Lt. Cmdr. Alvaro Ramos, the physician associate for a U.S. Naval Special Warfare unit, conducts a medical consultation for an infant during a medical civic action program hosted by members of a U.S. NSW unit and U.S. Civil Affairs in Palawan, Philippines, July 29, 2023. Naval Special Warfare is the nation’s elite maritime special operations force, uniquely positioned to extend the Fleet’s reach and gain and maintain access for the Joint Force in competition and conflict. (U.S. Navy Photo by Mass Communication Specialist 1st Class Daniel Gaither)