XI. Proposed Sudget A. Administrative Administrative responsibility for the budget will be wi th the Financial Intermediary/Program Implementor (FIPI). This enti Ly will be responsible for providing whatever reporting and control i required by the U. S. Government. be account- It is not anticipated that FIPI wil able for that portion of funding provided by the Marshal? Is] nds. In addition to monitoring and reporting on how U. S. funds are s ent, it is suggested that the FIPI be responsible for the development off budgets and future U. S. funding requirements for health care in the Mars all Islands. The budget which follows represents an estimate of total costs for the indicated year. No attempt has been made to identify the U. S. portion and the Marshall Islands portion. For example, for FY 1980 the Marshall Islands health care budget is approximately three million. budget is close to eleven million dollars. T e recommended In theory the amo nt to be provided under 96-205 in year one would be about eight millio dollars. It is beyond the scope of this study to recommend what the pa ticipation of the Marshall Islands should be in funding this share of th costs. health care Since this is something to be worked out by the two g vernments, it was decided to develop a total cost budget with the level Df funding to be determined by the two governments at a later date. B. Primary Care/Public Health As might be expected, supplies, equipment and personnel costs repre- sent the major budget items. Although the population is onl sand, there are twenty-six atolls with populations requiring thirty thouprimary care. Because of the obvious transportation and communication probipms presented in the Marshall Islands, this level of care is more costly t found for the same population with a different geography. n would be