San Francisco Chronicle

Remember also the lives saved by war

- By Rebecca Burgess Rebecca Burgess is Foreign and Defense Research Fellow at the American Enterprise Institute. She wrote this for InsideSour­ces.com.

From the U.S. Capitol’s corridors of legislativ­e power you can walk down the length of the National Mall to the Lincoln Memorial, passing on your way the impatient horses of the Grant Memorial; the world’s — and America’s — cultural and industrial history curated away as so many artifacts in the Smithsonia­n museums to your left and right; by Washington’s obelisk encircled by the nation’s flag; and by the dramatic memorials of America’s later 20th century wars. But from the Lincoln Memorial, the terminus of the capital plan’s axis has been Arlington National Cemetery.

For many visitors, their terminus within Arlington Cemetery is the Tomb of the Unknown Soldier, where they watch duty on display as sentinels of the Old Guard stand vigilant, in honor of the dead. But behind the Memorial Amphitheat­er, past the Spanish War Memorial and against a background of evergreens, is the Nurses Memorial and Section 21. Here is the final resting place of Army, Navy and Air Force nurses.

Jane Delano, whose father died in the Civil War, is buried here. She served in the Army Nurse Corps, and in 1912 almost single-handedly created the American Red Cross Nursing Service, which became the recognized nursing reserve for the Army, Navy and Public Health Service. Even today the Red Cross Nurse remains a powerful symbol of care and service in our national iconograph­y.

The rows upon rows of uniform white markers, each bearing a person’s name, which make up the quiet architectu­re

of Section 21, Arlington Cemetery, and all American national cemeteries, make up individual answers to the perpetual question of how to measure the cost of war.

Between the American Revolution in 1775 and the Gulf War in 1991, the U.S. Department of Veterans Affairs estimates that there have been approximat­ely 651,031 “battle deaths” alone. Of U.S. military men and women killed in action since October 2001, there have been 5,429, according to the Department of Defense. There are thousands upon thousands more who have died as a result of battlefiel­d injuries, or have died as captured POWS, or have gone missing. But there are also thousands who’ve survived their severe wounds. Since the initiation of the national cemetery system in response to the Civil War, more and more soldiers are surviving the battlefiel­d, thanks to innovation­s in combat medicine aided by advances in transporta­tion and technology.

It’s not often that we pause to think, on Memorial Day or any other day, of the lives saved by war. Not the lives of whole population­s saved from genocide by some war to topple a tyrant, (though that is a weighty considerat­ion too), but the lives of future soldiers, and the lives of present civilians, who are saved by the discoverie­s of medics and military doctors in wartime.

“He who wishes to be a surgeon should go to war,” is a saying ascribed to Hippocrate­s, the ancient Greek “Father of Western Medicine.”

Lessons learned in Korea and Vietnam sparked the developmen­t of civilian paramedics, modern trauma centers, civilian air ambulance services and Medevac. Over the last 18 years of continuous military operations, the U.S. military has completely transforme­d trauma care. Whereas in the civilian world it takes an average of 17 years for a new discovery to change medical practice, the U.S. military developed and fielded more than 27 major innovation­s over the wars in Iraq and Afghanista­n. These innovation­s decreased by half the death rate from battlefiel­d wounds, to the lowest level in the history of war.

And two of these — the Combat Applicatio­n Tourniquet, and field bandages with hemostatic agents, are now available commercial­ly and used by increasing numbers of civilian first responders. Not only are they saving military lives, they are saving thousands more, especially lives endangered by vehicle accidents and shootings.

Since the practice of observing Memorial Day first began in the aftermath of the Civil War, the American people have asked themselves two questions on this day: How to remember and honor the sacrifice of its military dead, and how to understand the relationsh­ip between the dead, the nation for which they died, and the living. And Lincoln’s words at Gettysburg Cemetery have ever nourished the most profound response — that the dead’s commission to the living is to dedicate themselves to the “great task” of self-government.

Within that task, however, there remains space to think on how many of the living will have owed their lives to war.

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Getty Images

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