The Marine Corps has implemented a new policy that may lead to the separation of troops suffering from pseudofolliculitis barbae (PFB), a genetic skin condition that causes pain and scarring from shaving. The condition predominantly affects Black men, leading many to request shaving waivers to avoid exacerbating their symptoms.
Issued on Thursday, the “interim guidance” gives military healthcare providers 90 days to reassess Marines diagnosed with PFB. If the condition persists despite a four-phase treatment plan, and the Marine has been on a shaving waiver for over a year, commanders may consider administratively separating them from service due to “incompatibility with service.”
This change marks a reversal of a 2022 policy that prohibited the separation of Marines solely based on PFB. The condition arises when curled hairs grow back into the skin, leading to inflammation and discomfort.
The update aligns with a broader review of military standards directed by Defense Secretary Pete Hegseth, focusing on issues such as body fat and shaving waivers.
New Policy Creates Concerns of Discrimination
Major Jacoby Getty, spokesperson for the Marine Corps’ Manpower and Reserve Affairs, emphasized that the new policy aims for consistency in managing medical conditions and does not lower the military’s standards. However, some experts worry it could disproportionately impact Black service members.
A dermatologist, speaking anonymously, expressed concern that the policy could discriminate against Black troops, who make up 15-16% of the active-duty force but represent 66% of shaving waiver holders. Shaving waivers are often required by those with PFB to avoid worsening the condition.
“You could have service members of different races on shaving waivers, but the majority are Black,” the dermatologist said. “Any negative outcome applied to this group, whether slower promotions or potential separation, will have a disproportionate impact on Black Marines.”
PFB, a genetically determined condition, has limited treatment options. Marines typically manage it by either enduring the pain of shaving, undergoing laser hair removal, or receiving a shaving waiver. However, the new policy’s treatment protocol may lead to some Marines feeling pressured to either endure pain or seek treatments that may not be readily accessible.
Phased Treatment Plan Outlined
The new policy includes a four-phase treatment plan aimed at helping affected Marines return to full compliance. The first phase involves avoiding shaving for four weeks to allow mild cases to heal. The second and third phases target moderate to severe cases, recommending modified grooming standards and non-laser hair removal. The final phase, optional, includes laser hair removal, which the Marine Corps will not mandate but may recommend.
Getty said the goal is to ensure Marines diagnosed with PFB recover and return to full compliance, maintaining the service’s readiness and resilience.
Possible Outcomes and Challenges
While some Marines may benefit from the new policy, the dermatologist foresees several outcomes. For example, Marines with mild conditions may no longer need waivers. However, others with more severe cases could face difficult choices, either enduring the painful effects of shaving or pursuing laser treatments, which may not be easily accessible, especially for those stationed overseas.
Marines may also face administrative separation if their condition persists beyond the allowed timeframe, a decision that some experts fear could disproportionately affect Black service members.
A Policy Under Review
The policy change comes as part of the Marine Corps’ efforts to align with broader Department of Defense guidelines that review military standards. Getty emphasized that the Corps’ focus is to balance talent retention with the need for high readiness standards.
Under the previous policy, commanders did not have the authority to administratively separate Marines based on PFB alone. Now, commanders are tasked with actively monitoring treatment progress and making informed decisions about a Marine’s medical readiness and reenlistment eligibility.
Getty clarified that while the new policy does not prohibit reenlistment for affected Marines, commanders will consult with medical officers to determine whether the Marine is fit for continued service.
Looking Ahead
A final order codifying these changes is expected to be published by late spring or early summer. Meanwhile, Marines affected by PFB will be required to carry their shaving waivers, a move designed to improve clarity and consistency across the force.
As the policy moves forward, questions remain about its long-term impact, particularly for Black service members, who are most likely to be affected by PFB and its treatment protocols. The Marine Corps insists, however, that it remains committed to supporting all Marines and ensuring that its standards do not undermine individual health and readiness.
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