It is your quip points, tendency to use the pun without recognition of processes and politics that impact OHA that I am referencing

Yes. People are dying; spiritually, mentally, emotionally and physically.  Remember that as to why social determinants of health is an equity issue and HAWAIIANS (not Hawaii residents) are dying earlier.

Social determinants of health has not been around as long as Housing First, yet Hawaii after 20 years of knowing about it and NIMBY backlash is implementing because homeless are all around us. 

Implementation of social determinates to address said issues requires systems and departments  to collapse their bureaucratic walls.  Housing, education, etc.  Easier said than done for separate depts. to work together, and is where legislation may be helpful.  

I'm glad you brought up my comment of blame, which is referencing me not blaming.  FYI:  Long ago HAWAIIANS did not blame.  Missionary-influenced.  No blame to the missionaries.