina's Eddie Dyer, vice president of University Relations, phoned me and Professor Paul Olsen of the Department of Visual Arts and asked a rather startling question: "Would you be interested in traveling to Afghanistan to embed with Dr. Alan Case?" Case, a major in the South Carolina Army National Guard, was preparing for his second deployment to that war torn country, this time as Senior Medical Mentor to the 205th Corps, Afghan National Army (ANA) at Camp Shir-Zai near Kandahar Air Field (KAF). Neither Paul nor I wasted any time giving a response-we leapt at the chance to go. Embedding with Major Case would allow us immediate insight into our colleague's own experience in Afghanistan as well as a window into the personal, human side of a war largely forgotten by the news media.

The war in Afghanistan is, indeed, widely considered a "forgotten war." America's prolonged struggle in Iraq has cost the United States far more dearly in lives lost, troops wounded, equipment destroyed, money spent and domestic unity shattered. Moreover, many observers argued until quite recently that the war in Afghanistan was largely won—the Taliban ousted from power, al-Qaeda forced into hiding and a pseudo-democratic political system established. Too, the war in Afghanistan has not been excessively bloody for Americans or clouded by uncertain motives. Paul and I committed ourselves to bringing the story of the Afghanistan War to greater public attention by shadowing Major Case, interviewing as many military personnel of all nationalities, military ranks and occupation specialties as we could in our two-week journey and in so doing put a more human face on the sacrifices being made there.

We witnessed and learned much from our travels through Bagram, Kabul and Kandahar in July 2006. We observed an Afghan population with one foot in the 13th century and another in the 21st century—a mixture of automobiles and donkey carts, women wearing burkas and others in western jeans and T-shirts, newly constructed buildings replete with modern conveniences and private homes still surrounded by human waste trenches. So many families remain tribal-oriented while others assume a more urban and cosmopolitan perspective. Afghans seem as much a people in search of an identity as they are in search of domestic security.

Members of a squad from the Oregon National Guard prepare to go on patrol.
At Camp Shir-Zai, just outside Kandahar Air Field, we rendezvoused with Major Case, who was serving as adviser and mentor to the ANA 205th Corps Surgeon in the development and implementation of a combat health support system. In shadowing him, we found ANA soldiers and a medical staff that manifested the promise of post-Taliban Afghanistan. Recently constructed military barracks and dining facilities that cost $68 million resembled those found on army posts most anywhere inside the United States. ANA soldiers generally spoke well of their training and routinely voiced commitment to the enduring war against the enemies of the new Afghanistan. Progress was most certainly evident. Indeed, ANA combat units have lately assumed a greater role in military operations against Taliban forces and consequently are suffering substantially higher casualty rates. Their commitment to securing their nation is all the more impressive when one watches these men leave for battle packed into the bed of abused and war-worn Ford Rangers, armed lightly and not protected with body armor. Their pay remains absurdly low even by Afghanistan standards, and their families are sometimes targeted by Taliban supporters. To us, it appeared that a sense of national identity is emerging among Afghans, a perspective shared by ANA 205th Corps Commander Major General Raufi. That new spirit, he added, is further evident in nonmilitary developments. The nation now has an elected president and national assembly, the economy shows signs of improvement, more schools and hospitals have been constructed and provide fundamental services, and a national police force now exists. Still, serious problems continue to plague Afghanistan, he said. The country has suffered three continuous decades of war. "It will take time to rebuild our country" and establish security, said Raufi. Security remains the general's most pressing concern. He pointed to the persistence of an enemy force he believes largely comprised of Afghans, trained well in neighboring Pakistan, armed with weapons supplied by both Pakistani and Iranian interests, and determined to return the country to Taliban control. The ANA, he insisted, requires heavy weapons, armored vehicles, body armor and much more training, implying that U.S. and coalition forces have been rather slow providing these necessary items.

The medical staff at Camp Shir-Zai also have certain needs. ANA medics, by their own admission to Paul and me, receive little formal classroom instruction. On-the-job-training is more common. Too, medical facilities are quite limited in their capabilities and services. ANA troops who suffer serious wounds are typically treated in American medical facilities at KAF or transported to Kabul for specialized care. Physicians, such as Colonel Bashir at Camp Shir-Zai, are professionally trained but lack access to refresher courses at established medical schools or training in new medical skills. Supplies typically prove inadequate at best, and medicine is often scarce. Were it not for the direct material contributions of the United States and the work of American mentors, such as Major Case, the very organizational structure of the ANA medical corps would be crippled.

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