Well Doubront has a pulled groin, so he's not coming up. As far as Atchison is concerned, I think he *should* be our 8th arm in the bullpen, meaning first up from Pawtucket.
With a pen of Pap Bard Jenks Albers Aceves Hill Wheeler, that's a bullpen where, outside of Wheeler and Jenks who are having a tough start to the year, there will never be a case where we are losing in a close game and people say "WTF?!? Why did we bring him in?!?"
You essentially replace Wakefield and Okajima with Aceves and Hill. Both of those are extremely effective relief pitchers. Both of those have the ability to come into the 7th or 8th inning when we're up by 1 or 2 runs (assuming Bard needs rest), and you see them running in and you're comfortable with that.
That's something that I think this team has not had in recent years. Between Wakefield, MDC, Ramon Ramirez, and Okajima last year, Francona was almost in a situation where he's saying "Ok, 1 out in the 7th, we're up 1, does a depleted Lester give us a better shot to win, or does MDC or RR give us a better shot?" And I think a lot of his complacency with the SP stems from that.
But now, we have 7 arms that can almost all be trusted in a 1-2 run game (save for Wheeler and maybe Jenks until he turns it around), and now maybe Francona isn't so reluctant to go to the bullpen. Maybe at that point, he goes out with the hook at the first sign of trouble because he finally has the confidence in his bullpen that he's never had.
It all starts with getting rid of Wakefield and Okajima. Managerial complacency stems from bullpen inconsistency.