Special Report

Journey To Care

About The Series

Native Hawaiians and other Pacific Islanders face high rates of diabetes and other diseases but often struggle to access critical health care services including dialysis. In this ongoing series, Civil Beat will explore the lengths that some Pacific Islanders go to obtain health care — and what’s being done to address the problem.
Many Pacific Islander Patients Have To Move To Get Life-Saving Access To Dialysis Carlo Domingo/Civil Beat/2022

Many Pacific Islander Patients Have To Move To Get Life-Saving Access To Dialysis

One in five Indigenous Chamorros in the Northern Mariana Islands has diabetes, and the demand for dialysis is growing. But the only dialysis centers are on the capital island of Saipan.

The Pandemic Vastly Expanded Health Care Access In This US Territory. That May End Soon Anita Hofschneider/Civil Beat/2022

The Pandemic Vastly Expanded Health Care Access In This US Territory. That May End Soon

Patients who hadn’t sought health care in years flocked to clinics when a temporary pandemic program expanded Medicaid access to the commonwealth’s guest worker population.

Pacific Islanders Have a Harder Time Getting Kidney Transplants Than Other Patients Cory Lum/Civil Beat/2017

Pacific Islanders Have a Harder Time Getting Kidney Transplants Than Other Patients

Kidney failure afflicts Pacific Islanders at much higher rates, but for reasons that some say amount to discrimination, they don’t get transplants as often.

Hoʻopili Kekahi Alahele Kapakai I Kēia Mau Mea Maʻi I Ka Hoʻomaʻemaʻe Koko ʻIa ʻAna. Hiki I Ka Hoʻohuli Aniau Ke Hoʻopilikia I Kēlā Cory Lum/Civil Beat/2022

Hoʻopili Kekahi Alahele Kapakai I Kēia Mau Mea Maʻi I Ka Hoʻomaʻemaʻe Koko ʻIa ʻAna. Hiki I Ka Hoʻohuli Aniau Ke Hoʻopilikia I Kēlā

Ua paʻakikī ʻē ka hele ʻana i ka hoʻomaʻemaʻe koko ʻia ʻana no kekahi mau kupa kuaʻāina. Kuhi ʻia, e hoʻopilikia ana ka piʻi ʻilikai i kēia mau mea. 

State Rules Make It Harder To Open Dialysis Centers In Hawaii Cory Lum/Civil Beat/2022

State Rules Make It Harder To Open Dialysis Centers In Hawaii

More states are lifting or reforming regulations governing the opening of new dialysis facilities.

He Helu Nui Ko Nā Kānaka Maoli I Ka Loaʻa Mimikō. ʻO Ke Koi Maila Nō Ia I Ka Hoʻomaʻemaʻe Koko.  Getty Images/iStockphoto

He Helu Nui Ko Nā Kānaka Maoli I Ka Loaʻa Mimikō. ʻO Ke Koi Maila Nō Ia I Ka Hoʻomaʻemaʻe Koko. 

Ke hoʻonui aʻe nei ka nui o nā kikowaena hoʻomaʻemaʻe koko ma ka paeʻāina e pono ai nā mea maʻi e ʻīnea ana i ke kū ʻana o ka hakuʻala. 

Why In-Home Dialysis Is Becoming A More Popular Option In Hawaii Cory Lum/Civil Beat/2022

Why In-Home Dialysis Is Becoming A More Popular Option In Hawaii

The treatment can help eliminate exhausting commutes and relieve overcrowding at a growing number of dialysis centers in the state.

A Coastal Road Connects These Patients To Dialysis. Climate Change Could Make That Harder Cory Lum/Civil Beat/2022

A Coastal Road Connects These Patients To Dialysis. Climate Change Could Make That Harder

Getting to and from dialysis is already a challenge for some rural Hawaii residents. Sea level rise is expected to make things worse.

Native Hawaiians Face High Rates Of Diabetes. That Means More Need For Dialysis Getty Images/iStockphoto

Native Hawaiians Face High Rates Of Diabetes. That Means More Need For Dialysis

The number of dialysis centers in the islands is increasing to meet the need as more patients suffer from kidney failure.

Ongoing Coverage