mayan? Ecrhnal YT; of Public Health, Loma Linda University There would be no specialty services for even the non-emergency care needed such as radiologic services, psychiatric examinations, orthopedic evaluations, opthalmologic evaluations, etc. It is highly inappropriate to refer non-EnglishSpeaking people to Bonolulu for any evaluation required by one of the medical specialists and it isimpractical to transport the specialists to the Marshall Islands for consultations on such a small population base. This plan would provide no capability for the Marshall Islands Government to take over the required care even with long range planning. This plan would not be cost effective. Without adequate local hospital facilities, it would be very difficult to recruit a physician for the responsibility involved as this would place him in the untenable position of having responsibility for total primary care including emergency care but would provide no adequate support in terms of local hospital facilities to enable him to render the mandatory care within his capability. The social disruptions and secondary effects of transporting large numbers of non-Englishspeaking people to Honolulu would result in many secondary negative situations. Pe ome Oe eee ee ee ee ATE Se aes. roan 7 ~ -ee mT OM A a Bs me - mene st Tet ee ee See ee oe ote a ee me + ee wane me - - > re: = wee