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