Beracse several representatives of the Marshallese at our Decerber 10 meeting believed it would be useful tc have @ cost figure for a plan of lesser scope, we askec Loma Linda to provide cost figures for a plan that would provide primary care only to the current residents of Enewetak, Rongelap, Utirik, and Kili (there being no current residents of Bikini, with Kili being the residence for the largest group of former @isplaced Bikinians), with secondary and tertiary care to be provided for them outside the Marshalls. Loma Linda has advised us that a program of this scope would cost $2,855,400 for the first year. 2. The Environmental Monitoring, Research, and Dose Assessment Program, preparec for Interior by the Department of Energy, under contract, contemplates for each of the four named atolls the carrying out of comprehensive surveys and analyses of the radiological status of the atolls at appropriate intervals, but not less frequently than once every five years; the development of an updated radiation dose-assessment; and an estimate of the risk associated with predicted human exposure. The Environmental Monitoring, Research, and Dose Assessment Program Plan would utilize results of past and current DOE research programs in the Marshalls, but would also require new and direct monitoring of samples of locally-produced foods, soil samples, groundwater and cistern water-samples, dietary and consumption habits, and Gamma meaSurements. Additionally, research would be conducted on a wide variety of other questions, such as radionuclide cycling in atoll ecosystems, radionuclide distribution in copra products, and radiological dose assessment and risk analysis. The estimated cost of this new program for the first full year would be $1,140,000 if it were carried out in conjunction with on-going DOE Marshall Islands programs. The cost would increase to $4,170,000 for the first year if the program were conducted by individuals Or organizations that functioned independently of current DOE Marshall Island programs. 3. The Education and Information Program, prepared for Interior by the Department ofEnergy, under contract, contemplates a program to enable the people of Bikini, Enewetak, Rongelap, and Utirik, and the people of other atolls or islands found to be or to have been exposed to radiation from the nuclear tests, to better understand nuclear radiation and its effects. The basic element of the program plan is direct, face-to-face -5-