C.
For each analysis ralative to the four above named atolls
and any others that may be found to be or to have been exposed
to radiation from the nuclear weapons testing program, estimates
will be provided with respect to carrying out the health program
directly through United States agencies or organizations. This

analysis will include estimates for carrying out the health

program through or in conjunction with the health care agencies
of the Marshall Islands Government.
D.

The contractor will submit health plans according to the

following outline (Primary, Secondary, Tertiary).
1.

Comprehensive care for the peoples of Rongelap, Utirik,
Bikini and Enewetak.

2.

Comprehensive care as in 1, plus comprehensive care

for peoples of other affected atolls of Kikiep, Mejit,
Ailuk, Wotho, Wotje, Ujae, Lae.

3.

E.

Comprehensive care as in 1 & 2 above, plus comprehensive
care for all other atolls of the Marshall Islands.

Reference to RFP and Loma Linda University Proposal
*

RFP

A+

A

D limited
to radiation

F.

LLU

Scope of Work

1 = Comprehensive (Pri Sec Ter) on 4 (7)

Atolls.

)

2 = 1 as above plus comprehensive care for
the peoples of other affected atolls

B

B

3 = 1+ 2 as above plus comprehensive care
for the peoples of all other atolls

c

Cc

Comprehensive gare as in 1 above and primary
care for all other atolls; subsumed by 1 and
3 above.

Assumptions
1.

o

Secondary care on Ebeye, Majuro

|

|

It is medically impossible, at the primary care level,
to separate most injuries, illnesses or conditions caused
by direct or indirect radiation effects from other health
care needs.

2.

3.

Any expansion of secondary and tertiary care, for ethical

and economic reasons, should be available to all other
Marshallese.
°

It is anticipated that for secondary level care to be

adequate and cost effective, it will need to be located

on Ebeye and Majuro.

- 2 -

C

Select target paragraph3