The Symbiotic Relationship Between MedTech and DefenceTech

Nelson Advisors
Sep 10
18 min read

Updated: Sep 12

The Symbiotic Relationship Between MedTech and DefenceTech

Executive Summary

The relationship between medical technology (MedTech) and defence technology has historically been characterised by an ad hoc, one-directional flow of innovation, often described as a "spin-out" effect where military research unexpectedly finds civilian applications. However, a contemporary analysis reveals a more complex, mutually beneficial, and increasingly institutionalized symbiosis. This interdependence is no longer a matter of serendipitous discovery but a deliberate, two-way exchange driven by a shared imperative: the optimisation of human performance and survival in high-stakes, resource-constrained environments.

The MedTech industry, defined by its focus on devices and systems for diagnosis, treatment, and health improvement, and the defence sector, focused on national security and operational advantage, are now inextricably linked through a convergence of core technologies. Artificial intelligence, robotics, advanced materials, and cybersecurity are inherently dual-use, with applications that directly parallel the needs of both industries. For example, an AI system that triages patients in an emergency room can be re-engineered to prioritise casualties on a battlefield, while a portable diagnostic tool developed for bioterrorism can be adapted for point-of-care testing in a civilian clinic.

This report examines this dynamic relationship through the lens of both historical and contemporary innovation flows, from the "spin-out" of battlefield trauma care to the "spin-on" of commercial medical systems for military use. It highlights the pivotal role of government agencies and public-private consortia, such as the Defense Advanced Research Projects Agency (DARPA), the Defense Innovation Unit (DIU), and the Medical Technology Enterprise Consortium (MTEC), in formalizing and accelerating this collaboration.

The analysis concludes by addressing the profound ethical and policy challenges posed by this integration, particularly the "dual-use dilemma" and the potential "militarization of medicine." This framework provides a comprehensive overview for strategic investors, policymakers, and industry leaders seeking to understand the landscape and identify opportunities within this critical, evolving symbiosis.

Introduction: Defining the Interdependent Domains

A. The Scope of Medical Technology (MedTech)

Medical technology, or MedTech, is a broad and rapidly evolving field dedicated to the development and application of technologies that diagnose, monitor, treat, and alleviate sickness or disease, ultimately improving human health and quality of life. The discipline is distinct from the broader category of "Healthcare Tech," as it specifically pertains to the technologies, products, and services directly used for patient care.

The scope of MedTech is vast, encompassing a wide spectrum of devices, from low-risk, everyday items like medical gloves, bandages, and thermometers to highly sophisticated, high-risk systems. The latter includes advanced imaging machines such as magnetic resonance imaging (MRI) and computed tomography (CT) scanners, as well as complex implantable devices like pacemakers and insulin pumps.

The industry is a manufacturing success story, notable for its significant investment in research and development, which fuels a constant cycle of innovation and improvement. MedTech's primary objective is to enhance the accuracy and timeliness of healthcare, reduce hospital stays, and provide patients with the means to live longer, healthier, and more productive lives.

B. The Scope of Defence Technology

Defence technology involves the research, design, and implementation of military systems, weapons, and strategic defence mechanisms to further national security. It is the application of technology for use in warfare, encompassing systems that are often distinctly military in nature due to their lack of useful or legal civilian applications.

The field spans a diverse range of areas, including advanced engineering, artificial intelligence, and cybersecurity, all aimed at protecting military assets and counteracting enemy attacks.Core components of defence technology include aerospace and avionics for military applications (e.g., fighter jets), radar and surveillance systems for early warning, and ballistic missile defence systems. The industry is heavily reliant on a competitive advantage in key sectors like microelectronics, telecommunications, and software development, and it is a major driver of innovation. The overarching goal of defence technology is to reduce risk, enhance operational efficiency and gain an information advantage on the battlefield.

C. The Thesis of Symbiosis

The relationship between MedTech and Defence Tech is not a simple linear process but a complex, interdependent symbiosis. While historical precedent often points to military innovations "spinning out" into the civilian medical sector, a contemporary view reveals a deliberate, two-way exchange of technologies and methodologies. This mutualistic relationship is increasingly formalized through dedicated government programs and public-private partnerships. The foundational link between these two seemingly disparate domains is the shared challenge of optimising human performance and ensuring survival under duress.

Whether on a remote battlefield or in a chaotic disaster zone, the requirements are strikingly similar: the need for rapid, accurate diagnostics, remote care capabilities, durable and portable equipment, and systems that can function with limited resources and minimal human intervention. This shared set of operational constraints acts as a powerful catalyst for cross-sector innovation, accelerating the development of technologies that would otherwise take decades to mature. This report will demonstrate that this symbiosis has evolved from an ad hoc phenomenon into a strategic imperative for both the defence industry and the global healthcare market.

The Flow of Innovation: From Defence to Medicine (The "Spin-out" Effect)

The defence sector has long served as a high-pressure crucible for medical innovation. The life-and-death stakes and the urgent, resource-constrained environment of the battlefield compel rapid development and testing of technologies. This unique context accelerates the research and development cycle in a way that civilian markets cannot, producing solutions that are exceptionally durable, efficient, and reliable under extreme duress. These battlefield-tested innovations have subsequently "spun out" to become foundational pillars of modern civilian medicine.

A. Foundational Advancements in Trauma Care

Military conflicts have historically been a primary driver of major innovations in treating life-threatening injuries, leading to the development of protocols and devices now standard in civilian emergency rooms and trauma centers. A historical example is the work of Major Walter Reed in 1900, who led the Yellow Fever Commission to discover that mosquitoes carried the disease, saving countless lives. The advancements in trauma care from this period forward have been profound, with survival rates for wounded soldiers increasing from 4% in World War I to 50% in World War II.

Specific innovations that have crossed over include tourniquets, hemostatic agents (quick-clotting bandages), and the widespread adoption of damage control resuscitation (DCR) protocols. DCR, which began as a research area at the U.S. Army Institute of Surgical Research, is now a protocol widely used in civilian trauma centers to improve survival rates after severe injury.

B. Advancements in Prosthetics and Assistive Technologies

The ongoing need to rehabilitate severely injured service members has consistently driven the military to push the boundaries of assistive technology. Innovations in prosthetic limb technology, developed to provide more functional and lifelike limbs for amputees, have greatly benefited their civilian counterparts.

For instance, research funded by the Department of Veterans Affairs has led to the development of percutaneous osseointegrated prosthesis (POP implants), which are surgically anchored to an individual's remaining thigh bone. Patients who receive these implants have reported that the devices feel like they are a part of them, representing a significant quality-of-life improvement over traditional prosthetics. Similarly, research funded by DARPA has focused on restoring the sense of touch for amputees through advanced prosthetic technology.

C. Remote Operations and Diagnostics

The military's need for remote command, control, and treatment has been a significant driver for technologies that enable care from a distance. Defence-funded research into tele-operated robotic systems, originally intended for remote operations in extreme environments, has had a profound influence on modern surgical platforms like the Da Vinci system.These systems allow for minimally invasive procedures with greater accuracy and reduced recovery times in civilian hospitals.

Similarly, the need to quickly detect and respond to biological threats has been a priority for defence agencies, leading to advancements in medical diagnostics. Portable diagnostic tools originally designed to detect bioterrorism agents have been adapted for rapid civilian disease detection, such as point-of-care COVID-19 antigen tests and portable blood analysers.

D. Crossover of Foundational Technologies

Beyond direct medical advancements, several general-purpose defence technologies have become fundamental to civilian healthcare. The Global Positioning System (GPS), initially developed for military navigation, is now critical for emergency response systems and telemedicine platforms, enabling providers to locate patients and coordinate care. Radar technology, developed for military detection during World War II, laid the groundwork for medical imaging techniques, such as ultrasound and certain scanning methods.

One of the most compelling examples of this spin-out effect is the EpiPen, a device for treating anaphylaxis, which originated from a military-developed auto-injector designed to administer nerve agent antidotes to soldiers.

The following timeline illustrates the historical flow of innovation from the defence sector to medicine, highlighting key milestones in this long-standing relationship.

Year	Innovation/Technology	Defence Origin	Civilian Medical Application
1900	Yellow Fever Commission	U.S. Army research into tropical diseases	Public health, disease prevention and control
WWII	Radar Technology	Detection of enemy aircraft and ships	Medical imaging (ultrasound, etc.)
1970s	Auto-injector (CombiPen)	Administration of nerve agent antidotes	EpiPen for anaphylaxis treatment
1990s	Damage Control Resuscitation (DCR)	U.S. Army Institute of Surgical Research	Standard protocol in civilian trauma centers
1990s	Da Vinci Surgical System	Research into remote robotics for space/military	Minimally invasive surgery with greater accuracy
2000s	Global Positioning System (GPS)	Military navigation for operations	Emergency response, telemedicine, patient tracking
2020	Portable Diagnostic Tools	Detection of bioterrorism agents/chemical warfare substances	Point-of-care antigen tests (e.g., for COVID-19)

The Flow of Innovation: From Medicine to Defence (The "Spin-on" Effect)

The reverse flow of innovation, where technologies and methodologies from the civilian MedTech sector are adopted by the military, represents a strategic shift in defence procurement. This "spin-on" effect is a reflection of the defence sector's recognition that the speed and scale of innovation in the commercial MedTech industry can address critical operational gaps more effectively and efficiently than traditional, bespoke military R&D. The military is leveraging civilian technologies to enhance warfighter health and performance, provide advanced field diagnostics, and support remote operations.

The military faces the dual challenge of a rapid pace of technological change and immense budget pressures. The traditional, lengthy, and expensive military procurement process for custom-built equipment struggles to keep up with the fast-moving innovation cycles of the commercial sector. By actively seeking and "spinning on" commercial technologies, military agencies can bypass some of these limitations, acquiring proven, and often more cost-effective, solutions more rapidly. This approach also serves to strengthen the national security innovation base by integrating new, non-traditional companies and their expertise into the defence ecosystem.

A. Enhancing Human Systems and Warfighter Health

The military is increasingly adopting commercial MedTech to optimise the human system and enhance the health and readiness of service members. This includes the use of off-the-shelf technologies that would not have been developed specifically for military use. For instance, the military is exploring the use of continuous glucose monitoring technology for soldiers with Type 1 diabetes, which allows for consistent tracking of glucose levels without frequent blood draws.

The U.S. Army’s Telemedicine & Advanced Technology Research Center (TATRC) is actively exploring how commercial innovations like mobile apps that connect patients to behavioural healthcare providers can improve military healthcare, reflecting a deliberate effort to leverage civilian advances.

B. Point-of-Care and Field Diagnostics

Civilian medical diagnostic tools are being leveraged to enhance military operational capabilities, particularly in the fields of disease surveillance and rapid threat detection. Point-of-Care Ultrasound (POCUS) is a major disruptive diagnostic and decision-support technology that has rapidly made inroads into military field care.AI-assisted POCUS applications are being deployed to improve image acquisition and analysis, requiring less operator training and providing medics with lab-grade insights in austere environments.

In the fight against infectious diseases, a concern for both military and civilian populations, the Naval Medical Research Center has successfully treated a drug-resistant infection with bacteriophage-based therapy. This innovation, while originating from military research, is poised to offer an alternative to antibiotics for complex wound infections, a growing global health problem.

C. Dual-Use Robotics and Unmanned Systems

The military is increasingly repurposing commercial drones and robotic platforms for medical applications, a powerful example of the "spin-on" effect. Unmanned aerial vehicles (UAVs), initially developed for surveillance and combat, are now being explored for casualty evacuation and medical supply delivery. This use of autonomous drones is reducing the risks to human operators who would otherwise be exposed in dangerous areas.

A prime example of this convergence is DARPA's Medics Autonomously Stopping Hemorrhage (MASH) program, which aims to use robots guided by advanced sensors and AI to locate and stop severe internal bleeding with limited human assistance. These autonomous systems are being developed to stabilise injured personnel for extended periods, providing crucial time for evacuation to hospitals. This program represents a deliberate effort to integrate robotics and AI from the broader technology ecosystem into a military-medical context.

The Convergence of Core Technologies: The Dual-Use Matrix

The symbiotic relationship between MedTech and Defence Tech is most evident in the shared technological foundation upon which both industries are building their futures. Several core technologies are inherently dual-use, serving as the primary nexus for innovation. The following analysis and accompanying table illustrate how these technologies are solving parallel, high-stakes problems in both domains.

A. Artificial Intelligence and Machine Learning

Artificial intelligence (AI) is the quintessential dual-use technology, with a transformative potential that is equally applicable to saving lives and enhancing destructive capabilities. In the MedTech sector, AI-powered diagnostics leverage machine learning algorithms to detect tumours and analyse medical imaging with greater accuracy than human review alone. AI-driven predictive models are also used by public health organisations to monitor and forecast the spread of infectious diseases.

In the defence sector, AI is revolutionising decision-making and operational strategies. It is used for real-time threat detection, autonomous navigation, and the analysis of vast datasets to predict threats on the battlefield.The parallel application of AI is most clearly seen in battlefield triage systems, which use algorithms to rapidly assess and prioritise casualties, providing medics with critical, real-time decision support.

B. Advanced Materials and Additive Manufacturing

Both the MedTech and defence industries require materials that are lightweight, durable, and possess high-performance properties like energy absorption and resistance to fracture. The MedTech industry uses advanced materials like titanium alloys for dental and bone implants, capitalising on their excellent osteo-integration properties and rust-free long life. The Defence Research and Development Organisation (DRDO) in India, for example, has developed titanium-based implants for both military and civilian use, a clear example of dual-purpose innovation.

In defence, additive manufacturing (3D printing) and advanced materials are used for the rapid production of complex, mission-specific components, reducing reliance on traditional supply chains. These technologies also enable the development of new, high-strength materials that improve the functionality and durability of military equipment.

C. Cybersecurity and Secure Networks

The increasing reliance on networked systems has made cybersecurity a critical, shared concern for both industries. The MedTech sector is facing growing regulatory pressure to secure patient data, electronic health records, and networked medical devices against cyberattacks. This requires new product life-cycle management processes to identify vulnerabilities and remediate risks.

For the defence sector, cybersecurity acts as the digital shield for sensitive military networks, command-and-control systems, and critical infrastructure. Both domains are integrating next-generation cybersecurity protocols that leverage AI and advanced encryption to ensure data integrity and system reliability in the face of sophisticated cyber warfare.

D. Robotics and Autonomous Systems

Robotics are at the heart of the future of both MedTech and defence. In MedTech, micro-robots with dexterous manipulation capabilities are being developed for applications such as targeted drug delivery, clearing clogged blood vessels, and microsurgery^. These systems allow surgeons to access hard-to-reach anatomy and perform delicate interactions with tissues to reduce invasiveness.

In defence, autonomous combat drones and robotic platforms are used for high-risk operations like surveillance, intelligence gathering and bomb disposal, reducing the risk to human personnel.The intersection of these two applications is seen in the use of autonomous drones for casualty extrication and the development of robotic platforms for remote surgical procedures on the battlefield.

The Dual-Use Technology Matrix

Technology	MedTech Application	Defence Tech Application
Artificial Intelligence (AI)	AI-powered diagnostics for imaging analysis, predictive models for disease outbreak monitoring, and automated triage systems for patient care.	AI-driven warfare strategies, autonomous drones for surveillance and combat, real-time threat detection, and AI-powered battlefield triage.
Advanced Materials & Additive Manufacturing	3D-printed prosthetics and customized implants, titanium alloys for bone and dental implants, and novel biomaterials for tissue regeneration.	Rapid prototyping of complex components, on-demand production of mission-specific parts, and the development of high-impact-resistant materials for vehicles.
Cybersecurity	Securing electronic health records, protecting networked medical devices against attacks, and ensuring data integrity in telehealth platforms.	Protecting sensitive military networks, command-and-control systems, and critical infrastructure from cyberattacks.
Robotics & Autonomous Systems	Micro-robots for targeted drug delivery and microsurgery, robotic surgical platforms (e.g., Da Vinci system), and automated systems for laboratory analysis.	Autonomous combat drones, robotic bomb disposal units, and unmanned systems for logistics and casualty evacuation in high-risk zones.

Collaborative Ecosystems and Key Facilitators

The transition from a coincidental "spin-out" model to a deliberate symbiosis is underpinned by the emergence of organisations and partnerships specifically designed to bridge the MedTech and defence sectors. These entities act as the primary engines of collaboration, formalizing the transfer and co-development of dual-use technologies.

A. Government and Military R&D Agencies

Key government agencies play a pivotal role in this ecosystem. The Defence Advanced Research Projects Agency (DARPA) is a crucial driver of dual-use innovation, tackling national security challenges with solutions that have broad civilian applications. DARPA's Medics Autonomously Stopping Hemorrhage (MASH) program, for example, is developing sensor-guided robots for autonomous surgical intervention on the battlefield, a technology with clear implications for civilian pre-hospital trauma care. Similarly, its Detect It with Gene Editing Technologies (DIGET) program, which provided rapid and precise diagnostic capabilities for COVID-19, began as a defence-focused effort on infectious disease testing.

The Defense Innovation Unit (DIU) represents a powerful example of the "spin-on" effect being institutionalised at a federal level. DIU's mission is to accelerate the adoption of leading commercial technology for military use, specifically focusing on "human systems" and other dual-use capabilities. By working directly with the commercial technology ecosystem, DIU provides a faster and more agile pathway for proven civilian technologies to be integrated into military operations.

This institutionalised approach is not unique to the U.S. In India, the Defence Research and Development Organisation (DRDO) operates the Defence Bio-Engineering & Electro Medical Laboratory (DEBEL), whose mission is explicitly dual-purpose. It develops life support equipment and biomedical devices for service combatants while also exploring the utilisation of "spin-off technologies for civilian application," such as the production of titanium-based implants for both military and civilian patients.

B. Public-Private Partnerships and Consortia

Public-private partnerships and consortia are critical for bringing together diverse stakeholders to advance dual-use technologies. The Medical Technology Enterprise Consortium (MTEC) is a prime example, advancing medical innovation by leveraging military-civilian partnerships. MTEC connects a network of over 600 members, including small and large businesses, federal agencies, and academic institutions, to expedite the development of cutting-edge medical technologies. Its use of a flexible "Other Transaction Agreement" (OTA) model allows for faster project awards and technology development than traditional procurement methods, fostering a robust collaborative environment.

C. The Commercialisation and Technology Transfer Process

The process of commercializing defence-funded research for civilian markets is a formal effort. NASA's Technology Transfer Program, while not strictly military, provides a parallel model for how defence technologies are "liberated" for broader use. Through publications like NASA Tech Briefs and Spinoffs, the program documents technologies that have been successfully commercialised, from memory foam and freeze-dried food to cochlear implants and CMOS image sensors.This deliberate process of identifying and scaling dual-use technologies is a vital component of the symbiotic relationship.

Key Organisations and Their Collaborative Models

Organisation	Purpose & Focus	Collaborative Model
DARPA	Addresses urgent national security challenges by developing high-risk, high-reward technologies with potential for "strategic technological surprise."	Funds and manages programs with both defence and civilian applications, often involving private companies, universities, and government labs.
DIU	Accelerates the adoption of leading commercial technology into the military and bolsters the national security innovation base.	Partners with commercial technology companies (many of whom are new to the DoD) to prototype and field "dual-use capabilities" at commercial speeds.
DRDO (DEBEL)	Develops protective, life-support, and biomedical devices for military combatants and explores the utilization of "spin-off technologies for civilian application."	Operates as a government-led R&D laboratory with a dual-use mandate, transferring technology for both military and civilian production.
MTEC	Advances medical innovation by fostering partnerships between military, academia, and private industry to improve military and civilian health.	Acts as a consortium that uses a flexible OTA to expedite development, bringing together a broad ecosystem of stakeholders to address common needs.

Ethical, Legal, and Societal Implications

The profound interdependence between MedTech and defence technology introduces significant ethical, legal, and policy complexities that must be carefully navigated. The inherent dual-use nature of core technologies, coupled with the blurring of professional lines, creates a new set of challenges for researchers, policymakers, and society at large.

A. The Dual-Use Dilemma

The most significant challenge is the "dual-use dilemma," which refers to the ethical paradox of technologies designed for benevolent purposes that can be repurposed for harm. This is particularly acute for technologies like AI and biotechnology, where the same scientific information intended to save lives can be used to threaten a population. For instance, a medical AI system that can detect anomalies in a human body during an MRI scan could be re-engineered to analyse surveillance imagery for predictive targeting.

A pharmaceutical that non-invasively increases alertness for military personnel could be used to keep a warfighter awake for days on end, blurring the line between medical support and performance enhancement. This intrinsic duality complicates governance and demands careful consideration of the potential for misuse.

B. The "Militarisation of Medicine" Debate

The historical and contemporary relationship between military and medical practices has led to a debate over the "militarisation of medicine." This concept explores how the professional identities and practices of medical officers are shaped by military culture and the unique demands of warfare. While military medicine has undeniably driven a focus on empirical and observational models that have influenced civilian practice, the integration of modern defence technologies introduces new questions. When a medic's tools include autonomous drones for casualty evacuation or AI-powered triage systems, the lines between the role of a "caregiver" and a "warfighter" begin to blur. This can create ethical conflicts regarding patient loyalty, data use, and the potential for a medical intervention to serve a tactical rather than purely therapeutic purpose.

C. Data Privacy and Algorithmic Bias

The convergence of technologies also raises significant concerns about data privacy and algorithmic bias. Both the MedTech and defence sectors handle vast amounts of sensitive data—patient health records in one case and classified intelligence in the other. When these datasets are used to train AI and machine learning systems, there is a risk of data breaches and the potential for algorithmic bias to emerge. For example, a bias in a medical AI system could lead to inaccurate diagnoses for certain populations, while a bias in a military AI could lead to flawed decision-making on the battlefield. These concerns demand urgent attention to ensure the reliability and ethical application of these powerful technologies.

D. Policy and Regulatory Frameworks

Developing effective policy and regulatory frameworks for dual-use technologies is exceptionally challenging. The dilemma is to create policies that simultaneously foster innovation, ensure national security, and uphold ethical standards, often under political pressures. Past initiatives, such as the Technology Reinvestment Project (TRP), have struggled to produce technologies that successfully serve both military and commercial needs, often gravitating toward dedicated military production.Lessons from these experiences highlight the need for government agencies to work closely with industry, and for regulations to be agile enough to keep pace with technological advancements, such as the FDA's new regulatory power over cybersecurity standards for medical devices.

Future Outlook and Strategic Recommendations

The symbiotic relationship between MedTech and defence technology is set to deepen and accelerate. As global security threats evolve and the demand for advanced healthcare solutions grows, the cross-pollination of these two fields will become more deliberate and pronounced. This analysis provides a foundation for navigating this evolving landscape and offers strategic recommendations for key stakeholders.

A. Emerging Trends and Trajectories

The future of this symbiosis is characterized by three key trends. First, the full integration of AI-powered autonomous systems for medical care is on the horizon, with programs like DARPA's MASH leading the way toward robotic surgical interventions in pre-hospital settings. Second, the "anywhere care" model, which puts the emphasis on delivering health solutions regardless of location, will continue to expand.

This includes the use of autonomous medical drones for casualty evacuation and the expansion of telemedicine platforms to provide expert care to remote warfighters and civilians alike. Finally, the use of micro-robotics for invasive, targeted treatments will grow, with potential applications for drug delivery, clearing clogged blood vessels, and precision microsurgery in both military and civilian contexts.

B. The Continued Institutionalisation of Symbiosis

The trend of government agencies and public-private consortia actively bridging the two sectors will continue to grow. This institutionalization will lead to more deliberate and rapid technology transfer, bypassing the traditionally slow and expensive procurement processes. The models employed by organizations like DIU and MTEC, which prioritize collaboration and the use of flexible funding mechanisms, will serve as a blueprint for future initiatives. This formalisation ensures that innovation is not left to chance but is proactively driven to benefit both national security and global health.

C. Strategic Recommendations

Based on this analysis, several key strategic recommendations are offered for stakeholders:

For Strategic Investors: A focus on companies and technologies with inherent dual-use capabilities—specifically in AI, robotics, advanced materials, and cybersecurity—presents the most fertile ground for cross-sector revenue and robust demand. Investing in companies that demonstrate strong public-private partnership models, or that are actively engaged with organizations like DIU and MTEC, can provide a significant competitive advantage by tapping into both government and commercial markets.
For Policymakers: The development of clearer, more nimble regulatory frameworks is essential to
account for the dual-use nature of technology. This requires fostering collaboration and communication between medical and defence regulatory bodies to prevent conflicts and ensure that innovations can be scaled and deployed safely and efficiently. Additionally, government programs should learn from the successes and challenges of past initiatives to create funding models that promote the co-development of solutions rather than bifurcating them.
For Industry Leaders: Companies should actively embrace collaboration with government R&D agencies and consortia. By prioritizing research and development that addresses core challenges common to both sectors—such as remote care, human performance optimization, and diagnostics in austere environments—companies can create robust, versatile products with built-in demand from both the military and civilian markets. This proactive approach will position them as leaders in the next wave of technological breakthroughs.

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