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The elderly get sicker when the weather changes, he’s noticed – though the friends dying lately aren’t all that old, and they aren’t dying just because of the weather.One breezy evening in April, on a weekend with no funeral, Mote’s kitchen filled with steam and the snapping sound of hot oil.Often they leave behind families saddled with medical debt.

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In more recent years, about a third of all Marshallese – some 20,000 people – have made a further journey, across the Pacific to the United States. Many leave the islands in search of the same things as other migrants – work, education, health care. Following the Second World War, the United States used the islands as a testing ground for its nuclear weapons program, detonating more than 60 bombs over a dozen years.

The largest, the “Castle Bravo” test, blew a crater 6,510 feet wide in the lagoon of Bikini Atoll and ignited a fireball visible from 250 miles away. And it’s accelerated by climate change, which has started to drown the low-lying archipelago. was just a matter of saving money for the plane ticket; the door was open. Granted residency but not citizenship, the Marshallese have virtually no political influence and rank as the single poorest ethnic group in the U. In 1996, the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (or welfare reform) eliminated federal health care funding for Marshallese by excluding them from the group of “qualified aliens” who are eligible for benefits.

Few of the elderly Marshallese in the city live into their 70s, according to Mote and other residents I spoke with.

Instead, they’re dying young – of diabetes, kidney failure and heart disease, illnesses they might have been able to manage under other circumstances.

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