The Case of the Missing SECDEF

A truly weird story.

Secretary of Defense Lloyd J. Austin III Ramstein Air Base, Germany, Sept. 19, 2023
DoD photo by Chad J. McNeeley

POLITICO (“Pentagon didn’t inform Biden, White House for days about Austin’s hospitalization“):

The Pentagon did not tell President Joe Biden and other top officials about Defense Secretary Lloyd Austin’s hospitalization for three days, three U.S. officials said.

National security adviser Jake Sullivan and other senior White House aides didn’t know of Austin’s Jan. 1 hospitalization until the Defense Department sent over word Jan. 4, two other U.S. officials said. Sullivan informed Biden shortly after DOD’s Thursday notification.

The officials said it was highly unlikely that Austin conveyed word to Biden privately before Sullivan’s briefing. “If Jake didn’t know, no way the president knew,” one of them said. “Who would have told him of Austin’s condition if not Jake? And if someone did tell the president, Jake would’ve been his first call.”

All officials and other people who spoke for this story were granted anonymity to discuss a sensitive issue.

Biden held a “cordial conversation” with Austin on Saturday night, per one of the U.S. officials. “The president has complete trust and confidence in Secretary Austin,” the official said. A National Security Council spokesperson echoed that sentiment, noting Biden “is looking forward to [Austin] getting back to the Pentagon.”

But the news of Austin’s situation came as a shock to all White House staff as they were unaware the Pentagon boss was dealing with complications following an elective medical procedure, the officials said. National Security Council staffers were surprised it took the Pentagon so long to let them know of Austin’s status. The Pentagon didn’t make the information public until Friday evening, notifying Congress about 15 minutes before releasing a public statement.

“This should not have happened this way,” said one of the U.S. officials. The NSC and Pentagon declined comment.

In a Saturday statement after an earlier version of this story published, Austin said, “I could have done a better job ensuring the public was appropriately informed. I commit to doing better. But this is important to say: this was my medical procedure, and I take full responsibility for my decisions about disclosure.”

Chuck Hagel, the former senator who served as defense secretary during the Obama administration, said the Pentagon absolutely had to let the NSC know about Austin’s condition and whereabouts. “The NSC is part of your team, it’s part of the family,” he stated during a brief interview. “The president has to know where his Cabinet members are at all times.”

Sen. Tom Cotton (R-Ark.), a member of the Senate Armed Services Committee, said in a statement that Austin “ must address promptly” why the White House wasn’t informed of his hospitalization for days. Sen. Roger Wicker (R-Miss.), SASC’s top Republican, called Austin’s silence “unacceptable” and demanded a briefing on the matter.

NBC News reports that Austin spent four days in the intensive care unit.

On Friday evening, as many people were turning toward their weekends, DOD spokesperson Maj. Gen. Pat Ryder announced that Austin had been hospitalized since Jan. 1. His deputy, Kathleen Hicks, partially assumed some of his duties from Jan. 1 until Jan. 5, when he resumed his full duties, according to one senior DOD official.

But Austin’s hospitalization was a closely guarded secret, kept from even senior Pentagon officials and congressional leaders until just before the public statement, according to nine DOD officials and two congressional aides. Some Pentagon officials only learned of Austin’s situation through Ryder’s news release. One of the DOD officials said their office was told by Austin’s aides that the secretary was working from home for the week.

This is, to say the least, highly peculiar.

Kath Hicks is more than capable of fulfilling the duties of SECDEF and, indeed, with very narrow exceptions has the full authority of SECDEF at all times. The Deputy, not the Secretary, runs the day-to-day operation of the Department. But, it turns out, she was on vacation in Puerto Rico during the entirety of Austin’s hospitalization.

Still, it’s inexplicable that Austin’s hospitalization—let alone several-day stint in the ICU—wasn’t immediately run up the flagpole.

The various press reports have histrionic quotes from the likes of Tom Cotton and notes of outrage from the Pentagon press corps about the lack of transparency. I take then with a grain of salt. But Tom Nichols is right that “Lloyd Austin Owes Americans an Explanation.”

In itself, the secretary’s incapacity is not a crisis; the Pentagon’s chain of command has multiple people who can take over for him. And there might be good reasons to keep such news, at least temporarily, away from the public (and America’s enemies).

[…]

The public, however, deserves better answers to important questions.

Who, for example, was in charge and able to execute the secretary’s duties during his illness—including taking Austin’s place in the nuclear chain of command? When the president orders the use of nuclear weapons, the secretary of defense confirms those orders to the U.S. Strategic Command. (The secretary has no veto, but he or she must verify that the orders are authentic and came from the president.) In theory, Deputy Secretary Kathleen Hicks would take Austin’s place as the acting secretary, but the Pentagon, according to the Washington Post, has been “ambiguous about what happened in this case,” saying only that Hicks “‘was prepared to act for and exercise the powers’ of the defense secretary, if required.”

“If required?” The Pentagon was already having a busy week: While Austin was in the hospital, the United States launched an airstrike in Iraq, killing one of the leaders of an Iranian-backed militia. Austin apparently signed off on the strike before his hospitalization, but what if something had gone wrong and a crisis erupted? What if the White House couldn’t find its own secretary of defense quickly in a deteriorating military situation?

Or, in an even more hair-raising possibility, what if something else had gone wrong—something far more catastrophic?

The retired Cold War nuclear expert can’t resist a historical anecdote:

At approximately 3 am on November 9, 1979, President Jimmy Carter’s national-security adviser, Zbigniew Brzezinski, was awakened by a call from his military aide, Major General William Odom. NORAD, the North American Aerospace Defense Command, had detected the launch of a massive nuclear strike from the Soviet Union against the United States. Brzezinski was about to call the president—he chose not to wake his wife, knowing that she, and everyone else in Washington, D.C., would be dead within a half hour—when Odom called back. It was all a terrible mistake. Someone had goofed, and fed a mock-attack training tape into NORAD’s computers.

Had anyone involved taken one more step, Carter would have needed an immediate link to his secretary of defense, Harold Brown, both to confirm the attack and order retaliation. Imagine, at such a moment, what might have happened if no one at the White House could locate Brown—especially if the attack turned out to be real.

Fortunately, the United States did not suffer such a crisis, real or mistaken, while Austin was out of commission. But if Biden and Sullivan had needed to find Austin in a hurry, precious minutes would have been lost in the ensuing confusion. Merely apologizing for keeping the public in the dark isn’t enough. President Biden, Congress, and the American people, need to know exactly what just happened over the past five days.

It’s honestly odd that Austin went in for elective surgery—which by definition isn’t emergent or urgent—while Hicks was on leave. That neither the President nor the National Security Advisor knew he was even out of commission is simply unacceptable.

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James Joyner
About James Joyner
James Joyner is a Professor of Security Studies. He's a former Army officer and Desert Storm veteran. Views expressed here are his own. Follow James on Twitter @DrJJoyner.

Comments

  1. Stormy Dragon says:

    I take full responsibility for my decisions about disclosure.

    One thing that really grinds my gears is people saying they’re taking “full responsibility” for something when they really mean they take no responsibility whatsoever

    8
  2. steve says:

    A Major General is the press secretary? Hope he has serious combat experience. Snark aside, my WAG would be that Austin had complications from a colonoscopy or endoscopy. That shouldn’t be scheduled when the Deputy SECDEF is out of the country.

    Steve

    5
  3. DK says:

    But the news of Austin’s situation came as a shock to all White House staff as they were unaware the Pentagon boss was dealing with complications following an elective medical procedure, the officials said.

    Perhaps complications of plastic surgery he’s embarrassed about, due to social stigma?

    My speculation is probably inappropriate, but yolo!

    @Stormy Dragon:

    Speaking of gears that grind, I don’t like when pundits say “the public needs to know,” when what they really mean, “Beltway gossipmongers want to know.”

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  4. Stormy Dragon says:

    @DK:

    I’m not concerned the public didn’t know. I am concerned that the President didn’t know.

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  5. DK says:

    @Stormy Dragon: Same.

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  6. Kevin says:

    If he was taking full responsibility, he would resign. I’m not sure what other option there is, honestly. It’s not like he can be demoted, or sent to scrub down barracks or something.

    1
  7. Mister Bluster says:

    “I’m behind him 1000%” George McGovern on VP candidate Thomas Eagleton. 1972

    1
  8. OzarkHillbilly says:

    The word “weird” doesn’t begin to cover the massive screw up that this is.

    2
  9. MarkedMan says:

    @steve:

    my WAG would be that Austin had complications from a colonoscopy or endoscopy.

    It could have been because laymen misuse terms all the time, but FWIW neither of those are surgeries. Elective surgery with general anesthesia? Maybe Liposuction? Although some people also use “elective” to mean “non-emergency” or “not time critical” which rules out cancer related procedures but not things like hernias.

    I was under the impression that the trigger for turning over responsibility was the use of general anesthesia.

  10. DrDaveT says:

    But, it turns out, she was on vacation in Puerto Rico during the entirety of Austin’s hospitalization.

    I was reading this, thinking “nothingburger”, until I hit this. OK, yeah — that’s major.

    Both the vacation and the procedure had to have been scheduled many weeks if not months in advance. This is entirely on Austin, and a major lapse of judgment.

    (And yes, I’d like to know what Austin thinks is the tangible difference between “taking full responsibility” and telling people to get over it.)

    1
  11. Bill Jempty says:

    James,

    If you’re going to imitate Perry Mason, your post should have been title “The case of the S>>>> SecDef. PM had the military related episodes* TCO The Misguided Missile and TCO The Slandered Submarine. As for this news item, the only S word that comes to my mind is secluded. When under anesthetic, the word slumbering could be used.

    That ends today’s comment on The Case of The Broken Blog-post. Turning off joke mode now….

    *- Most 1957-1966 PM episodes were titled with succeeding names beginning with the same letter TCO The Nebulous Nephew, TCO The Final Fade-out, TCO The Prankish Professor, TCO The Decadent Dean, TCO The Festive Felon, TCO The Restless Redhead, etc.

    *

    1
  12. Andy says:

    Very, very weird.

    Austin doesn’t work alone, he has a huge staff! He doesn’t even manage his own calendar! This isn’t a case a of some lone employee forgetting to email his boss. I mean, did his staff know where he was?

    But yeah, not good, whatever the details. But I think whatever happened will get unfucked in short order and there is no need to fire Austin over this unless there is more to the story.

    1
  13. Bill Jempty says:

    @Andy:

    I mean, did his staff know where he was?

    Where is Scotty and the search party when you need them?

  14. Jen says:

    @MarkedMan: FWIW, the Politico piece refers to it as an elective medical procedure, James is the one who used the word surgery.

    Also, “not time critical” and “therefore not cancer” isn’t quite accurate either. Skin cancer, particularly slow-growing basal cell carcinomas, aren’t considered time-sensitive.

    At any rate, this is a reminder to pretty much everyone that just because a procedure is elective and/or outpatient, it doesn’t mean it’s without risk. A friend of mine passed away late last summer during a elective procedure to correct an issue that had arisen from an earlier hernia surgery.

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  15. MarkedMan says:

    @Jen:

    the Politico piece refers to it as an elective medical procedure

    Ah, that puts colonoscopy back on the table. As for the cancer thing, I was thinking of procedures that require general but would still be considered elective. The only surgery I could think of that involves a slow growing cancer and a general is prostatectomy, but I’ve never heard that described as elective. (When men are told that they have prostrate cancer but the odds are very high that it won’t kill them before they die of other causes but the footnote says, ‘Of course, there’s a very small chance it might kill you next month’, they tend to lie awake at night. I suspect that about the third night without sleep they decide to go ahead with it, especially since the medical profession minimizes the negative outcomes associated with treatment, especially surgery.)

  16. Steve says:

    When the medical profession says procedure it usually means something other than surgery. It could have conceivably been any small procedure where he received local anesthetic plus/minus sedation. Could have been over sedated or anaphylxed to something though very rare with those drugs. We had seen a small surge in ICU admissions in people having colonoscopy/endoscopy who were also on the new weight loss drugs. They slow down GI motility for longer than first thought and people had lots of retained stuff in tract with some aspirations.

    Steve

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  17. Bill Jempty says:

    @Steve:

    Could have been over sedated or anaphylxed to something though very rare with those drugs.

    Last month I had to have surgery performed. Probably due to the drugs used to anesthetize me, I had urinary retention afterwards and that required me having to have a straight catheter inserted. The less said about that experience the better.

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  18. Jen says:

    @Steve:

    Could have been over sedated or anaphylxed to something though very rare with those drugs.

    This is what immediately came to mind for me. Years ago, my MIL had an extremely serious (and very unexpected) reaction to one form of anesthesia that is very commonly administered. Freaked everyone out, from what I understand.

    1
  19. Michael Reynolds says:

    @Andy:
    I’ll reserve judgment in case there’s another shoe. But to use a non-military term, this was not cool.

    1
  20. DK says:

    @Bill Jempty: Good lord.

  21. Raoul says:

    The reports so far show unlimited arrogance and unprofessional behavior. Maybe there is more to the story but the way I see it, he should be fired for several reasons including the fact that I don’t trust his judgment.

    2
  22. dazedandconfused says:

    @Andy:

    True but with staff there is a typical condition of “everybody thought someone else done did it” (notify the WH) with unexpected conditions. Ultimately it falls on Austin, who, as Boss, it is his job to make sure someone did done it…for everything.

    Mountain out of a mole-hill to me….unless his staff was unaware he was in ICU.

  23. Europa says:

    How much you want to bet it was a “routine” colonoscopy that resulted in a tiny puncture that in turn into a lot of pain? Colonoscopies have become “routine” and not thought of as a big deal and therefore not worth mentioning (especially if you really don’t feel like hearing all the jokes from friends and colleagues). Even some doctors down play it in order to encourage more people to do it. But it’s still surgery and stuff can still go wrong. They procedure usually happens on a Thursday and you recover at home Friday, Saturday, Sunday and return to work Monday morning – as if nothing happened. Austin probably thought that’s how it would go and then it didn’t. “Oh no need to mention this to anybody. Just routine and my business.” Yeah, right. Any time you’re going in for surgery get your s**t order. You don’t know what’s going to happen or if God has decided your number has been called.