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