4
.
Introduction
A.
Scope and Purpose
a
%
P.L. 96-205 requires the Department of Interior (DOI) to develop an
“integrated, comprehensive health care program" with respect to the peoples
of the Marshall Islands.
Pursuant to P.L. 96-205 and the resulting request
for proposals from the Department of Interior, there has been considerable
discussion on the exact scope of the Taw and what people and activities
should be included.
Further clarification with DOI has stipulated that the
contractor (Loma Linda University) prepare two health plans, as follows:
1.
"Comprehensive Care (Primary, Secondary, and Tertiary) for the
peoples of Rongelap, Utirik, Bikini, and Enewetak,"
2.
“Comprehensive Care as inl.
.. ., plus comprehensive care for
the peoples of all other atolls of the Marshall Islands."
In
addition,
comments
and
estimates
different types of U.S. personnel.
will
be
provided
regarding
It is clear, however,
use
of
that extensive
use of expatriates in primary care roles is both impractical and politically
unacceptable.
To avoid excessive duplication, the current situation and recommendations
regarding
the
comprehensive
presented
first.
Then
the
plan
for
all
of
the
Marshall
components of that plan
Islands
necessary for
will
be
adequate
primary, secondary and tertiary care for the people of Rongelap, Utirik, Bikini,
and Enewetak will be identified.
B.
Sources of Information
The Loma Linda University team of 22 members spanned many disciplines
and backgrounds, with a considerable depth of experience and expertise in
health care planning and delivery in the developing world (see appendix E).
In gathering background and source material for this survey and plan,
many organizations were contacted.
Among the most important were:
the
Trust Territory governmental headquarters in Saipan currently phasing down,
Brookhaven
National
Laboratory,
Lawrence
Livermore
Laboratory,
the
University of Hawaii/East-West Center, University of the South Pacific in
Fiji, College of Micronesia in Ponape and Saipan, and a number of other
institutions and organizations involved in work in the Marshalls.