N-test program saves money, improves care


From The Marshall Islands Journal
July 22, 2005

 
A high-level Department of Energy official believes that changes to the health care program for nuclear test-affected islanders from Rongelap and Utrik are maintaining the best aspects of the old program, while allowing the flexibility needed to respond to needs of these populations.

Deputy assistant secretary of Energy Steve Carey told the Journal recently said the Department of Energy is “consolidating the successful parts of the health program and moving forward to make it more patient friendly.”
Pacific Health Research Institute (PHRI) of Hawaii ran the program for seven years under contract to the DOE until June 30.

He believes that the new arrangement will both save money and provide the services people want. This program, since the mid-1950s, has provided ongoing medical follow up to the people who were exposed to Bravo hydrogen bomb test fallout on Rongelap and Utrik in 1954.

Carey said the plan is to maintain doctors at Majuro and Kwajalein, utilize the Army’s hospital at Kwajalein for support, retain the services of Straub Clinic in Hawaii (all of which continue from the PHRI period), and use a US-based health care company, Comprehensive Health Services Inc., to handle US medical referrals and clinic services in the US.

Carey said the DOE was “customizing” the program to meet the needs of the Rongelap and Utrik exposed population, all of which is now over 50 years of age. He noted, too, that many live in Hawaii and the US, so providing access to clinics in areas nearby to where people are living makes sense from the point of view for the patients, as well as saving money for the program.
Bechtel, which provides logistics support for the DOE program in the RMI, is providing overall coordination for the Rongelap and Utrik medical program.