1. "Comprehensive Care (primary, secondary, and tertiary) for the peoples of Rongelap, Utirik, Bikini, and Enewetak)," 2. “Comprehensive Care as in 1..., plus comprehensive care for the peoples of all other atolls of the Marshall Islands." The contractor submitted to DOI a health care proposal for an “Intecrated, comprehensive health care program" with respect to all the peoples of the Marshall Islands. The proposal addresses health care, health care administration, and hospital administration in a comprehensive manner. As such, the proposal does address the general care and needs of all the Marshallese but it does not positively address the radiation related health care needs of those Marshallese who "may be found to be or to have been exposed to radiation from the nuclear weapons testing program" nor does it provide “a program of medical care and treatment... for any injury, illness or condition which may be the result directly or indirectly of such nuclear weapons testing program." In other words, the Loma Linda Proposal does not present an integrated preventive medical program for radiation related health effects-and diseases. Cancer of the breast, lung and thyroid, and of lymphatic tissues, as well as leukemia are well known adverse health effects of ionizing radiation. Other adverse health effects include genetic or muta- tional outcome, and reproductive effects. Also, radiation is be- lieved to have a causal relationship in the production of other major human health problems, namely heart disease and possibly, aging. Tables 4 and 5 in the Loma Linda Proposal display data which are strongly suggestive that such radiation related adverse health effects