Contemporary West Malaysia (the population of which is roughly 50% Malay, and of these some 85% are rural) is coming to end of Second Malaysian Plan initiated in July 1971. This new economic policy, which is more ideologically than economically oriented, has two major goals. The first goal, elimination of poverty, appears to be essentially non-racial. However, second goal is expressed primarily in racial terms. The society is to be restructured so that the present identification of race with particular forms of economic activity will eventually be eliminated. Specifically, goal is that within 20 years (by 1991) some 30% of commercial and industrial sector will be controlled by Malays and other natives. The relevance of these current developments to comprehensive low cost health care in rural Malaysia is twofold. First it implies a relative de-emphasis on health care delivery in this decade. Second, it draws attention to fact that in Malaysia, development-and in particular, rural development-means development affecting those who are ethnically Malay. The economist Stephen Chee (1974) has argued, with others, that in Malaysia development is essentially a transfer payment to putatively disadvantaged (i.e., rural Malay) sector of society. Before addressing aspects of rural health care delivery per se, it is important to note that in many significant ways Malaysia reflects a developmental advantage when compared to many of its Southeast Asian neighbors. Per capita income in 1970 exceeded that of Philippines, Thailand, and dramatically exceeded that of Indonesia (respectively in U.S.$, $353 compared to $224, $186 and $92). Per capita daily caloric intake lags only slightly behind Thailand but exceeds Philippines and Indonesia (respectively 2,210, 2,190, 2,040, and 1,920). Life expectancy at birth is among highest in Southeast Asia at 65.3 years. In biennium 1970-1972, average grain yields in Malaysia (2,842 kg/ha) were over twice that of Indonesia and roughly 30% above that of Thailand and Philippines. Finally, with exception of Taiwan, Malaysia leads Southeast Asia in percentage of cultivated area under irrigation (FAO Production Yearbook 1972; UN Statistical Yearbook 1972; World Bank, Trends in Developing Countries 1973). The balance of this paper is a series of arguments in support of six general recommendations for low cost comprehensive health care among rural Malays. These recommendations are: