-14-
oom
Comprehensive health care would encompass crimary, secondary, ank tertiary
care, as herein defined. comerenensive
Such
care woule include Ene
necessary infraseructurss, deluding
inc
Communication and trans>
ton
capability.
Thehealth care_crogram would give special emphasis to the
detection andtreatment of
injury, iliness, orcondition
ae may be
the result, directlyor-indirectiy of the nuclear weapons testifc
program.
The contractor should undertake to insure that, to the extent passible,
the services and activities to be provided under the proposed pian
be
integrated to achieve maximm efficiency.
Sihewsnte
a2) S.
care functions of the Government of the varshalialateahewia he
coordinated with the heaith care scrocram established sursuans cd the
Statute. The contractor will be required to provide cost_estinaes for
SS
i.ne
this dian.
(2) Although the interior Department's srelininary vJew is
that a plan for comprehensive health care for all of the Marshajls
exceeds the boundaries of the statute,itasksphecontmacnarapsesp
develoo
an intecrated, comprehensive
health care crocram “sr ai]
aS
Na
and islands of the Marshalls.
As the statute provices, the ext
atolis
care to be provided would be appropriate to the “situation, con
and neecs of the individual atoll peoples". The contractor will
Tequired to provide costs estimates for this plan.
(c}
Although the Interior Separtment’s preliminary view is
that a program for health care that is more extensive than that{ outlined
in (a) above, and less extensive than that outlined in (b), excRheds the
boundaries of the statute, it asks the contractor to develop a health
care program for the Marshalls along the following lines:
The Interior Dep
emt
oe)
i
'
pant would initiate prompt
*
ase
9.2
;
din
“ea
uplementatic
Fb
evaly
Lor
a
=2"
EF
e
the peoples of Rongelap, Utirix, 3ikini, and Enewetak, and woul provide
them primary, secondary, andtertiary care. Access$osesoncam
and
tertiary nedical care would Se affordec Sy appropriate conmminigation and
transportation cagabilities (that is, voice and visual corcminidation
with the nedical center at Macuro, and emergency evacuation cagabilities),
as part of the comprehensive health care program.
Cancurrantiy,—theSecretary would begin ts establish a basic
capabilityon other inhabited atolls.
This basi
saizary |
health
care would
generally consist of a trained aide
comminigation and transrorsaticn cagabilities. Subsequent to
1
fre health
a health evaluation of the sceocles of other inhabited atslis
che
may be included would be dze:ermined bv the information obtained
mealthevaluation of the secrcles of shes atclis. Tme_$
-
from the
2
care
evaluation of the four named atolis, tha Secretary would garry cut
Marshall Islands.
The extent ts which additional healthy care fates
carzy cut the health evaluation at other atoils in a sequential
manner,
to_be determined following consuitation with representatives of the
people of theatolls” and the govarnmeant of the MarshallIsl
. The
contractor will Se required to provide cost estimates for
plan.