Marshallese women have their babies here, then put them up for adoption by Americans.
Despite increased scrutiny from authorities, adoption agencies are continuing to flout Marshallese law by bringing late-term pregnant women from that country to Hawaii and other states so the newborns can be adopted by U.S. families, officials said yesterday.
A healthy Marshallese baby can cost the adopting family as much as $40,000.
Although the number of adoptions each year is believed to be small, the practice has been widely condemned because it circumvents Marshallese law, and the birth mothers generally do not understand that they are giving up their children for good, according to federal authorities and other officials at a video conference called yesterday by U.S. Rep. Neil Abercrombie to discuss the problem.
Also, the practice often seems to involve fraud or deception, not only victimizing the birth mothers, but also state and federal agencies, hospitals and other organizations, the officials said.
As recently as last month, hospitals in Hawaii handled births of Marshallese babies destined to be adopted, and a small group of pregnant women from the tiny, impoverished Western Pacific nation was expected to arrive in Hawaii today, bound for Utah, the officials said.
Abercrombie (D-Urban Honolulu) invited representatives from law enforcement agencies, health care providers, advocacy groups, the Marshallese government and other organizations to the conference, linked by video between Honolulu and Washington, D.C.
While the agreement governing relations between the two countries prohibits a Marshallese child from traveling to the United States to be adopted without meeting immigration and other requirements, it is not clear whether that provision applies to pregnant Marshallese women.
But under Marshallese law, the adoption of any child by a foreign resident must be approved by that island nation's court. Officials said adoption agencies arrange to bring the birthing mothers to Hawaii to circumvent that law.
Beyond the legal issues, the birth mothers usually do not understand the full ramifications of a U.S. adoption, and once in Hawaii they become completely dependent on the adoption agency, which houses them, arranges for transportation and medical services, provides translators, takes their passports and essentially controls their lives, several conference participants said.
"They're basically held hostage," said Kristine Nicholson, president of Hawaii International Child, a state-licensed nonprofit adoption agency which has not arranged any Marshallese adoptions.
But Linda Lach, a Kauai attorney who has arranged such adoptions, cautioned against portraying all people in the industry with the same broad stroke.
As in any industry (bold added), there are unethical people involved with Marshallese adoptions, but "we can't all be tainted with the same brush," said Lach, who was not at the conference. She said the adoptions she handles are done properly, and the birth mothers clearly understand what they are doing.
Officials at the conference said that when questions are raised about suspect practices, the adoption agencies simply move the birth mothers to different locations around the state and switch hospitals.
The state attorney general's office is investigating whether Medicaid fraud has been committed by some agencies. Among other issues, the office is investigating whether the agencies are collecting money from the adopting families for the birth mothers' medical expenses while enrolling the women in Medicaid, putting the state on the hook for those bills.
The Legislature also is weighing in on the adoption issue. A bill that would prohibit Hawaii courts from approving any Marshallese adoptions that have not received the go-ahead of that country's court system was passed yesterday by the Senate Judiciary Committee. It goes to the full Senate for a vote.
Whatever is done to tackle the problem, authorities said that the organizations that may be benefiting from a criminal enterprise - not the mothers exploited by it - should be the target of law enforcement.
"What we have to find is who is behind it," said Michael Seabright, assistant U.S. attorney in Honolulu.
The major portion of this blog was created in 2005, as the Baby Tamia story unfolded. Typically, soon after this child was returned to her family and the press covered her welcoming festivities, the atrocities committed in the Baby Tamia case were set aside and largely forgotten by the media.
