7.

The current Trust Territory health care delivery "system" is.

totally inadequate to. serve as the primary care referral. base for the BNL team.

The reasons for this include:
a)

-

very poor administration (fiscal, personnel, planning,
etc.);

‘b)

poor liaison with thei: source of funds, i.e., Trust Territory;

c)

under-trained professionals;

d} heavy patient load (high incidence of a wide spectrum of
diseases).
e)
8.

very poor facilities and upkeep.

The current "power base" in the Marshall Islands lies in the

hereditary leaders and their appointed followers.

They have assimilated

themselves into the modern (free association) government and exert considerable
influence over the territory.

They have vested interest in protecting their own

wealth and positions and the people have little voice in the actual process of
"self-determination".

These leaders are the people with whom we must deal to

resolve our problems, but we must understand their orientation and goals.

One

of these followers recently advised his constituents to refuse U.S. compensation
payments because he interpreted the payments to be a final settlement for all
future claims.

We feel the leaders realize the possibility of the potential

closing or significant reduction in the government investment in Kwajalein,
which is their major financial base.

Therefore, they will probably demand con-

tinued reparations for their land and people.

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