.. -- ..-.—.. .-.-. ...- . ~ ,.-...— -----.... - -9- Comprehensive health care would encompass primary, secondary, and tertiary care, as defined in point 5 above. Such comprehensive care would include the necessary infrastructure, including communication and transportation capability. The health care program would give special emphasis to the detection and treatment of any injury, illness, or condition that may be the result, directly or indirectly, of the nuclear weapons testing ~r~)qram. -1,- contractor should undertake to insure that, to the extent possible, 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 Marshall Islands should be ‘--rdinated with the health care program established pursuant to the =t’.?tf? , ..5 Ui~ (~j Although the Interior Department’s preliminary view is tr,at a plan for comprehensive health care for all of the Marshalls -...-c5s the boundaries of the statute, it proposes to ask the contractor “ ;: to develop an integrated, comprehensive health care program for all ~zQIls and islands of the MarshalIs. As the statute provides, the :.~tof care to be provided would be appropriate to the “situation, c~;,ditionr and needs of the individual atoll peoples”. (c) Although the Interior Department’s preliminary view is that a program for health care that is more extensive than that outlined -n (a) above, and less extensive than that outlined in (b), exceeds the boundaries of the statute, it proposes to ask the contractor to develop a health care program for the Marshalls along the following lines: -. ~ Ynterior Depar@ent would initiate promptly implementation of a including health evaluation, of all of .~iF,rehensive health care plan, .:.=peoples of Rongelap, Utirik, Bikini, and Enewetak, and would provide thsn primary, secondary, and tertiary care. Access to secondary and ~.~~iary medical care would be afforded by appropriate communication and transportation capabilities (that is, voice and visual communication ‘“:+h the medical center at Majuro, and emergency evacuation capabilities) , QS part of the comprehensive health care program. would begin to establish a basic primary ‘Concurrently, the secretary health care cap~ility on other inhabited atolls. This basic primary consist of a trained aide, a dispensary, and ‘:e.althcare would generally .mununication and transportation capabilities. Subsequent to the health zzre evaluation of the four named atolls, the Secretary would carry out a health evaluation of the peoples of other inhabited atolls in the ~!irshall 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 detefined following consultation with representatives. of the people of the atolls and the government of the Marshall Islands.