Trip Report -23- Sunday was an R&R day for most people and some went ashore to church, some snorkeled and several got a real treat by getting a ridé ina Utirik sailing canoe. The one sour note was that Pratt was still not talking to me except when I asked him something directly. I went ashore and had a chat with the Magistrate and others who had more questions. They were very pleased to have a DOE representative there for the first time in years. The Utirik people appeared much more self reliant than the Rongelapese. Without being a sociologist one might attribute this in part to the fact that the Rongelapese were away for 3 years and cared for by the U.S. Both atolls are heavily on USDA food. (Rongelap much more so than Utirik.) Their local food crops are all doing very well. On Monday we brought 36 patients aboard. It WaS an excellent day as far as amount of work was concerned. At Hugh Pratt's suggestion we fed patients on deck as the doctors "ate on the fly". The crew had everything ready to go by 8:00a, such as the awning between the trailers and the sun canvas. Of particular note was the problem at low tide. At low tide there is only one narrow channel in the main village area through the reef to the beach, and a whaler can only get to within 100 ft. under power whereupon you tilt the engine up and walk the boat ashore. Patients then have to walk in water which is about 8" deep to step into the boat but this involves only 1 or 2 steps and the Utirikese are used to this and take it very much in stride. Then came something which was very disturbing. Dr. J. Iaman, a very highly respected TT medical officer, a gentle, patient, and wise person, a "Shaman" to use Dr. Pratt's words told me that many people were complaining to him as they went through the exam. They told the doctors of their pains, etc. and expected but were not given treatment/medication. One old lady refused to leave theboat until she got something for her arthritis, Dr. Iaman then told Bill Scott of these complaints and Scott, in turn, told Dr. Pratt. Pratt was to hold a meeting that night. Upon further discussion I learned the Rongelap people also complained of the same thing even when Dr. Conard was running the program. Dr. Iaman indicated that the people were again beginning to think that they are being used instead of being treated. This really disturbed me because treatment was the underlying tenant of the 1977 DOE/TTPI agreement for expanded health care. This guinea pig idea surfaced several years ago, and to conduct the program that in any way revives this attitude is courting disaster. I was most anxious to find out what decisions were made at the meeting and I felt personally ar C34 that the sick call should be expanded.