a program of comprehensive health care for all of the Marshalls, and a program of comprehensive health care for the people of the four naned atolls. Because the peoples of the four named atolls now reside throughout ‘ many of the islands and atolls of the Marshalls (it being estimated AIRMORERKS oF that they now live on 50% or more of the 26 atolls and islands that A constitute the Marshalls), and because of the ethical and practical difficulties of providing one kind of medical service to one individual while not providing it to others in the same community, ¢he—slternative OuTasveds preferred—by the Loma Linda proposal +e an upgrading of the overall litHe Skcvisienw oF) A health program and|comprehensive health cares throughout the Marshall Islands. ALLTEL RMVATIVE This prepeeed=pean would provide for medical assistants on each of the inhabited islands and atolls, supported by a professional medical staff that would provide secondary and some tertiary care at the two Marshall Islands hospitals on Majuro {and thereby reduce the substantial volume of, and Ebeye,/ dweh secondary and tertiary care %# currently provided in hospitals in Honolulu. The plan calls for a training program landhigher-el Marshallese medical personnel’ for medical assistants/and for improved supply andfacilities maintenance. The plan relies primarily on local transportation (service by the Airline of the Marshall Islands$ jand_on facilities, notablythe-Alie_Marshetis-sorvice where available,{field trip ships¢ and chartered vessel service elsewhere, rather than the provision of dedicated surface vessels or aircraft. -FRre-estebliischmeat ef Inproved radio communications between the medical staff at the