ATTACHMENT 7 July 10, 1958 Admiral B. W. Hogan Surgeon General, MC Department of the Navy Chief of the Bureau of Medicine and Surgery Bethesda 14, Maryland Dear Admiral Hogan: I am sure that you are completely aware of the problem of the Marshallese Islanders. As you know, following their emergency evaluation they were very carefully studied and detailed records maintained of the health of each individual. They have now been returned to their native Islands, and we consider that it is essential that we continue to maintain detailed medical records. We feel this is necessary to continue the research effort doing a long-term follow-up on these people. In addition, it is extremely desirable that the health of these natives on the North Islands be maintained in the best possible state. A corollary of such care is that the records would also be invaluable in the event of claims of personal damage in the future. Our problem then is to make it as attractive as possible for the native to seek adequate medical care regardless of the etiology of the condition. Following the 5th Survey of the Marshallese islander in February 1958, the leader of the team, Dr. Robert A. Conard, Brookhaven National Laboratory, called to my attention the fact that the Marshallese natives were charged the regular fee of $5.00 per day by the Navy for hospitalization at Kwajalein. Dr. Conard has learned from Mr. Maynard Neas, District Administrator, Majuro District, Trust Territory of Pacific Islands, Majuro, Marshall Islands, that the charge of $5.00 per day represented a very major outlay ont he part of the Rongelapese and that they were loath to use the medical services which might be indicated. The purpose of this letter, therefore, is to inquire if it would be possible for the Navy to waive the $5.00 per day charge until the Rongelap people become economically stabilized and after this time perhaps to charge a fee comparable to the usual Trust Territory hospitalization fee, which, I believe, is $1.00 per day. As you know the Rongelap natives were returned to their home Island in the middle of 1957 and as yet have not gotten back on their feet economically. REPOSITORY Washington National Records Center COLLECTION 32681-6 BOX No. Box 1 FOLDER OFFICE SURNAME DATE AEC-318 (Rev. 9-53) U.S. GOVERNMENT PRINTING OFFICE 116--62761-6 Admiral B. W. Hogan -2- July 10, 1958 The assistance and cooperation of the Naval Medical Corps in assisting in the care of the health of these natives exposed to radiation in 1954 has proved extremely valuable in the past in maintaining good relations with the native population of the test area. Any further assistance, you may be able to give, particularly in the problem of hospitalization costs even on a temporary basis would be greatly appreciated. Sincerely yours, C.L. Dunham, M.D. Director Division of Biology and Medicine cc: Brig. General Starbird OFFICE BMM DIR. DBM SURNAME HDBruner CLDunham DATE 7-10-58 7-10-58 AEC-318 (Rev. 9-53) U.S. GOVERNMENT PRINTING OFFICE 116--62761-6