interrelationship between BNL screening and the health of the people of the Marshall Islands. js We feel a failure to deal effectively, in some way, weenrt the primary care requirements of the people will lead tc further ill-will, . failuretocomplywiththe research protocol (e.Be > thyroid therapy), and if Ate aor finally, litigation and a call to foreign and national anti-nuclear groups ! Ine to witness the "mistreatment" of the Marshallese by the U.S. government. Since primary medical care is clearly not the mandate of the DOE, perhaps some interdepartmental agreement could be reached with the Department of Interior and/or the Department of Defense to answer this very pressing problem. U.S. monies are already going to the Trust Territories to provide health care but the utilization of those funds leaves much to be desired. The analysis of options open to DOE-BNL has been approached in a system analysis format, utilizing an outline as developed by Gordon A. Friesen, cf the General Electric Company, Re-Entry Systems Department (Figure 1, page 5). As in any general systems analysis format, some of the elements will be indeterminant on the basis of available information. In the analysis of "constraints" to the’ various options, two important facts should be kept in mind. First, there will be a most options. common group of constraints applicable to These constraints will be listed at the end of this section. Pertinent general constraints will be listed by number in Colum ITI (labelled constraints) on the flow sheets for each option. Secandly, constraints should be considered in two categories: 1. Absolute —- by definition, an absolute constraint offers no alternatives; in effect, it totally blocks an objective or element of an objective (e.g., no funds); 9052218