Should the FCC include the Freely Associated States in the definition of insular areas?
Consistent with other Federal health policies, OAT urges the FCC to include the Freely Associated States (FAS)7 in its definition of insular areas. Historically, the United States was designated the United Nations trustee for this area after World War II. More recently, the Freely Associated States have each negotiated an independent compact with the United States. A key component of these compacts has been agreements about health care services. DHHS has had a long-standing commitment to support health services and training in the FAS. For example, DHHS provided approximately $13.5 million in funding for health care in the Freely Associated States in 1996 and again in 1997. (#141) What are the differences between the needs and opportunities of rural health care providers in insular areas and those located on mainland USA? Important characteristics that set insular areas apart from other rural areas in the USA include: 1. The enormous costs involved with sending patients off island for
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