A Hawaii-based research organisation says the United States affiliated territories are suffering as a result of America's debt crisis.
The LBJ hospital in American Samoa and the Marshall Islands main hospital in Majuro are among a number of organisations in the US territories facing major cash shortfalls.
A Senior fellow at the East West Center, Gerard Finin says he does not believe the territories are at the bottom of the Federal government's priority list and the Obama Administration is doing its best to support them.
"I think it's really a reflection of problems with the national economy that are the result of a housing bubble and many other large problems and challenges that the US has faced. So I don't think there has been any attempt to single out island territories in a way that would be disadvantageous to them."
Gerard Finin from the East West Center.