Despite criticisms that Ulama or Mesoamerican Ballgame and Lacrosse[6][7] are not included in the program of the Pan American Games, the number of countries practicing the sport is too small for the sport to be added to the program. As of 2018, there are 15 national federations in the Americas affiliated with World Lacrosse with a minimum number of Panam Sports recognition being 14 (Bermuda, Canada, United States, Iroquois, Argentina, Colombia, Costa Rica, Guatemala, Jamaica, Mexico, Peru, Puerto Rico, Chile, Ecuador and Haiti). However, the Iroquois nation is not recognized by Panam Sports or the IOC.[8] Thus, there are at this time 14 regional member nations of World Lacrosse, enough for the sport to be included in the Pan Am Games as early as 2023.