health nurse would be emsloyes= to conduct health education programs, sanitary evaiuations, maternal and child health preventive programs, immunization procrans, etc. The manpower needs for this plan would require the following: i. Four medical assistants 2. One public health nurse/health educator 3. One physician (general practitioner) 4. Cne pharmacist/locistics supply/transportation officer 5. One part time dentist 6. One dental hygienist/dental assistant . The objections to this limited plan are as follows: 1. The arbitrary selection of people to receive care being only those actually living on the four named atolls is unfair as it represents only a portion of the people of the four atolls and to make any other designation of additional persons to be included results in an inability to do anything other than a comprehensive medical care program, e.g. What is the rationale for selecting care for the people now living on Keli but excluding those on Ujelang? Why should the large number of people from Bikini who live on Ebeye and Majuro be excluded? The only equitable answer to the coverage problen is to provide comprehensive care to all people living in the Marshall Islands. This plan would not provide even the basics of primary care specialty services such as care provided by a Pediatrician, Internist, Obstetrician/ Gynecologist, or General Surgeon. * Without adequate hospital facilities in the Marshall Islands, there is no real emergency care available that would adequately fulfill the required needs; e.g. By the time a patient is evacuated from his home atoll and transported to Kwajalein to await a scheduled flight to Honolulu with an additional long transport, it would be too late for emergency care to be effective. There would be no speciality 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-English-speaking people to Honolulu for any evaluation required by one of the medical specialists and it is impractable to transport the specialists to the Marshall Islands for consultations on such a small population base.