-14- Comprehensive health care would encompass primary, secondary, and tertiary care, as herein defined. Such comprehensive care would include the necessary infrastructure, including communication and transportation capability. The health care program would give special emphasis to the Getection and treatment of any injury, illness, or condition that may be the result, directly or indirectly, 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. In particular, the health care functions of the Government of the Marshail Islands should be coordinated with the health care program established pursuant to the Statute. this plan. The contractor will be required to provide cost estimates for (>) Although the Interior Department's preliminary view is that a plan for comprehensive health care for all of the Marshalls exceeds the boundaries of the statute, it asks the contractor also to develop an integrated, comprehensive health care program for all atolls and islands of the Marshalls. As the statute provides, the extent of care to be provided would be appropriate to the "situation, condition, and needs of the individual atoll peoples”. The contractor will be required to provide costs estimates for this plan. (c) Although the Interior Department's preliminary view is that a program for health care that is more extensive than that outlined in (a) above, and less extensive than that outlined in (b), exceeds the boundaries of the statute, it asks the contractor to develop a health care program for the Marshalls along the following lines: wn, The Interior Department would initiate promptly implementation of a comprehensive health care plan, including health evaluation, of all of the peoples of Rongelap, Utirik, Bikini, and Enewetak, and would provide them primary, secondary, and tertiary care. Access to secondary and tertiary medical care would be afforded by appropriate communication and transportation capabilities (that is, woice and visual communication with the medical center at Majuro, and emergency evacuation capabilities), as part of the comprehensive health care program. Concurrently, the Secretary would begin to establish a basic primary health care capability on other inhabited atolls. This basic primary health care would generally consist of a trained aide, a dispensary, and communication and transportation capabilities. Subsequent to the health care evaluation of the four named atolls, the Secretary would carry out ea health evaluation of the peoples of other inhabited atolis in the Marshall Islands. The extent to which additional health care services may be included would be determined by the information obtained from the health evaluation of the peoples of these atolls. The Secretary would carry out the health evaluation at other atolls in a sequential manner, to be determined following consultation with representatives of the people of the atolls and the government of the Marshall Islands. The contractor will be required to provide cost estimates for this plan.