This plan would provide no capability fer the Marshall Islands Government to take over the required care even with long rance- planning. This plan would not be cost effective. Without adequate hospital facilities, it would be very difficult to recruit a physician for the responsibility involve2 as this would Place him in the untenable position of having responsibility for total primary care including emergency care but would provide no adequate support in terms of hospital facilities to enabie him to render the mandétory care within his capability. The social disruptions and secondary effects of transporting large numbers of non-English-speaking people to Honolulu would result in many secondary negative situations.