Efficient is not effective? They are different! The National Incident Management System (NIMS) using the Incident Command System (ICS) is a "reactive" pull-demand LEAN supply chain logistics system based on being "efficient" NOT "effective." That's why NIMS/ICS fails in the “most significant” events. Supply Chain is the “Achilles Heel” of NIMS/ICS. Not only is a “proactive” push-system (Effective but not efficient) needed, but also the old Civil Defense (CD) stockpile of one year of food and many other supplies for all Americans needs to happen again.