-l]l-

Department.

We believe them to be useful and professional products, and

they will unquestionably be important in the development of the plan
we Will withhole endorsement until an integrated plan
required by the law, but /4t—dse—not_yet_possibieforustorsecomend—say

efthe-thres.

is developed,

P

From the foregoing, it will have become clear that a number of
questions require further consideration.

The most fundamental is the

matter of the geographic coverage of the program — whether it should
extend to,the people -cdewkd of the Marshalls, to the people of the four

named atolls wherever they reside, tothe people of the “other atolls"
that are found to have been affected, to the current residents of selected
atolls only.

Should an effort be made to provide for health care for

peoples of named and affected atolls that is separate and apart from the
health care program available to the general population of the Marshall

Islands?

Does the=—weemef the term "integrated", which the statute uses

in describing the comprehensive health care program, mean that such
program is to be integrated with medical programs of the Marshall Islands
Government, or does it instead describe ondy the relationship between the
primary, secondary, and tertiary levels of care?

To what extent should

the beneficiaries of the health program, in whatever way they are defined,
receive secondary and some tertiary care within the Marshall Islands?
iw THE
STATITE
If the peoples of atolls, other than the four named atells, should be
A
provided the comprehensive care envisioned by Public Law 96-205, through

Select target paragraph3