OPTIONE All screening, diagnosis and treatment for radiation-related diseases, as well as all other primary care problems shall become the responsibility of the new Marshall Islands Health Care Delivery System. The population concerned shall be all Marshallese exposed to radiation lev- els above those ambient for Micronesia. We would anticipate that such a program would be subcontraced to specialists in this area, since the Marshallese do not possess the required,expertise. The new Marshallese government would, undoubtedly, insist that the U.S. government fund such a program - at a cost greatly exceeding our present annual investment. In addition, there is a very good possibility that the subcontractors would include some of the strongly anti-nuclear groups from Japan and the U.S. that have been trying to get access to those islands for years. Their biased reports would probably result in severe world criticism and an escalation in litigation.