the hypothesis of investigating late radiation effects. The people desire that not do "we admit rather but “doctors simply do not say "There is no danger" tion and know completely" and design a program of continuing medical observa examination of all the people. When discussions have arisen concerning the need to expand the Rongelap program to allow examination of all people at Utirik, children at both and Utirik and the people living at Bikini, officials argue that time and money are not available. In 1974 when implementation of public law 5-52 was being d discussed, the program director argued that children should not be examine not allow not only because there was no need but also that time simply did for it. It fs stated that the experts who come on the March survey can be away from their normal medical practices for only a short time major limiting factor for the time that team can spent on others as well as the people themselves do not feel that sufficient reason not to give adequate health care. The and that this is a each island. ‘However, lack of time is a people have interpreted, furthermore, the lack of time issue as a lack of interest and a distrust for the program. To the Marshallese time is never a factor to consider if someone truly wants to be with someone else - not only for friendship but for health matters as well. Philosophy of Program 1975-76 The medical survey program since June 1975 has shifted its emphasis. Rather than convoying the message cf igseatch, it has tried w develop aiong the lines of a general health care and maintenance program. The newdirection given to the program during this time was accomplished without added expense, with improvement in health care, and still maintaining the research data collection. People at all three islands have noted the change and responded favorably and enthusiastically. People nowfelt that they wanted to come to see me and not that they were being forced to do so. Their concern about better total care has been appreciated and responded to by the resident physician. At Utirik people have stated that it was the first time a doctor from AEC has come interested in secing everyone on the island on an equal basis, whether exposed or unexposed. As the resident physician for the program during this time, I shared the people's needs for health care rather than research. My specialty training and interests are in the fields of family and community medicine. It is easy for me to perceive the human side of medicine focusing on human feelings and social needs than on the colder nature of research. As the physician surveying the health of the people on each island, I recognized the needs and expanded the program to include regular vaccination programs, family planning, and contraception clinics, venereal disease clinics, well baby clinics, pre natal care, general medical and minor surgery clinics. I was told on several occasions that supplies for such clinics, particularly vaccine, birth control pills, pre natal vitamins, oral hypoglycemics, should come frerm the Trust Territory and not from Brookhaven, Brookhaven did provide limited supplies but felt any 9011391 i]