The death earlier this month of a 26-year veteran of the US Army from the Micronesian island of Kosrae, who was an ardent advocate for healthcare benefits for island veterans, highlights the ongoing lack of promised US healthcare support for those who served in the US armed forces.

Kosraen Robson Henry, who died earlier this month at age 66 in Kosrae, spent nearly half his life in the US military and was part of the initial invasion of Iraq in 2003.

A huge issue for Marshallese, Micronesian and Palauan members of the US Armed Forces is that once they get out of the military and return home, there are no Veterans Administration health services available to them as there are in the US and other international locations for American veterans.

• READ MORE: Other Island Soldier film and veterans reports

To access medical care, island veterans must fly at their own expense to Honolulu, Guam or the US mainland where VA hospitals are located.

Despite the US Congress in the past several years adopting increasingly explicit legislation directing the US Veterans Administration to initiate systems for providing care to the hundreds of veterans of these three US-affiliated island nations, services have yet to materialise.

The Compact of Free Association (COFA) that became part of US law in 2024 “included provisions to have this healthcare available in our islands — as this Congress emphasised in November’s Continuing Resolution and December’s National Defense Authorisation Act,” Marshall Islands Ambassador to the US Charles Paul told a US House Committee on Veterans’ Affairs, Subcommittee on Health hearing in January.

However, he said the Department of Veterans Affairs had not acted to make the healthcare available.

‘Actively advocating’
“Robson has been actively advocating to extend veteran benefits to COFA citizens since at least 2008-09, when I first met him,” said filmmaker Nathan Fitch, who directed the award-winning film Island Soldier that tracked the lives of Kosraeans in the US Army — from Middle East war zones to their isolated and tranquil island home in the North Pacific.

Fitch said the Kosraean veteran had been active for the longest time advocating for services for veterans.

“Any progress on benefits for COFA veterans has to be part of Robson’s legacy,” Fitch said.

Still, despite ongoing advocacy by veterans like Henry and Marshall Islands Foreign Minister Kalani Kaneko, a 20-year veteran of the US Army, services mandated by US Congressional legislation remain in limbo.

Henry was also one of the first Micronesians to join the US Army when he entered on 13 October 1987 — just a year after implementation of the first COFA that allowed citizens of the three freely associated states to join the US military.

Henry stayed in the Army until October 2013, a total of 26 years, through which he was posted to locations around the world and saw tours of duty in various Middle East battle zones.

His story is not atypical, as many islanders who join the US military remain in the US armed forces for decades.

Higher enlistment
The US military “enlists our citizens at rates that are higher than the enlistment of US citizens in most US States,” noted Paul in his testimony at the hearing in Washington.

Paul told the House Veterans Committee members that healthcare for returning military veterans “was a major issue in the renegotiation of our free association, which culminated in the enactment of the Compact of Free Association Amendments Act of 2024. The law was intended to resolve the issue”.

But he said the Veterans Administration “has acted contrary to what we negotiated, and Congress has said is the intent of the law. The government of the Marshall Islands, therefore, strongly supports the enactment of legislation to ensure that our veterans can receive the care if they return home.”

Meanwhile, a small section at the end of the over 3000 page National Defense Authorisation Act passed by the US Congress in December sets out a timetable for action by the Veterans Administration.

The US Defence spending law requires the Secretary of Veterans Affairs to provide the US Congress with updates within 30 days of the passage of the law and monthly thereafter on the implementation of provisions relating to services for military veterans in the freely associated states.

The defence law includes provisions requiring the Secretary of Veterans Affairs to develop plans and costs for providing health services for veterans from the freely associated states. This includes the requirement of:

• Engagement with the three island governments;
• A projected timeline for island veterans to receive hospital care and medical services; and
• An estimate of the cost to implement these services.

‘Served honourably’
“For many years, Marshallese and other Freely Associated States veterans have served honourably in the United States Armed Forces, often at higher per capita rates than many States, yet without full and equal access to veterans’ benefits,” Foreign Minister Kalani Kaneko was quoted by the Marshall Islands Journal in its January 9 edition.

“Addressing that inequity has always been about fairness, dignity, and recognition of service not politics.”

Kaneko said that while the language of the US legislation passed in December is “encouraging . . .  the most important phase now is implementation.”

He said the Marshall Islands government is ready to “work constructively with US agencies to support that process. This moment represents progress, but it is also a reminder that our partnership works best when commitments made in law are carried through in practice”.

This article is republished under a community partnership agreement with RNZ.

Papua New Guinea’s 2026 National Budget has drawn immediate opposition criticism from East Sepik Governor Allan Bird, who says the government continues to overspend, overestimate revenue, and deliver few tangible results for ordinary citizens.

The K$30.9 billion (about NZ$12.8 billion) spending plan, unveiled earlier this week, has been characterised by analysts as highly political and aligned with next year’s election cycle.

Critics argue the Marape government has again prioritised high-visibility projects over long-term structural programs that would strengthen essential services.

• READ MORE: Other PNG politics reports

Bird said this year’s budget followed a familiar pattern — record allocations on paper, but limited real-world improvements.

He pointed to ongoing shortages in medicines, persistent law and order challenges, and what he viewed as a widening gap between spending announcements and service delivery outcomes.

He has also raised concerns about revenue assumptions, noting that last year’s budget was short by K$2.5 billion and required significant mid-year corrections.

Bird believes similar risks exist in the 2026 plan, warning that overly optimistic revenue forecasts could again lead to financial strain.

Flawed fiscal discipline
Another key criticism centres on fiscal discipline. According to Bird, spending outside the formal budget framework remains common, with additional expenditures later reconciled in the Final Budget Outcome.

He said this practice undermines transparency and highlights deeper issues in the government’s financial management.

While the government insists the budget focuses on infrastructure, job creation, and community development, public reaction online has been overwhelmingly sceptical.

Many Papua New Guineans are questioning why record-high spending has not translated into better healthcare, education, or security.

For Bird and many critics, the central measure of any budget is whether it improves the everyday lives of citizens. Based on recent years, they believe the benefits have been limited — and they see little in the 2026 budget to suggest that trend will change.

This article is republished under a community partnership agreement with RNZ.

Activists in Aotearoa New Zealand marked International Women’s Day today and the start of Ramadan this week with solidarity rallies across the country, calling for justice and peace for Palestinian women and the territories occupied illegally by Israel.

The theme this year for IWD is “For all women and girls: Rights. Equality. Empowerment” and this was the 74th week of Palestinian solidarity protests.

First speaker at the Auckland rally today, Del Abcede of the Aotearoa section of the Women’s International League for Peace and Freedom (WILPF), said the protest was “timely given how women have suffered the brunt of Israel’s war on Palestine and the Gaza ceasefire in limbo”.

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“Women are the backbone of families and communities. They provide care, support and nurturing to their families and the development of children,” she said.

“Women also play a significant role in community building and often take on leadership roles in community organisations. Empowered women empower the world.”

Abcede explained how the non-government organisation WILPF had national sections in 37 countries, including the Palestine branch which was founded in 1988. WILPF works close with its Palestinian partners, Women’s Centre for Legal Aid and Counselling (WCLAC) and General Union of Palestinian Women (GUPW).

“This catastrophe is playing out on our TV screens every day. The majority of feminists in Britain — and in the West — seem to have nothing to say about it,” Abcede said, quoting gender researcher Dr Maryam Aldosarri, to cries of shame.

‘There can be no neutrality’
“In the face of such overwhelming terror, there can be no neutrality.”

Dr Aldosarri said in an article published earlier in the war on Gaza last year that the “siege and indiscriminate bombardment” had already “killed, maimed and disappeared under the rubble tens of thousands of Palestinian women and children”.

“Many more have been displaced and left to survive the harsh winter without appropriate shelter and supplies. The almost complete breakdown of the healthcare system, coupled with the lack of food and clean water, means that some 45,000 pregnant women and 68,000 breastfeeding mothers in Gaza are facing the risk of anaemia, bleeding, and death.

“Meanwhile, hundreds of Palestinian women and children in the occupied West Bank are still imprisoned, many without trial, and trying to survive in abominable conditions.”

The death toll in the war — with killings still happening in spite of the precarious ceasefire — is now more than 50,000 — mostly women and children.

Abcede read out a statement from WILPF International welcoming the ceasefire, but adding that it “was only a step”.

“Achieving durable and equitable peace demands addressing the root causes of violence and oppression. This means adhering to the International Court of Justice’s July 2024 advisory opinion by dismantling the foundational structures of colonial violence and ensuring Palestinians’ rights to self-determination, dignity and freedom.”

Action for justice and peace
Abcede also spoke about what action to take for “justice and peace” — such as countering disinformation and influencing the narrative; amplifying Palstinian voices and demands; joining rallies — “like what we do every Saturday”; supporting the global BDS (boycott, divestment and sanctions) campaign against Israel; writing letters to the government calling for special visas for Palestinians who have families in New Zealand; and donating to campaigns supporting the victims.

Gaza’s hospitals had been “reduced to rubble by Israeli bombs”, she said.

“UN reports that over 60,000 women would give birth this year in Gaza. But Israel has destroyed every maternity hospital.

“Women will be delivered in tents, corridors, or bombed out homes without anasthesia, without doctors, without clean water.

“When Israel killed Gaza’s only foetal medicine specialist, Dr Muhammad Obeid, it wasn’t collateral damage — it was calculated reproductive terror.”

“Now, miscarriages have spiked by 300 percent, and mothers stitch their own C-sections with sewing thread.”

‘Femicide – a war crime’
Babies who survived birth entered a world where Israel blocked food aid — 1 in 10 infants would die of starvation, 335,000 children faced starvation, and their mothers forced to watch, according to UNICEF.

“This is femicide — this is a war crime.”

Eugene Velasco, of the Filipino feminist action group Gabriela Aotearoa, said Israel’s violence in Gaza was a “clear reminder of the injustice that transcends geographical borders”.

“The injustice is magnified in Gaza where the US-funded genocide and ethnic cleansing against the Palestinian people has resulted in the deaths of more than 61,000.”

‘Pernicious’ Regulatory Standards Bill
Dr Jane Kelsey, a retired law professor and justice advocate, spoke of an issue that connected the “scourge of colonisation in Palestine and Aotearoa with the same lethal logic and goals”.

The parallels between both colonised territories included theft of land and the creation of private property rights, and the denial of sovereign authority and self-determination.

She spoke of how international treaties that had been entered in good faith were disrespected, disregarded and “rewritten as it suits the colonising power”.

Dr Kelsey said an issue that had “gone under the radar” needed to be put on the radar and for action.

She said that while the controversial Treaty Principles Bill would not proceed because of the massive mobilisations such as the hikoi, it had served ACT’s purpose.

“Behind the scenes is ACT’s more systemic and pernicious Regulatory Standards Bill,” she said. ACT had tried three times to get the bill adopted and failed, but it was now in the coalition government’s agreement.

A ‘stain on humanity’
Meanwhile, Hamas has reacted to a Gaza government tally of the number of women who were killed by Israel’s war, reports Al Jazeera.

“The killing of 12,000 women in Gaza, the injury and arrest of thousands, and the displacement of hundreds of thousands are a stain on humanity,” the group said.

“Palestinian female prisoners are subjected to psychological and physical torture in flagrant violation of all international norms and conventions.”

Hamas added the suffering endured by Palestinian female prisoners revealed the “double standards” of Western countries, including the United States, in dealing with Palestinians.

Te Whatu Ora’s new winter health plan fails to address workforce shortages and staff burnout in Aotearoa New Zealand, frontline healthcare workers say.

The organisation launched its 24-point plan on Wednesday, saying it would help hospitals and GPs cope with an expected surge in patient demand over the coming months.

Under the plan, people with minor ailments will be able to be assessed by a pharmacist and given free or subsidised medication in line with if they had visited their GP.

• READ MORE: Other NZ public health reports

Family doctors will also be able to refer patients for X-rays and ultrasounds in a bid to reduce hospital admissions.

Regional and national escalation plans will be in place to help improve hospital capacity by “diverting resources and patients within and across regions to support under-pressure facilities”.

But a doctor from Middlemore Hospital’s emergency department, who spoke on condition of anonymity, said while diverting patients and resources sounded “good in theory”, there needed to be the staff available to deliver that plan.

There was so much burnout among doctors and nurses, she said.

“You can’t flog a dead horse.

Staff ‘not available’
“In practice these escalation plans involve going through a checklist of different resources that can be provided to help, but you then find out they aren’t available — due to staffing issues.”

A nurse from the hospital’s ED agreed chronic workforce shortages would prevent many of the proposals ever working.

“It all sounds all great, but where is Te Whatu Ora finding all the staff to do these things and how are they going to do it in a healthcare system that is already understaffed and in crisis?”

Giving pharmacists a greater role to play could also be problematic as they were also busy and were not trained to diagnose patient ailments, the nurse said.

In February, Te Whatu Ora identified Middlemore Hospital as one of eight national ‘hotspots’ needing extra support before the winter flu season.

Former chairperson Rob Campbell admitted the workforce shortages plaguing Middlemore’s ED would not be addressed in time for the flu season.

It followed comments from frontline healthcare workers who said the hospital’s ED was haemorrhaging staff and they were concerned about its ability to function during winter.

‘Doing what we can’
In a statement, Te Whatu Ora (Counties Manukau) interim lead of hospital and specialist services Dr Vanessa Thornton said while there had been growth in staffing numbers nationally, it needed to continue to grow its workforce.

“We know that pressure from shortages across our workforce is being felt on the frontlines of our health system. We can’t fix those shortages quickly – but are doing what we can to alleviate pressure and get more staff into our hospitals and other services.”

She said that includes making it easier for internationally qualified staff to work here and assisting qualified nurses to return to practice.

Local Democracy Reporting is Public Interest Journalism funded through NZ On Air. It is published by Asia Pacific Report in collaboration.

Daycare centres have been shut down in American Samoa following confirmation of an eight-year-old girl with measles.

The territory’s Department of Health (DOH) said samples from the child, who was seen at a community centre with symptoms on March 27, were sent for testing in California and returned positive.

Day cares are now closed to protect babies from being exposed to the virus, as infants under six months are not eligible for the Measles, Mumps and Rubella (MMR) vaccine.

• READ MORE: Other measles reports

Kanana Fou Elementary School in Tafuna, where the girl attends, has also been closed.

The Health Department will monitor the situation as to whether more schools will be closed, said Director of Health Motusa Tuileama Nua.

“This is is highly contagious disease and can spread quickly and poses a serious threat to individuals who are not vaccinated or who have weakened immune systems,” Nua said.

“We are working closely with healthcare providers, local officials, and other stakeholders to coordinate our response efforts and provide necessary support to those affected,” he said.

“We will continue to monitor for any other cases and provide updates as necessary.”

The Department of Health has the names of children who have not received the first and second measles vaccinations and will be contacting their parents to get them immunised.

Parents have been urged to check on their children’s measles vaccination.

Symptoms of measles include a fever, a rash, runny nose, and reddening of the eyes.

This article is republished under a community partnership agreement with RNZ.

South Auckland’s poor turnout for the 2018 Aotearoa New Zealand national census could have cost the region $130 million in health funding.

And, according to an expert, that cash could have helped tackle the area’s battles with diabetes and obesity.

Te Whatu Ora Health New Zealand said the defunct Counties Manukau District Health Board lost $130m in health funding in its last four years due to the low turnout in the area during the 2018 census.

• READ MORE: Other NZ census reports

Information from the five-yearly stocktake helps determine how billions of dollars in government spending is allocated across health, education, transport, infrastructure and other services.

Counties Manukau has more people with diabetes than any other health region in the country.

Te Whatu Ora (Counties Manukau) Director of Population Health Gary Jackson said additional money would help fund programmes to battle two issues affecting many people in the region.

He said there were 52,000 diabetics in Counties Manukau and that figure was growing by 2000 people a year. It is also home to 19 percent of all New Zealanders in the most extreme BMI group.

Only 71 percent response
Figures released by Stats NZ this week show only 71 percent of people in South Auckland have so far completed the census in 2023, compared to 83 percent nationwide.

Te Whatu Ora Chief Financial Officer Rosalie Percival said getting people to provide their details was vital to ensure areas like Counties Manukau got the healthcare services they needed.

“Health providers know about the people who turn up at their door needing care — but they have no other way of knowing about the presence of people who haven’t recently needed to use the health system,” she said.

“The data gained from the census helps to inform important decisions about planning for the needs of local areas and subsequently healthcare spending.”

However, Buttabean Motivation (BBM) founder Dave Letele said getting people to complete the census was not easy.

Letele, who is potentially standing for Te Pāti Māori this year, was an ambassador for Census 2023 and was involved in a social media campaign which kicked off late last year to get more people to take part.

“There’s a massive distrust between our people and the government and that’s what we need to overcome,” Letele said.

Wary about personal information
He said as a result a lot of people were wary about sharing their personal information with authorities.

“But it’s not just something you can throw money at to fix it.”

Deputy Government Statistician and deputy chief executive for census and collection operations Simon Mason confirmed the turnout at the last census in 2018 was poor in Counties Manukau.

“That is why it is critically important that people complete the census — so their communities are counted . . .”

Mason said the 2023 event was designed to address barriers to participation, including having more collectors and alternate formats for people to complete it and support a wider range of people.

A spokesperson for Stats NZ said it would still have field teams collecting people’s responses until May 3 and will be running census support events until June 4.

Pacific Media Watch reports that the Counties Manukau health population is ethnically diverse with the largest Pacific population and second largest Māori popukation of any New Zealand health board.

In the 2018 census, 16 percent of the population served by CM Health identified as Māori, 22 percent as Pacific, 28 percent as Asian and 34 percent as NZ European/other groups.

Local Democracy Reporting is Public Interest Journalism funded through NZ On Air. It is published by Asia Pacific Report in collaboration.

New Zealand does not have enough nurses or ICU beds, warn healthcare figures as their workforce braces for omicron.

The College of Critical Care Nurses told RNZ Morning Report that the country was currently short of at least 90 ICU beds if there was a major omicron outbreak.

Chair Tania Mitchell said intensive care capacity had been a sticking point for other countries during the outbreak, and New Zealand was under-prepared.

“We know compared to other areas in the OECD that, even for business as usual, we have a low number of intensive care beds per head compared to other countries, and that puts us on the back foot going into this.”

She said more beds were always welcome, and there was a $644 million increase in funding to hospitals and ICUs from the government to cope with covid-19 that was announced in December.

But there was real concern it would not be enough, and there were not enough intensive care nurses.

“In intensive care we’re actually struggling to cope with business as usual,” Mitchell said.

“That’s to do with bed numbers, but most importantly nursing numbers — you can build new building, and increase more beds much easier than you can create the nursing resources.”

It is likely more cardiac and cancer patients would have surgery delayed, to help free up ICU beds.

Urgent work on immigration could help, she said, and nurses wanting to come to or remain in New Zealand should be prioritised, and assistance with shifting here made available.

Quarter of nursing workforce could be out of action
Nurses and other health workers becoming sick with omicron as an outbreak spreads was going to strain healthcare provisions, Nurses Organisation industrial officer Glenda Alexander said.

“If we lost a quarter of them even, at any one time … which is predicted, it is going to put immense strain on already tight staffing levels.

“But it’s not just hospital nurses, our workforce who work in aged care, primary health care, those people on the frontline doing vaccinations and taking tests — it’s right across.

“If you imagine a quarter — at least, of those people not being able to be a work, because it won’t just be their own health, it’s the health of their families as well, that they have to address.”

Alexander said nurses were already carrying the burden of long understaffing problems, and they would likely have to prioritise only urgent and necessary work — “just life preserving services only, so no elective surgery”.

“If we’d planned for a pandemic five years ago, as we were predicting nursing shortages, that would have helped immensely right now, but we can’t actually grow [nurses] as quickly as we need right now. It is a stressful situation.”

Māori vaccination rates still a concern to health sector
Māori health providers are in a race to vaccinate children and boost adult immunisations before omicron spreads widely.

They expect the number of people getting booster shots and vaccinations for their children to increase now people are coming back from holiday.

Māngere health provider Turuki Health chief executive Te Puea Winiata told Morning Report many people were working on pulling the rate up.

Ministry of Health data shows 93 percent of the wider Counties Manukau DHB population is fully vaccinated, but Māori lag behind at 84 percent.

Manurewa, Papakura and parts of Māngere were particularly low, Winiata said, and mobile vaccination clinics were being used to help reach some of those areas.

“What we’ve done is to focus on particular suburbs or particular areas in those suburbs, to do a bit of a boost to those areas.

“On an ongoing basis [we’re using] communication, messaging to our communities, making sure that we understand the issues on whānau perhaps not coming forward.”

Vaccine rollout still ‘good numbers’
Covid-19 Response Minister Chris Hipkins earlier told Morning Report there were still good numbers of people coming forward for vaccinations, particularly for boosters, but the summer break had slowed that rate for all New Zealanders.

Winiata said staff have reported that vaccination slow-down is now recovering for Māori in her area.

“We had a big surge of people getting boosters before Christmas. And interestingly the surge in weekends before Christmas is now reversed — lots of people are coming in during the week and fewer at the weekend.

“But … in the week of the 17th when a number of people were coming back to work that was a bit of a leverage for people to think about being vaccinated, who weren’t.”

This article is republished under a community partnership agreement with RNZ.

Papua human rights activist and lawyer Veronica Koman has called for an independent inquiry into the attack on health workers in the Kiwirok district, Star Highlands, Papua, saying there are two versions of how the tragedy happened.

A healthcare worker, 22-year-old Gabriella Maelani, was killed during the attack by the West Papua National Liberation Army-Free Papua Organisation (TPNPB-OPM) resistance movement.

“There is one version which is clearly being shared a lot in the media. And there is a second version circulating among the Papuan people,” Koman told CNN Indonesia.

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Koman said that the chronology of events which was being broadcast by most news media depicted the alleged brutality of the TPNPB-OPM during the attack.

In the second version alleged the attack was triggered when a person wearing a doctor’s uniform shot at the TPNPB, causing a shootout inside the healthcare building, Koman said.

She said that in Papua many TNI (Indonesian military) personnel held dual posts as teachers and doctors. She believed this caused a great deal of suspicion in Papua.

Nevertheless, she was saddened by the news that a healthcare worker died, although she said that the truth about the chronology of events must still be investigated.

Death of healthcare worker
Based on information she had received, the death of the healthcare worker was not because they were tortured by the TPNPB as alleged.

“The Papuan people’s version is that it’s not true that there was torture. Gabriella jumped [into a ravine] while escaping, she wasn’t thrown into the ravine by the OPM,” she said.

Koman called for an independent investigation. According to Koman, finding out which chronology was correct would influence several factors, particularly racism against the Papuan people.

“If for example the alleged barbaric actions are not true, it will influence the stigma and racism against the Papuan people. And that is very barbaric,” she said.

“Looking for examples of human rights issues, we can separate it. The ones adversely affected should be the OPM, not the ordinary Papuan people.

“In general with minority groups, including the Chinese, when one person does wrong, everyone is adversely affected. LGBT [lesbian, gay, bisexual and transgender] for example, if a gay person does something, the whole community is adversely affected. So it’s important to straighten it out.”

Koman also said care was needed to be taken with the witness testimonies.

Information under duress
She questioned whether or not the witnesses provided information under duress.

“There would have been many soldiers around them … So they could have been pressured,” she said.

Earlier, the TPNPB-OPM admitted responsibility for attacking public facilities such as a community healthcare centre and school building in the Kiwirok district on September 13 and 14.

They claimed that the attack was a form of resistance demanding Papuan independence from Indonesia.

The Presidential Staff Office said that “armed criminal groups” (KKB) — as officials generally describe Papuan armed independence fighters — violated human rights law after the healthcare worker died during the attack on September 13.

Presidential Staff Deputy V Jaleswari Pramodhawardani said that the armed group had violated several laws such as the healthcare law, the nurses law, the hospital law and the healthcare quarantine law.

Translated by James Balowski for IndoLeft News. The original title of the article was “Veronica Koman Klaim Ada 2 Versi Penembakan Nakes di Papua”.