The Federated States of Micronesia and the Republics of Palau and the Marshall Islands signed a series of treaties known as the Compacts of Free Association (COFA) with the United States (U.S.). While the islands became independent nations, certain rights and responsibilities were assigned to the U.S. However since the signing of the treaties, U.S. federal and Hawai'i state policies have reduced health care coverage for COFA migrants living in the U.S. and its territories. This commentary reports the ongoing efforts of the Micronesian community and its allies to rectify a legacy of unjust policies. We outline the need for sound policies that support appropriate health care to all members of society, and highlight the community's strength and ability to mobilize for political action. If health is a human right, providing adequate, equitable health care to all members of society is not up for debate.

No abstract

Cultural reciprocity, sharing, and trust between Native Hawaiians and Micronesians, which began in the 1970s, has flourished to this day, as most visibly illustrated with the continued voyaging of the Hōkūleʻa. However, this relationship contrasts starkly with the groundswell of anti-Micronesian sentiment underlying recent discriminatory healthcare policies for Compact of Free Association (“COFA”) residents in Hawaiʻi. These are the turbulent waters community advocates must navigate in the new politics of race in Hawai‘i. This chapter argues for a revisiting of the deep Pacific Islander cultural values inherent in the lessons of Grand Master Navigator Pius “Papa” Mau Piailug, whose sharing of traditional wayfinding knowledge helped establish a deep relationship of respect and cooperation between Hawaiians and Micronesians, and made possible the ongoing progress of the Hōkūleʻa in uniting the Pacific, and the world. Contrasting these values with the rhetoric- and stereotype-based approach of the U.S. and Hawaiʻi in establishing discriminatory healthcare policies for COFA residents, it offers suggestions for a more progressive and mutually beneficial policymaking approach through culturally-grounded foundational themes, and suggests principles for better engagement among COFA communities in Hawaiʻi, Hawaiʻi’s larger communities, and government leaders.

No abstract

No abstract