Litigation and Community Advocacy to Ensure Health Access for Micronesian Migrants in Hawai‘i

@article{Hagiwara2015LitigationAC,
  title={Litigation and Community Advocacy to Ensure Health Access for Micronesian Migrants in Hawai‘i},
  author={Megan Kiyomi Inada Hagiwara and Megan Kiyomi Inada Seiji Wayne Deja Marie Yamada and Megan Kiyomi Inada Seiji Wayne Deja Marie Tanaka and Megan Kiyomi Inada Seiji Wayne Deja Marie Ostrowski},
  journal={Journal of Health Care for the Poor and Underserved},
  year={2015},
  volume={26},
  pages={137 - 145}
}
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… Expand
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Compact of Free Association Migrants and Health Insurance Policies: Barriers and Solutions to Improve Health Equity
TLDR
The historical and current relationships between the United States and the Compact nations are described and national policy barriers constraining health insurance access for COFA migrants are examined. Expand
Interpretive policy analysis: Marshallese COFA migrants and the Affordable Care Act
TLDR
The Marshallese’s interpretation of the ACA and related polices on their health will help inform policy makers that are working to improve Marshallese COFA migrant health. Expand
Building a Patient-Centered Medical-Legal Home in Hawaii's Kalihi Valley.
  • D. Shek, Alicia G Turlington
  • Political Science, Medicine
  • Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health
  • 2019
TLDR
The concept of a medical-legal partnership is introduced, examples of lessons learned from working alongside vulnerable and resilient communities are provided, and the idea of the patient-centered medical- legal home is explored as an innovative program to improve the social determinants of health and reduce health disparities. Expand
The impact of Medicaid on medical utilization in a vulnerable population: Evidence from COFA migrants.
TLDR
Using statewide hospital discharge data, it is shown that Medicaid-funded hospitalizations and emergency room visits declined in this population and that the declines are due to higher rates of uninsured migrants rather than higher levels of cost sharing on private plans. Expand
The Impact of Public Health Insurance on Medical Utilization in a Vulnerable Population: Evidence from COFA Migrants
In March of 2015, the State of Hawaii stopped covering the vast majority of migrants from countries belonging to the Compact of Free Association (COFA) in the state Medicaid program. As a result COFA… Expand
The Impact of Medicaid on Medical Utilization in a Vulnerable Population: Evidence from Cofa Migrants
In March 2015, the State of Hawaii stopped covering the vast majority of migrants from countries belonging to the Compact of Free Association (COFA) in the state Medicaid program. COFA migrants were… Expand
“Place” and Health
  • D. Pacquiao
  • Sociology
  • Social Pathways to Health Vulnerability
  • 2018
Social inequalities are major determinants of health inequity. Social determinants of health are linked closely to social positions occupied by different population groups within local, national, and… Expand
Inpatient Hospitalization Costs: A Comparative Study of Micronesians, Native Hawaiians, Japanese, and Whites in Hawai‘i
TLDR
Micronesians had higher unadjusted hospitalization costs overall and specifically within several disease categories (including infectious and heart diseases) and higher SOI in Micronesians explained some, but not all, of these higher costs. Expand
Assessing the Quality of the Systems of Care for Children with Congenital Zika Virus Infection and Other Neurodevelopmental Disabilities in the United States Pacific Island Territories.
TLDR
A cross-sectional study was conducted among health professionals from American Samoa, Guam, and Commonwealth of the Northern Mariana Islands to assess the quality of the chronic illness systems of care for children with congenital ZIKV and other NRD in the US Pacific Island Territories. Expand
Younger and Sicker: Comparing Micronesians to Other Ethnicities in Hawaii.
TLDR
Micronesians were hospitalized significantly younger and often sicker than were comparison populations, and the severity of illness for Micronesians was significantly higher than was that of all comparison racial/ethnic groups for cardiac and infectious diseases. Expand
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