(From left to right) U.S. Air Force Brig. Gen. Daniel Wyman, Air Combat Command command surgeon, U.S. Navy Rear Adm. Elaine C. Wagner, Naval Medical Center commander at Portsmouth, Va., U.S. Army Brig. Gen. Joseph Caravalho, Northern Regional Medical Command commanding general, sign a health-care charter signifying a commitment to optimizing the direct-care system to offer patients better quality care, at Fort Eustis, Va., Nov. 8, 2012. During the meeting, Wagner, Caravalho and Wyman pledged their commitment to providing Service members and their families with quality, affordable care