James Cadaoas & Elena Farden

MBA 741- Governmental Relations

June 10, 2014

Compact Of Free Association

Todaysmeet.com/COFA2014

Complex Issue: Collaborative & Creative Dialogue

Data Accountability, Standardization

Cultural Perspective & Approach > 3BL

Triple Bottom Line

RMI

Three Spheres of

Sustainability

3BL framework with a cultural

perspective to guide

sustainable solution(s)

Our Unique Relationship

FSM RMI

Republic of Palau

USA

Political

Economic

Military

Looking Ahead

COFA Expiration in 2023

Military Significance

American vs Chinese Interest

Renewal?

Yes

Unsustainable at preset projections

Looking Ahead

Today’s Impact

8401

~15000

0

2000

4000

6000

8000

10000

12000

14000

16000

1980 1990 2000 2010

Po

pu

lati

on

Gro

wth

Decade

COFA Resident Distribution By Key US State

California

Florida

New York

Texas

Washington

Hawaii

* http://pidp.eastwestcenter.org/pireport/special/COFAReportFinal12-14-11.pdf

Today’s Impact

Example: Education Cost

Court Cases

Comprehensive Healthcare Reform (1996)

States are no longer required to provide healthcare to non-pregnant,

aged >19 years, lived in the states for <5 years (“new residents”)

States may still provide healthcare if they want to

Hawaii keeps Medicaid equivalent programs for new residents

Korab v Koller (2010)

Hawaii Adopts BHH program due to budget crisis

BHH provides less than Medicaid equivalent healthcare

Plaintiffs argue: BHH is discriminatory/based on national origin, in

violation of 14th amendment and ADA

Defense: Adhering to federal standards

Court Cases

Korab V Fink (April 2014)

“Congress has authorized states to do exactly what Hawai‘i has

done here—determine the eligibility for, and terms of, state benefits

for aliens in the narrow third category, with regard to whom

Congress expressly gave states limited discretion. Hawai‘i has no

constitutional obligation to fill the gap left by Congress’s withdrawal

of federal funding for COFA Residents.”

- California Circuit Court Judge, Margret McKeown

http://cdn.ca9.uscourts.gov/datastore/opinions/2014/04/01/11-15132.pdf

Court Cases

COFA residents eligible for Medicaid if*

18 or under

Pregnant female

Lawful resident living in the state for 5 years and meets income requirements

Otherwise, BHH eligible

Discourages immigration specifically for medical treatment

Ethical?

* http://aspe.hhs.gov/hsp/11/ImmigrantAccess/Eligibility/ib.shtml#Medicaid

Introduction to the Solutions

No silver bullet solution

Complex problem with many different variables

Required Government Action

State

Federal

COFA independant

Solutions will cost money in the short run, but save in the log run

Overall goal: To achieve parity between COFA and Hawaii residents

Social Change & Education

State level solution

COFA residents have a strong cultural identity that doesn’t translate

well into western workplaces

More state-funded nonprofits focused on social integration

Turn the cultural diversity from disadvantage, into an advantage

Access to these programs may

require green-card registration

Focus on getting COFA

residents into the workforce

and contributing via taxes

Economic Sustainability

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

PacificIslands

EasternPacific

West Africa WesternIndian Ocean

Me

tric

To

ns

World’s Major Tuna Fishing Areas

* Food and Agriculture Organization of the United Nations

Economic Sustainability

25%$2 B

$20 M

Economic Sustainability

Confluence of culture &

economic sustainability

Economic Sustainability

What Is Food Security?

Food Sovereignty > Food Security

3BL Framework

Fossil-Free Voyaging

Food Access >Diet-related

illnesses

Increase Jobs

Boost Sustainability

Economic self-

sufficiency

Foreign oil

Independence

Sustainable energy

Source

Food sovereignty

Higher quality food

Ag-led economies

Blend of

traditional/ western

practices

Food security

Market viability

Capital for

infrastructure

Empowerment

Federal Incentives

Increased awareness is imperative

Hawaii’s residents can play a role

Goal of awareness is not for the awareness itself to solve the

problem, but for the new ideas generated to breathe life into the

situation

Increased funding, split between COFA nations and COFA affected

states

Creates incentive for COFA nations to take care of their citizens

Solves the funding gap in Hawaii and other states

Much easier to increase funding by $50 million, than by $3.6

billion

Multilayered Strategy

Economic sustainability

Educational Partnerships

Social Services Initiatives and

Models

Cultural Integration

Community Engagement

Social Entrepreneurialism

Global Natural Resources

Mgmt

Cultural Business Models

Health Equity

Housing solutions

Systematic Social Improvement

#samecanoe

More Information & Sources

Sources:

• Slide 3

• Slide 4

• Slides 5, 6

• Slide 7

• Slide 8

• Slide 9, 10

• Slide 11

• Slide 14, 15

• Slide 16

• Slide 17

• Slide 18, 18a, 18b

• Slide19