The middle class in Hawaii got screwed by Obamacare.  The mandates and stupid choices by the Insurance Commissioner Gordon Ito made health insurance practically double in the last two years.  That translates to fewer workers getting health insurance from private employers and finding insurance on their own.  The individual coverage under Obamacare is not relatively cheaper than buying it directly from HMSA or HMAA.  In fact, in most cases the Obamacare is worse than what employees use to get from their employers before Obamacare.  Hawaii's Prepaid Health Act provide excellent coverage at reasonable prices until Obamacare showed up.