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The United States Air Force Chief of Staff advocated the tenets of the Outside the Continental United States Humanitarian Relief Operations (HUMRO) Operational Capabilities Package concept document to all combatant commanders in December 2006. The author critiques the disaster relief model on the premise that the concept document creates unrealistic combatant commander expectations of the HUMRO's employment capabilities. Unrealistic asset employment expectations can adversely impact medical diplomacy efforts aimed at furthering theater security cooperation objectives. The research methodology comprises a literature review of military doctrine and international humanitarian assistance principles, complemented by an analysis of recent military relief operations.