Amid escalating tensions in the Middle East, Secretary of Defense Lloyd Austin's intensive care unit hospitalization remained undisclosed to senior officials in the White House's National Security Council for three days, reported NBC News.
Austin spent four days in the ICU at Walter Reed Medical Center, with details about his ailment and the elective medical procedure leading to his ICU admission kept confidential by Pentagon officials. The nondisclosure prompted questions about the decision-making process and raised concerns regarding transparency, as the Pentagon cited considerations for Austin's personal privacy and an evolving situation as factors contributing to the secrecy.
"Secretary Austin must address promptly the troubling report that the Department of Defense didn't immediately notify President [Joe] Biden or the National Security Council that he was hospitalized and unable to perform his duties," Sen. Tom Cotton, R-Ark., wrote in a statement to Newsmax.
"The Secretary of Defense is the key link in the chain of command between the president and the uniformed military, including the nuclear chain of command, when the weightiest of decisions must be made in minutes. If this report is true, there must be consequences for this shocking breakdown."
Deputy Secretary of Defense Kathleen Hicks assumed Austin's duties during his hospitalization. The Pentagon's refusal to release specific information about the procedure, its timing, and the mode of transportation to the hospital has drawn attention to the guarded approach surrounding the secretary's health.
Austin, 70, remained hospitalized due to complications following a minor elective medical procedure, his press secretary said, as it became clear how closely the Pentagon held information about his stay at Walter Reed.
Air Force Maj. Gen. Pat Ryder said the White House and the Joint Chiefs of Staff were notified about Austin's hospitalization, but he would not say when that happened.
A number of U.S. officials said Saturday that many of the most senior Pentagon service leaders were unaware until Friday that Austin was in the hospital. Officials said Biden and other senior White House staff were told, but the officials would not specify when. The officials spoke on condition of anonymity to discuss private conversations.
Ryder said members of Congress were told late Friday afternoon, and other officials said lawmakers were informed after 5 p.m. It was not clear when key senior members of Austin's staff were told; but across the Pentagon, many staff found out when the department released a statement about Austin's hospital stay just minutes after 5 p.m. Many believed Austin was out on vacation for the week.
Hicks, who took over when Austin was hospitalized, was also away. A U.S. official said she had a communications setup with her in Puerto Rico that allowed her to do the job while Austin, who spent 41 years in the military and retired as a four-star Army general in 2016, was incapacitated.
Ryder said Saturday that Austin is recovering well and resumed his full duties Friday evening from his hospital bed. Asked why the hospital stay was kept secret for so long, Ryder said on Friday that it was an "evolving situation" and that due to privacy and medical issues, the Pentagon did not make Austin's absence public. Ryder declined to provide any other details about Austin's medical procedure or health.
The White House has refused to say when or how it was notified of Austin's hospitalization. It referred questions to the Pentagon.
The Pentagon Press Association, which represents media members who cover the Defense Department, sent a letter of protest on Friday evening to Ryder and Chris Meagher, the assistant defense secretary for public affairs.
"The fact that he has been at Walter Reed National Military Medical Center for four days and the Pentagon is only now alerting the public late on a Friday evening is an outrage," the PPA said in its letter. "At a time when there are growing threats to U.S. military service members in the Middle East and the U.S. is playing key national security roles in the wars in Israel and Ukraine, it is particularly critical for the American public to be informed about the health status and decision-making ability of its top defense leader."
Austin released a statement Saturday acknowledging the media concern over the status of his medical condition.
He said, "I also understand the media concerns about transparency, and I recognize 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."
Other senior U.S. leaders have been much more transparent about hospital stays. When Attorney General Merrick Garland went in for a routine medical procedure in 2022, his office informed the public a week in advance and outlined how long he was expected to be out and when he would return to work.
Austin's hospitalization comes as Iranian-backed militias have repeatedly launched drones, missiles, and rockets at bases where U.S. troops are stationed in Iraq and Syria, leading the Biden administration to strike back on a number of occasions. Those strikes often involve sensitive, top-level discussions and decisions by Austin and other key military leaders.
The U.S. is also the chief organizer behind a new international maritime coalition using ships and other assets to patrol the southern Red Sea to deter persistent attacks on commercial vessels by Houthi militants in Yemen.
In addition, the administration, particularly Austin, has been at the forefront of the effort to supply weapons and training to Ukraine, and he's also been communicating frequently with the Israelis on their war against Hamas.
Information from The Associated Press was used in this report.
Jim Thomas ✉
Jim Thomas is a writer based in Indiana. He holds a bachelor's degree in Political Science, a law degree from U.I.C. Law School, and has practiced law for more than 20 years.
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