A basic aspect to be resolved will be the extent any proposed future health care program for the people of the "affected atolls" can be integrated into an overall program of health care the Marshall Islands Government provides for the people of the Marshalls. To date, the medical services branch of the Trust Territory of the Pacific Islands Government and the Government of the Marshall Islands has participated only in a peripheral way in the on-going medical monitoring and follow up medical care program for the exposed people of Rongelap and Utirik and for the comparison groups that have been designated. In an earlier period, this peripheral assistance consisted of providing ship logistic support on a reimbursable bases for annual medical surveys and for the provision of certain technician support, either from the Majuro Hospital or from the former Trust Territory Headquarters Health Department. In recent years, the expansion of the DOE medical and environmental monitoring program has necessitated quarterly inspection trips, a full-scale annual medical survey, as well as the stationing of a M.D. at Kwajalein Atoll to provide for special medical monitoring and care for eligible Rongelap and Utirik residents. These demands have required the Department of Energy to make provision to supply its own logistic requirements. In recent years also the Brookhaven National Medical teams, at least for the annual surveys, have been expanded to include doctors and professional staff not confined to radiation specialties. "Sick call" services are provided during the survey visits, and specialists in maternal and child care, s etc., have been added - .