hypothesis of investigating late radiation effects. The people desire that the "we do not doctors simply do not say "There is no danger" but rather admit observation and know completely" and design a program of continuing medical examination of all the people. When discussions have arisen concerning the need to expand the program to allow examination of all people at Utirik, children at both Rongelap money and Utirik and the people living at Bikini, officials argue that time and being are not available. In 1974 when implementation of public law 5-52 was d discussed, the program director argued that children should not be examine did not allow not only because there was no need but also that time simply for it. It is stated that the experts who come on the March survey can be away from their normal medical practices for only a short time and that this is a major limiting factor for the time that team can spent on each island. However, others as well as the people themselves do not feel that lack of time is a sufficient reason not to give adequate health care. The people have interpreted, furthermore, the lack of time issue as a lack of interest and a distrust for the program. To the Marshallese time is never a factor to consider if someone truly wants to be with someone else ~ not only for friendship but for health matters as well. Philosophy of Program 1975-76 The medical survey program since June 1975 has shifted its emphasis. Rather than comvoying the message Gf :eseaich, it has tried io develop along the lines of a general health care and maintenance program. The new direction given to the program during this time was accomplished without added expense, with improvement in health care, and still maintaining the research data collection. People at all three islands have noted the change and responded favorably and enthusiastically. People now felt that they wanted to come to see me and not that they were being forced to do so. Their concern about better total care has been appreciated and responded to by the resident physician. At Utirik people have stated that it was the first time a doctor from AEC has come interested in seeing everyone on the island on an equal basis, whether exposed or unexposed. As the resident physician for the program during this time, I shared the people's needs for health care rather than research. My specialty training and interests are in the fields of family and community medicine. It is easy for me to perceive the human side of medicine focusing on human feelings and social needs than on the colder nature of research. As the physician surveying the health of the people on each island, I recognized the needs and expanded the program to include regular vaccination programs, family planning, and contraception clinics, venereal disease clinics, well baby clinics, pre natal care, general medical and minor surgery clinics. I was told on several occasions that supplies for such clinics, particularly vaccine, birth control pills, pre natal vitamins, oral hypoglycemics, should come from the Trust Territory and not from Brookhaven. Brookhaven did provide limited supplies but felt any 1] 1o12210