The Problem: How to ensure that isolated populations receive NECESSARY medical assistance, with an adequate supply of dietary supplements that improve nutritional outcomes of these populations My current focus will be on Nicaragua for several reasons. Firstly, I live here and while I am not an expert on all aspects of their health care system, I do have an acquaintance with and an appreciation for it. Secondly, Nicaragua is the second poorest country in the Western Hemisphere. I do not present my ideas to “show them what is good for them” but rather as an attempt to have this country become a role-model for others, to be an inspiration. Thirdly, Spanish is the third most frequent first-language in the world, behind English and Mandarin Chinese. Many of my ideas would not need to be translated to have their most profound effects although my goal is to make this model accessible to all USAW’s.