-12- Hawaii has developed well-recognized and highly-effective programs to deal with many of the basic problems confronted by the Marshall Islands. Those problems are basically a maze of anthropologic and sociologic characteristics determining the health status of the society and each individual. We feel a multidisciplinary approach to restructuring the health care system will be the nost cost/effective method in the long run. The University of Hawaii has expressed an interest in discussing this concept with the BNL team. We feel a coordinated effort by BNL and the University of Hawaii, working with the existing Trust Territory medical program could achieve most of the goals of Option D. Such a program could be developed incrementally, under con~ tract, as specific problems were identified. 5052231