A petition in American Samoa is trying to rally United States President Barack Obama to fund a new hospital for the territory.
The petition, which was started by local businesswoman Kathy Pilimai, has more than 7,000 signatures.
Ms Pilimai says the LBJ Hospital is about 40 years old and looks like "a rambling one level school building."
She says the hospital cannot sustain 65,000 people and the physicians and nurses are worn thin.
Ms Pilimai says the hospital needs to be brought into the 21st century, and that would require US$200 million of federal funding.