-1é-

Comprehensive health care would ancompass primary, secondary, and tertiary
care, as herein detined.
Such comersnensive care woule include the
necessary infrastructures, including communication and Sransyersation
Capability.
The health care
_srogram would give special emphasis to she

detection andtreatment of
acy injury, illness, or condition “that_maybe
the result, sipectiyorGENS of the nuclear weapons testing

Program:

The contractor should undertake to insure that, to the extent possible,
the services and activities to be provided under the proposed plan be
integrated to achieve maximum efficiency.
-a-ei~
+4
ais
care functions of the Government of tre Marshall. Islands should se
coordinated with the heaith care crscram established sursuant to the
Statute. The contractor will be required to srovide costestinares.for
this olan.
(») Although the Interier Department's preliminary view is
that a plan for comprehensive health care for all of the Marshalls

exceeds the boundaries of the statute,itaskshecont=acsaralsaso

develoo an intecrated, comorehensive health cares crogram for ail atolls
and islands of the Marshalls. As the statute provides, the extent cof

care to be provided would be appropriate to the “situation, condition,
and neecs of the individual atoll peoples". The contractor will be
required to provide costs estimates for this plan.

(ce)

Although the Interior Cepartment’s praliminary view is

that a program for health care that is more extensive than that scutlined
in (a) above, and less extensive than that outlined in (5b), exceeds <he
boundaries of the statute, it asks the contractor to develop a health
care program for the Marshalls along the following lines:
the interior Deparsment would initiate.promptly implementation ofa
i

in

he

~

Yes

the ceoples of Rongelas, Utirix, sitint, and Enewetak, and wouldprovide
them orimary, secondary, and tertiarycare.
Access t9 seconcaryand
tertiary medical care would be afforded by appropriate sonmunication and

¢yansportation capabilities(that is,voice and visual cousunication
with the nedical center at Mature, and emergency evacuation capabilities),
as part of the comprehensive health care program.

ac

Concurpentiy,—theSecretary would begin ts establish a basic pricary |

capacilityon other snhabited atolls.

TAZ-BAPAC-REEALY

health care would generally consist of a trained side, a dissensary,
comminication and transsorsaticn cagabilities. Subsequent to che Se
care evaluation of the our named atolls, the Secretarywould carry out
a health evaluation of the seocles of other inhabited atolis in the
Marshall Islands.
The extant to which additional health care services

may be incluced would
determined by the information obtained fromthe
Dlealthevaluation of the seccles of sheseatclis. Tne_Sscresasywould
Carzsyout the health evaluation at other atolls in a sequential manner,
to_be determined following consuitaticn with representatives sf tne
People of theatolls and she government of
the Marshall Islands. The

contractor willDe required to provide cost
estimates for this plan.

Select target paragraph3