Hugh S. Pratt '.D. October 7, 197. Page ten 3. INTERAGENCY AUTHORITY AND RESPONSIBILITY Little more needs to be added to this group of problems, since many of them have been covered in the communication section. The primary additional area of concern involves the health care system for the entire Trust Territories. I wish the problems could be limited to Micronesia alone, but our conversations with Ezra Riklon, the Chief Medical Officer of Micronesia, clearly demonstrated that many of his problems originate in the Trust Territory headquarters for health care and, in turn, with the regional and central legislative bodies. 1. I would recommend: The entire Trust Territory health care delivery system be studied to clearly define the authority, responsibility, and funding characteristics in Micronesia. 2. The role of ERDA-BNL must be clarified and closely defined in writing, in relationship to: a. the research population and geographic area b. the primary care responsiblity and authority to all other Micronesians in the geographic area c. the channels of referral for selected patients from both the study and the remainder of the Micronesians must be clearly outlined. Each element in the referral chain should be furnished with explicit instructions on how to handle the administrative problems; ie, medico-