Will RMI foot the bill to continue the 177 program


From The Marshall Islands Journal
January 9, 2004

 
 

By GIFF JOHNSON
The 177 Health Program for nuclear test affected islanders received a one month reprieve from closing — but whether it will remain open beyond January 31 is anyone’s guess.
Money is running out quickly for a program whose funding officially expired on September 30 last year. Program administrator Deborah Atwood told the Journal late last week that there “is sufficient funding to operate through January 31.”
A meeting involving four atoll leaders and the ministers of Health and Foreign Affairs is expected in the next few days to make definite decisions about the future of the program — whether to scale it back to limited services, close it or other possible options.
Confusion has developed about the program’s future because different officials are saying different things about the future of the program.
At a meeting last week of four atoll leaders with President Kessai Note and Foreign Minister Gerald Zackios — but not 177 Health Program administrators — a commitment by the RMI political leadership was given to maintain the Majuro 177 clinic operations and services of the four Nepalese medical doctors on the four outer islands through September 30.
But a meeting later in the same day with 177 Health Program officials confronted four atoll leaders with the apparent financial reality that there is not enough money to maintain the program’s current services beyond January 31.
Atwood indicated that the program could continue the four doctors on the outer islands with current funding but would have to shut the Majuro clinic after January 31.
Bikini official Jack Niedenthal said closing of the Majuro clinic would be “a big deal because it sees a lot of patients here.” He also noted that the program that normally operates on a $2 million annual budget, has just $300,000 for the remainder of the year.
The problem, said Niedenthal, is that “everyone is not on the same page” and to date it’s been impossible to get all the people in the same room to resolve issues about the future of the program.
Atwood said she’s expecting “there will be a definitive meeting in the next week or two. Based on our meeting on December 30, Minister Zackios will be organizing the meeting.”
She confirmed that if the program is to remain open through September it will require an injection of funding from either the RMI or the US governments.
“We’ve been operating on leftover money from last quarter,” she said.
Atwood also noted that there are some efforts in the US Congress to get legislation introduced this year to continue US funding for the 177 Health Program. But even if approved, that would not kick in until the next fiscal year that starts on October 1, leaving funding for the next nine months in question.