Secretary of the Air Force Barbara Barrett and Air Force Chief of Staff Gen. David L. Goldfein visit with members of the 86th Aeromedical Evacuation Squadron on a U.S. Air Force C-130J Super Hercules aircraft during a visit to Ramstein Air Base, Germany, Nov. 22, 2019. An 86th AES medical technician explained the procedures of the en-route patient staging system. (U.S. Air Force photo by Senior Airman Milton Hamilton)