Shellyanne Aknilang holds Aidrielyann and Amari back from playing with her grandmother, Lorene’s, oxygen tank. It is very important in Marshallese culture that one’s parents are well taken care of. In the Joash family, both aging parents Jay and Lorene are cared for by their children and other younger relatives. With Lorene dealing with a tumor and Jay recovering from a stroke he experienced in 2017, the return of Medicare has greatly improved both their wellbeing and their children’s ability to help them get the care they need. Lorene finds herself hospitalized frequently, although she would prefer to be home.