DOI OIG HI-EV-OIA-0001-2008: Insular Area Health Care
Table of Contents Preface GUAM COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS FEDERATED STATES OF MICRONESIA AMERICAN SAMOA REPUBLIC OF PALAU REPUBLIC OF THE MARSHALL ISLANDS U.S. VIRGIN ISLANDS Recommendations 1 4 8 12 19 22 25 28 31 Map of Insular Areas 2 The insular areas are unable to provide compre- hensive health care services to their citizens, and as a result, critically ill patients are boarding planes and crossing thousands of miles of ocean for services they are literally dying to receive. With few local specialty physicians and crumbling infrastructures pushed far be- yond their limits, insular area public hospitals and clin- ics struggle to provide patient care. The dedicated, and often creative, hospital staffs work long hours with few supplies, all with the looming reality of their health care systems sinking in debt. …
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