When operations are planned, we always make sure that we have a way to evacuate patients. This is always factored in by the chain of command.
At the moment, the Americans provide the service, but everything is directed by the medical team at NATO regional headquarters. They determine where evacuation resources will go, according to the need. So, if other troops—the Dutch, the British or the Americans—needed them, that is, if their cases were more serious, they would have priority. Likewise, when the troops come back, the wounded are taken either to a Canadian hospital, or another country's hospital, whichever is most appropriate. In no way is this giving the control over to the Americans. They are very generous and they provide us with exceptional service. Things are not as they are because we cannot provide the service ourselves but because they offered it to us when the operation was being planned.
If needed, we have the capability to provide the personnel required. In that case, the responsibility would lie with the operational commander of the Canadian Expeditionary Force.