Attendees listen to a brief on the upcoming changes to the military health system during day one of the 2019 U.S. Africa Command Surgeon Synchronization Conference in Stuttgart, Germany, May 28, 2019. The conference brought together medical professionals from across the command, interagency and foreign partners, to enable collaboration and to discuss areas of concern within the medical enterprise in Africa. (U.S. Navy photo by Mass Communication Specialist 1st Class Christopher Hurd)