-16- Any program ef health care for the people affected By radiation be integrated, to the maximum extent possible, with a future he program of the Government of che Marshall Islands. accorgingly,._will be required to examine current facilities and , Ioropesed care for_tha_seoples of the affected atolls. (5S) Primary care. Because many of the peocles dgoncerned will be living in an “eut-island" context, the contractor shoul forth recommendations on hew “primary care” can best be provid people in such a context. This should include recommendations gn che type of staff, facilities, training.afpracritioners, atc. It Fill be necessary tc determine whether vresent out-island facilities and srocraxs maintained by «he Government of the Marshalls [slands can be up@raded and subsidized to provide this essential primary cara for the eyiaes concerned, or whether a separate srimary health care svsten, supsorted, and :verated by the J.S, wiil be required? (6) Secondary and Tertiary care. ‘The contractoF required to set forth recommendations on where and in what and tertiary care can be most effectively provided, both from and cost standpoints. (7) Cost of Provision of Comprehensive Health all of the Marshalls. The peoples of the designated affected require both "on-atoll” and "off-atoll” comprehensive care. } the individuals requiring the comprehensive care will Se in th major populated centers. The numbers away from the home atoll run ints several thousand. ‘The contractor will be requested cost estimates of a comprehensive health care program for all Marshalls that would give the type of comprehensive care r the peoples of the affected atolls. will be