Airmen from various units who make up the 791st Expeditionary Aeromedical Evacuation Squadron at Ramstein AB, Germany, routinely fly six aeromedical evacuation missions a week to Iraq and Afghanistan. The airmen of 791st fly troops with serious injuries to Landstuhl, Germany, making it possible for them to receive the necessary follow-on treatment within 12 hours. Overall, Air Force medevac teams in 2006 transported 9,860 total patients, including 2,354 critical patients from Iraq and Afghanistan. From the start of Operation Enduring Freedom in Afghanistan in October 2001, USAF has airlifted nearly 39,000 patients from the region.
The rate of building B-21 bombers would speed up if the fiscal 2026 defense budget passes. But it remains unclear how much capacity would be added, and whether the Air Force would simply build the bombers faster, or buy more.