yeah, the Jay alliance surprised me too, although they are both from the South, not the same part of the South. Chelsea and Jay too.
As I said in the ECST, New Zealand is the medical hub. The small island nations actually are third world when it comes to medical. New Zealand has the facilities. It formerly governed Independent Samoa, and the Cook Islands. In the Cooks for example, the Cook Islanders have medical rights to be treated in NZ, and go there for any major procedures.
I'm not sure if Samoans have "rights" to go to NZ now that they are independent, but I know there's a long relationship.
The medical facilities are so third world in the island countries, that if you have a serious condition that requires regular treatment, you may have to move to New Zealand.
If you are on vacation in the area, you could face the costs of being flown to NZ if you hurt yourself -- that's why you need travel insurance to cover that.
It's no joke ... I looked into moving to an island in the region, and it was a big concern.