Category Archives: Health

It’s time to shine some light on special interests lobbying the Ige administration during this pandemic

The news concerning Hawaii’s attempts to control the spread of Covid-19 is pretty alarming. I’m not talking about the string of days with new cases in the triple digits. I’m talking about the apparently collapse of the bureaucracies entrusted to plan and implement our collective response.

One question prompted by recent reporting on the state’s response to the pandemic is simple. If administration officials aren’t heeding their detailed plan for a controlled and staged reopening of the state’s economy, and they aren’t listening to legislators, who are they listening to?

That’s a tougher question to answer than it should be, because lobbyists are free to ply their trade by steering the policies of the governor and his administration to favor the special interests the lobbyists are paid to represent. The state has a lobbyist law that restricts some activities and requires disclosure, but when it comes to lobbying the governor and his administration, under most circumstances the law doesn’t apply.

And that’s a problem.

I’ll try to spell it out.

First, kudos to Civil Beat reporter Stewart Yerton for his recent reporting.

The headline to his story on Monday summed it up pretty well: “The State Has A Plan For When To Reopen Or Reclose. Why Aren’t We Following It?

Nearly three months ago, the Ige administration rolled out its detailed plan for reopening the economy after months of being shut down.

It included detailed conditions that would have to be met in order to justify each successive loosening of community restrictions. Meet these goals, and these sectors can be given more freedom. Then work on the next level of health goals, and we were told we would then, and only then, continue to open up until we got back to a new normal.

What Yerton points out is that the whole scheme has apparently been tossed out the nearest window of the governor’s 5th floor offices, and we’re back to catch-as-catch-can decision-making without reliance on measurable criteria and public metrics to justify changes in policy.

So if they’re not paying attention to the plan, who is the administration listening to? What special interests are cozying up to the governor, his chief of staff, his chosen “economic recovery navigator”, Alan Oshima, and others at the center of administration decision-making?

We don’t know, because current law doesn’t require disclosure of these contacts. I thing that’s a key reason that Civil Beat couldn’t really answer the question about why the detailed plan for the staged safe reopening of the economy has been largely ignored. Those guiding the state’s policy are apparently unable or unwilling to explain the basis for their decisions. And lobbyists aren’t required to make their own disclosure.

The problem is that the state’s lobbyist Law turns a blind eye to lobbying executive branch officials and employees, from the governor on down.

Instead, it’s back to the unregulated Wild West when it comes to lobbyists who are paid to pressure, prod, or cajole the governor and his key staff, health officials, or department administrators involved in decision making.

If lobbyists go the capitol to persuade legislators, they are covered by the lobbyist law. But if they continue up to the 5th floor of the capitol building, where the offices of the governor and lieutenant governor are located, they’re exempt.

Why? Because Hawaii’s lobbyist law unfortunately does not apply to most executive branch lobbying. The law only applies to the executive branch when it is considering the adoption, amendment, or repeal of rules governed by the formal process of Hawaii’s Administrative Procedures Act.

So if you’re not lobbying for or against a rule being processed pursuant to the Administrative Procedures Act, the lobbyist law doesn’t apply.

If lobbbyists are trying to influence the course of the state’s pandemic response to benefit their clients, it doesn’t apply, and lobbyists are free to do their thing behind the closed doors of the governor’s office or state departments without registering or ever being called on to disclose what they are spending, or who is paying the bills.

There’s a big picture here. Lobbying is considered to be constitutionally protected activity because it is a form of petitioning the government for the “redress of grievances,” which is directly protected by the First Amendment.

But although we can’t ban lobbying, we can require disclosure so that the weight of public opinion can intervene when lobbyists’ actions appear to work against the public interest. That disclosure is a large part of what our state lobbyist law requires.

There have been several past attempts to amend the state lobbyist law so that it applies to all lobbyist of the executive branch. So far, these have not been successful.

But perhaps the experience during this pandemic will underscore for legislators the reasons the law needs to be amended, and provide some motivation to bring let a bit of sunshine follow lobbyists when they walk into those offices on the capitol’s fifth floor.

See:

The Silence from the Fifth Floor: Is This the Transparency We Were Promised?” Ililani Media, February 4, 2015

Ian Lind: Lawsuit Exposes Blind Spot in Hawaii Lobbyist Law,” Civil Beat, September 9, 2015.

“Regulating executive branch lobbying”, iLind.net, February 25, 2016.

Ian Lind: Lawsuit Exposes Blind Spot in Hawaii Lobbyist Law, Civil Beat, September 9, 2015.

New COVID-19 airport screening process has possible glitch

The state has announced that its mandatory interisland travel and health form, required for anyone traveling between the islands, is now online. But the airport screening procedure being designed around the on-line system appears to have at least one glitch.

The online system was announced in a press release this morning from the Hawaii COVID-19 Joint Information Center.

Using this system, travelers are asked to fill out the form within 24-hours of their flight. They will then receive a QR code which will be scanned during the screening process at the time of checking.

When I read through how this is going to work, I noted one problem. Here’s an excerpt from the press release, with the emphasis (in bold) added.

When passengers arrive at the airport they should check in to their flight and obtain a boarding pass (if they haven’t already done so) and drop off any checked luggage. Passengers will then proceed to a passenger verification and screening station located before Transportation Security Administration (TSA) checkpoints, where they will have their temperature taken to ensure it is below 100.4 degrees. Passengers without elevated temperatures will submit their QR code to an airport representative who will scan it with an iPad to verify the information….The passenger’s mobile phone will be called in front of them, to ensure it rings and the screener will verify the address provided on the form matches the passenger’s government issued identification.

Why is that a problem? Because there is no existing requirement that the “government issued identification” used to travel must display a person’s current address.

Although drivers are supposed to submit a notice when moving to a new address, there is no requirement that they apply for a new license displaying the updated address.

From the instructions on the Honolulu city website: “You may continue to use your existing driver license with the old address until it expires.

For example, we moved from Kaaawa to Kahala in 2015. Meda and I both submitted letters notifying the licensing office of our new address. The next year, I had cataract surgery, and no longer have to wear glasses, so I applied to a duplicate license that both omitted the restriction for glasses, and also updated my residence address.

Meda decided to just use her existing license until it expires. Both of our licenses are legal, but her’s will not match the address on the form.

We are a mobile society, and I’m guessing there will be more than a few people who could get tripped up at the airport if the description of the process is accurate. That’s going to be a rude surprise as you’re trying to catch a flight!

In response to an email inquiry, a spokesperson for the State of Hawaii COVID-19 Joint Information Center (JIC) said yesterday “this will be brought to the attention of the folks designing the system.”

“We will work on this,” the reply said.

Worries about ramping up tourism

Worried about opening up the state to tourism again with a largely untested system of screening, and without a clear game plan for how to evaluate success (or failure), and when facts on the ground would prompt a retreat to safety? Yes, I’m definitely worried about how to move forward, balancing economic needs with health and safety.

I’m reprinting this Facebook post by Lee Evslin, a retired primary care physician and healthcare administrator, who expresses similar concerns. I don’t know Lee, but I know his concern is shared by many, and his FB post has been shared by several mutual friends.

Perhaps more substantive evaluation of the Alaska experience is necessary? If the state has done a relatively thorough assessment, how about sharing it with the public?

Evslin wrote:

Our state is planning to move to a single PCR test before arrival and no quarantine unless one does not take the test starting August 1. The plan is to be similar to Alaska’s. I have a friend who is one of the district health officers in Alaska. I called him tonight. Their new system went into effect June 5th.

He said that they have had a big upsurge in cases since then and the system has also not worked well for logistical issues such as results not coming back in a timely fashion. He advises us to be very careful about adopting such a system.

I checked Alaska’s data. They went from having 40 active cases in May to having 400 active cases at the end of June with a rapidly rising curve. Tonight Alaska was reported to be one of the states with their greatest single day high in cases.

Alaska has about one half of our population and is 60 times bigger than Hawaii, meaning it appears much less crowded than Hawaii.

The Mainland is also rapidly losing control and they will be the majority of our visitors. I am very worried about opening with a single test system and no quarantine.

Lee Evslin, MD

A short tale of death and dying in the season of the coronavirus

The text message from a friend arrived at 5:11 a.m. on Monday.

My Mom died yesterday. I am so sad. Love to you both.”

My friend and I were classmates in the 2nd grade at Kahala Elementary School the year the school first opened its doors. We went up through sixth grade together, then went our separate ways to different high schools, but reconnected in 2015 (along with other classmates) when Kahala School celebrated its 60th birthday, and she returned for her 50th high school reunion.

Since we reconnected, she has been a frequent visitor to Hawaii from her home base in Denver, flying into town every 6-8 weeks to visit her mother at the Kahala Nui retirement community. She’s joined us on our early morning walks on Kahala beach, and shared many late afternoon glasses of wine on our back deck, several times with others who can trace back to the same 2nd grade class.

Her visits were stopped by the coronavirus, the suspension of most air travel, and the stay-at-home protocol we were all asked to follow. Kahala Nui locked down. No visitors allowed. That was an smart move that appears to have avoided the spread of COVID-19 among the residents, but tough on residents and their families.

She kept in touch with her mother by phone, and Facetime calls, but of course it’s not the same. And then, less than two weeks ago, an infection put her mom in the hospital. My friend still wasn’t too worried. She knew her that her mom was a strong woman, even though over 90.

One of those things. She was strong and ready to live to a hundred. And then, suddenly, she wasn’t.

My friend knows her mother was asking for her during those final days. But even if she somehow managed to get flights to Hawaii, she would have been subject to the 14-day quarantine, and likely would not have been allowed into the hospital anyway. There don’t appear to be any bereavement exceptions built into the current rules.

So she was more than 3,000 miles away and couldn’t do anything other than watch from a distance and wait for the news that finally came on Sunday.

“It was hard not to be there,” she commented.

And what now? She has no way to know when it will be possible to get back to Hawaii to deal with all the bureaucracy of death.

These are such emotionally draining moments under the best of circumstances. And these are far from the best circumstances.