a program of comprehensive health care for all of the Marshalls, and
a program of comprehensive health care for the people of the four
named atolls.
Because the peoples of the four named atolls now reside throughout
many of the islands and atolls of the Marshalls (it being estimated
HUMOREbBS
OF
that they now live on 50% or more of the 26 atolls and islands that
A
constitute the Marshalls), and because of the ethical and practical

difficulties of providing one kind of medical service to one individual
while not providing it to others in the same community, ¢he—-alternative
OuTaiveEsS

preferred—by» the Loma Linda proposal #6 an upgrading of the overall
THE

fhovissenw

.

oF) *

health program, and jcomprehensive health carey throughout the
ALTLRNVATIVE
Marshall Islands. This propeseed=pren would provide for medical
assistants on each of the inhabited islands and atolls, supported by
a professional medical staff that would provide secondary and
some tertiary care at the two Marshall Islands hospitals on Majuro
{and thereby reduce the substantial volume of,
and Ebeye,/ woh secondary and tertiary care 48 currently provided
in hospitals in Honolulu. The plan calls for a training program
(and higher-el Marshallese medical personnel‘
for medical assistants/and for improved supply and facilities
maintenance.

The plan relies primarily on local transportation

(service by the Airline of the Marshall Islands{

jand_on

facilities, notably’ Marehettecorvice where available,(field
trip ships¢ and chartered vessel service elsewhere, rather than the
provision of dedicated surface vessels or aircraft.

-Fre-estebiichaeat

ef Improved radio communications between the medical staff at the

Select target paragraph3