C_(Continued) b. The PHS (Indian Health Service),as a model, has not been really responsive to or perceptive of the unique cultural problems associated with applying U.S. (Western) style medicine to a different culture (explain and expand on the experiences at Ship Rock Indian Hospital and their interface with traditional Indian healers). c. The National Academy of Sciences - is representative of the "best" and technologicallyadvanced, research-based, academically-oriented U.S. medicine. It is not really oriented, as its first priority, to developing or delivering the "best care" for the minimum investment (based on realistic cultural expectation). The people who are the real experts in practical, "hands on" development of third world medicine are a few non-traditional universities (Loma Linda is the best example for the Marshall Islands), a few foundations - The Rockefeller Foundation, particularly - working with the U.S. Agency for International Development (AID) (Please see enclosed xerox copies of consultants from The Rockefeller Foundation from Dr. Bryant's book. ) I would hope that the National Academy would recommend a small working group to nominate wellqualified members for selection to the final Committee. (Could Dr. Walsh McDermott chair this working group?) We certainly need the input of the