In February 2024, Air Force and Space Force leaders rolled out sweeping changes to the services’ organization, manning, readiness, and weapons development at the AFA Warfare Symposium. The changes aim to prioritize readiness and gain a warfighting edge in the face of intensifying great power competition with China. Air Force Chief of Staff, Gen David Allvin, announced plans to stand up a new Integrated Capabilities Command as part of the Air Force’s re-optimization and focus on competitiveness when looking to the future Great Power Competition. With the Integrated Capabilities Command activation, the Air Force can intentionally dedicate forces who have the functional expertise to focus solely on the requirements generation, putting capabilities together and effect change for what the Air Force will need for the future. This new command will allow the current major commands to focus almost exclusively on combat readiness, shifting the mindset towards preparing units of action and deployable combat wings to train and fight successfully as one team, including the medics tasked to support them. The Air Force Surgeon General has aligned his efforts to support the CSAF’s intent, integrating our strategic capabilities with the ICC and US Space Force’s new Space Futures Command, with dedicated teams developing future capabilities, while creating a new command structure, established as the Air Force Medical Command (AFMEDCOM) in August of 2024. AFMEDCOM prioritizes readiness (AFFORGEN, medically ready force, ready medics, deployment line support, incident response, training/exercises, etc.) while balancing the statutory requirement to provide care to our beneficiaries. With the new structure, the preponderance of Air Force medics will be aligned under an Air Force Medical Service 2-star Commander, who is dual-hatted as a DHA Network director. This ensures our leaders can prioritize readiness, enhancing the AFMS’s ability to organize, train and equip forces for Great Power Competition with the Deployable Combat Wings and other readiness directives, while also effectively partnering with the DHA to deliver statutory healthcare at 76 MTFs. This presentation will convey the current state of Air Force strategic changes, the current status of AFMEDCOM implementation, and provide the way-ahead as it continues to move toward FOC.