Since it's so hard to get your foot in the door, I'm wondering if having a comfort level with spoken Japanese would give me a better chance. After all, tourists get sick and need care just like anyone else. What kind of certification or proof of skills would I need? Would a good score on the SAT II subject test, Japanese with Listening, be good enough? Or is there any specific credential that would open some doors? Thanks in advance... Oh, BTW I'm hoping to be working in Kona.