The executive director of the territory's only medical facility, LBJ hospital, is Taufete'e John Faumuina.
He told a US House subcommittee about the challenges faced by the centre, which is currently operating under a $US50 million budget.
Taufete'e said LBJ needed to address a number of issues and also offer better salaries to recruit doctors, nurses and other staff.
He said the hospital struggled acquire new equipment and to maintain its facilities, which were built in 1968.
