The Honorable Wallace 0. Green Acting Deputy Assistant Secretary Territorial & International Affairs August 8, 1980 Page Ten 3. Where actual radiation dosage cannot be determined, where a medically "normal" control population cannot be identified, and where social and living patterns have been funcamentally alterec, in what way would you seek to determine whether a particular injury, illness or condition may be related, directly or indirectly, to the nuclear weapons testing program? In what way can it be established that a particular injury, lliness, or condition could not possibly be relatec in any fashion to the nuclear weapons testing program? 4. What would be the estimated cost per incividual of attempting to make the medical determinations referred to in Question 3? How does this compare to the cost of providing .= necessary treatment? “4 5. Given that primary, secondary and tertiary medical care must be made available at a Minimum to the people of Bikini, Enewetak, Rongelap and Utirik wherever they may reside in the Marshall Islands, and given that hospital facilities, medical equipment, medicines, doctors and other personnel must be brought to and maintained in the Marshall Islands for this purpose, and transportation and communication lines must be established for this purpose, what would be the additional incremental cost of making these facilities available to the rest of the Marshallese population? The primary concern of the Government of the Marshall Islands is that medical care be provided to people in need as contemplated by Section 102 of Public Law 96-205. In order to assist uS in reaching this goal, we suggest one idea for your consideration. President Carter in his statement upon signing Public Law 96-205 referred to the provision