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Ira Zunin

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Accepting death as natural would alleviate fear, stress

Society continues to have difficulty accepting death as a natural part of life. We go on hoping it won’t happen to us, at least for now, and when death raises its head, we look the other way. The result is fear, confusion, denial, poor decision-making and an unskillful use of resources. Read more

Time will tell whether health insurer’s new model succeeds

Hawaii Medical Service Association is on the verge of making a historic change in how it reimburses primary care medical providers. Until now the largest private payer in the state has reimbursed physicians on a fee-for-service basis. Under its Payment Transformation Pilot, HMSA will instead pay selected providers a fixed dollar amount for each member in their practice each month. HMSA believes that this will benefit patients, providers and the insurer because it will improve clinical outcomes and contain costs. Will it work? That remains to be seen. Read more

Isle groups answering call to restore food sovereignty

Hawaii imports roughly 90 percent of the food it consumes and exports as much as 80 percent of what is grown here. Particularly, in view of climate change and the persistent El Nino, this leaves the health of island residents vulnerable to uncontrollable hiccups in container transport. Read more

Brazil’s slums are fertile ground for spread of Zika

Earlier this week I returned from Brazil, a nation in crisis over the Zika virus epidemic. This public health calamity creates a perfect storm when combined with the economic and sociopolitical woes now facing South America’s largest country. The lack of fiscal resources and waning confidence in the current government present dire constraints in managing the current epidemic. Read more

Modern nations must value first peoples above earnings

When Hokule‘a first sailed to Tahiti in 1976 using only noninstrument navigation, it became a major catalyst not only for the Hawaiian cultural renaissance, but also for a broader awakening among indigenous peoples throughout Polynesia. Hokule‘a continues this legacy, touching many during its around-the-world voyage. Read more

‘Blue economy’ must learn from green-washing errors

As Hokule‘a sails across the Atlantic from South Africa to Brazil, safety protocols require its crew to monitor other vessels, including large, commercial longline-fishing vessels and lumbering container ships bound for the great ports of the world. There is no mistaking the fact that for many the oceans are there only to extract a profit. Read more

Reconciliation, not revenge, will heal wounds of slavery

In the midst of the longest leg of the Hokule‘a’s around-the-world voyage, across the Atlantic from Africa to South America, I cannot help but think of the millions of Africans who, in centuries past, made the crossing in shackles, within the bowels of slave ships — and of the many more millions who never made it. In Brazil, our next destination following a stop at St. Helena, more than half the population is of mixed heritage. The majority have ancestors who were brought here as slaves by the Portuguese, initially to work on sugar plantations and later to work in gold and diamond mines. Read more

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