THAT THE PHYSICAL CONDITION OF THE PATIENT IS OF AN IMMEDIATE
LIFE-THREATENING NATURE AND THAT THE RESOURCES IN THE MARSHALL
ISLANDS ARE INADEQUATE TO CARE FOR THE PATIENT IS REFERRAL OF
THE PATIENT TO HONOLULU OR ELSEWHERE TO BE CONSIDERED.
3.

IF THE CIRCUMSTANCES OF (2) ABOVE PREVAIL, THE RESIDENT BNL

PHYSICIAN SHOULD INFORM AND CONSULT WITH THE PHYSICIAN PROGRAM
MANAGER AT BNL.

REFERRAL TO HONOLULU IS AUTHORIZED IF THERE IS

AGREEMENT OF THE THREE PHYSICIANS.
4.

THE PHYSICIAN PROGRAM MANAGER AT BNL SHOULD CONSULT WITH

EV/OHER PROGRAM PHYSICIANS IN THE EVENT OF ANY UNCERTAINTY.
5.

THE ABOVE ADDRESSES ROUTINE PROCEDURES AND CANNOT COVER ALL

CONTINGENCIES.

IT IS RECOGNIZED THAT EMERGENCIES OR SITUATIONS MAY ARISE

IN WHICH THE MEDICAL JUDGEMENT OF THE BNL OR DOE PHYSICIAN PRESENT
IS THE DETERMINING FACTOR.
6.

ALL ELECTIVE SURGERY OR DISEASES OF A LESS THAN IMMEDIATE

LIFE-THREATENING NATURE SHOULD BE DEFERRED.

IT MUST BE REALIZED THAT DOE IS NEITHER AUTHORIZED NOR FUNDED TO
PROVIDE FOR GENERAL HEALTH CARE AND TREATMENT IN THE MARSHALL
ISLANDS, AND THAT, WHILE AGREEING TO COVER MEDICAL NEEDS OF AN
IMMEDIATE LIFE-THREATENING NATURE, THIS IS AN INTERIM AND
TEMPORARY HUMANITARIAN MEASURE FOR WHICH A LIMITED FINANCIAL

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