-12By what means and ennthenbesis—of what criteria should those other atolls be identified? md Finally, given the population dispersion that has occurred and is occurring, and the cost of improving the secondary and tertiary facilities in the Marshalls for the most narrowly defined group of eligible beneficiaries, should the United States choose to provide assistance to the Marshall Islands to upgrade the health care program ease for all Marshalls residents? These are among the issues that will require attention in the weeks to come. Sincerely, SECRETARY