U.S. Air Force Maj. Gen. Lee E. Payne. DHA assistant director for combat support, talks to attendees of the 2019 U.S. Africa Command Surgeon Synchronization Conference in Stuttgart, Germany, May 28, 2019. Payne discussed upcoming changes to the military health system and what that means for patients and providers. (U.S. Navy photo by Mass Communication Specialist 1st Class Christopher Hurd)