Anger over end to 177


From The Marshall Islands Journal
December 5, 2003

 
Nuclear test-affected island officials are not happy that the health program for their islands is shutting its doors at the end of December after 16 years of operation.

A victim of lack of funding from the US, with the end of the first Compact funding period, the 177 Health Plan announced this week that it is closing on December 31.

The program currently provides health care services to about 7,000 islanders from Bikini, Enewetak, Rongelap and Utrik.

“It’s a very big concern to Rongelap (that the program is closing),” said Rongelap Senator Abacca Anjain-Maddison. “We’re not happy to see it close.”
She indicated that Rongelap leaders will be meeting later this month to discuss possible ways to maintain the program, including the possibility of the local government picking up the costs of having a medical doctor on Mejatto so as not to lose this valuable service that the 177 Health Plan started earlier this year.

“We’re really unhappy about it,” said Bikini liaison Jack Niedenthal.

“The biggest advantage of the program for nuclear victims is not the off-island care, but the primary care offered,” he said. “This is the most important aspect of the program because it eliminates the need for off-island referrals.”

Niedenthal said the 177 Health Plan’s primary care program included doctor visits to the outer islands, re-supplying the dispensaries and the provision of doctors on the four atolls.

He said the Bikini community was delighted with having the Nepalese medical doctor providing services to its community on Kili.

The 177 Health Plan now funds four Nepalese medical doctors on Kili, Enewetak, Mejatto (Rongelap) and Utrik. Late last month, the doctor on Enewetak reportedly successfully handled two high-risk deliveries that would normally have required medical evacuation to Majuro.

Anjain-Maddison indicated that many in the Rongelap community are worried about how they are going to receive health care in the future. She said that while the 177 Health Plan is ending, Rongelap and other four atoll people would still receive care from the Ministry of Health.

She said that efforts were ongoing with the RMI to lobby the US Congress to extend additional funding to continue the four atoll health program, and also to seek health care funding through the changed circumstances petition that has been pending with the US Congress for more than three years.

Niedenthal wasn’t very optimistic about efforts at the Washington end.
As the program winds down this month, program assets are being divided up among the four atolls. “We’re getting a van,” Niedenthal said.