7. The current Trust Territory health care delivery "system" is totally inadequate to serve as the primary care referral base for the BNL tean. Tne reasons for this include: a) very poor administration (fiseal, personnel, planning, etc.)3 b) poor Liaison with their source of funds, i.e., Trust Terri- tory; ¢) umnder-trained professionals; d) heavy patient load (high incidence of a wide spectrum of diseases). e) 8. very poor facilities and upkeep. The current "power base" in the Marshall Islands lies in the hereditary leaders and their appointed followers. They have assimilated themselves into the modern (free association) 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 to resolve our problems, but we must understand their orientation and goals. One of these followers recently advised his constituents to refuse U.S. compensation payments because he interpreted the payments to be a final settlement for all future claims. We feel the leaders realize the possibility of the potential closing or significant reduction in the government investment in Kwajalein, which is their major financial base. Therefore, tinued reparations for their land and people. they will probably demand con-