and economic leverage. Their recent movement for "free association" will probably not progress to independence, without firm guarantees, in writing, by the United States, that we will continue to compensate the people for injury and damage to their land. Their current concept includes the descendants of those people who have been identified as "injured" through propertyand/or physical loss. Conversely, the U.S. would like to resolve these claims equitably and to place some reasonable time limit on U.S. liability. The current Trust Territory health care delivery "system" is totally inadequate to serve as the primary care referral base for the BNL team. .T The reasons for this include: cpa rey 1S Ne! . se, 5st a) very poor administration (fiscal, personnel, planning, etc.); b) Vv oe *T poor liaison with their source of funds, i.e., Trust Territory; pede ue , c) under-trained professionals; d) heavy patient load (high incidence of a wide spectrum of “obey. dg ; ti mt nd . diseases). e) pee very poor facilities and upkeep. \ . The current “power base" in the Marshall Islands lies in the They have government and exert considerable influence over the territory. They have vested interest in protecting their own wealth and positions and the people have little voice in the actual process of "self-determination". These leaders are the people with whom we must deal te resolve our problems, but we must understand their orientation and goals. 052222 One of these followers recently cue. be mA et al i Aa assimilated themselves into the modern (free association) y oF wee net hereditary leaders and their appointed followers. i 1 gov” “