Don and I both perceive the spectrum ranging from a university-supported, intermittent field team, utilizing house staff and attendings to perform periodic support of the Marshallese in the area of general medical care without secondary or tertiary committments. The other end of the spectrum would include a series of permanent on-site medical facilities delivering primary, secondary and remote tertiary care. A single hospital ship, like a small version on project H.O.P.E., is an alternative. . _ The key to success of the program, of course, is to make the universities an offer they just can't turn down. I discussed some of the benefits accruing The kicker, of course, would be the overhead on the millions that would be required to operate such a program. I am sure that unless we can provide some solid proof of continued support (funding-and-philosophy) from our current funding base that the universities would be very reluctant to gamble on BNL's good intentions. Both Don and I agree that it will take at least 24 months to establish a functional unit in the field. I think, in addition, that it will take equally as long to develop and implement the Burton Bill. At some point (? 18 months into development) the interfaces between: 1. Brookhaven National Laboratory a 2. the Los Angeles area universities 3. the groups implementing the Burton Bill (? Public Health Service) 4. The Marshallese health-care system administrators should be clarified in a series of co-ordinating meetings. At this point the responsibilities and allocation of funds could be clarified. Prior to that time the funding for the BNL/university program will need to come from some other source. I doubt if we will have any solid information or committment of the amount the Yates committee will consider adequate for the details of the implementation of the Bill due in DOI in Jan "81. In summary, the BNL/university affiliations will need to proceed parallel and concurrently with the. development of the Burton Bill with independent oc C13 C7 funding. At some point in the future a sharing of funding should be anticipated. ee eee to the universities in my letter to Dr. Henderson dated August 16,1979..