Who was to blame for secrecy surrounding Austin's hospitalization? A Pentagon report says no one

An internal review about Defense Secretary Lloyd Austin’s hospitalization for complictions from prostate cancer surgery blames privacy restrictions and staff hesitancy for the Pentagon’s failure last month to quickly notify the president and other senior leaders

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An internal review blames privacy restrictions and staff hesitancy for the Pentagon's failure last month to quickly notify the president and other senior leaders about Defense Secretary Lloyd Austin's hospitalization for complications from prostate cancer surgery.

The review, which was done by Austin's subordinates, largely absolves anyone of wrongdoing for the secrecy surrounding his hospitalization, which included several days in the intensive care unit. And it says flatly there was “no indication of ill intent or an attempt to obfuscate.”

Instead, the 30-day examination of the lapse — which angered the White House and members of Congress — says procedures must be improved and information shared better when the defense secretary must transfer decision-making authorities to the deputy.

Austin has been called to Capitol Hill on Thursday for a House hearing on the matter and is expected to face sharp criticism. The Defense Department’s inspector general is also conducting a review, which has not yet been completed.

Austin was diagnosed with prostate cancer in early December and went to Walter Reed National Military Medical Center for surgery on Dec. 22. On Jan. 1, he was taken back to Walter Reed by ambulance after experiencing significant pain, and was moved to the intensive care unit the next day.

Although he transferred decision-making authorities to Deputy Secretary Kathleen Hicks during his initial surgery and then again when he was in intensive care, he did not tell her why and he did not inform the White House.

Pentagon officials have acknowledged that public affairs and defense aides were told on Jan. 2, that Austin had been hospitalized but did not make it public and did not tell the military service leaders or the National Security Council until Jan. 4. Only then did President Joe Biden find out. It took four more days before the reason for his hospitalization was disclosed.

Defense officials released an unclassified summary of the review on Monday and a set of recommended changes. The review suggests there was no established method for such an incident, and the fact that his hospitalization was “unplanned” contributed to the failure to let others know.

It also says Austin's staff was limited by medical privacy laws that prohibited doctors from providing health information and they “were hesitant to pry or share any information they did learn." It adds that since Austin's condition was “in flux" they could not ensure “timely secured communications.”

The 30-day review was finished and submitted to Austin on Feb. 8, but only parts of it were publicly released. The Pentagon has argued that portions of the report are classified.

Austin, in a press briefing after he returned to work, told reporters that he never told his staff to keep his surgery and hospitalization secret from the White House, but acknowledged he should have handled it differently and he apologized for keeping Biden and others in the dark for weeks. He denied there was a culture of secrecy in his office, and also said that staff members may have perceived that "they’re doing things in my best interest.”