When it comes to medical care everyone gets a subsidy. Almost everyone who is working in Hawaii gets their insurance from where they work (in fact 49% of all Americans do the same). If you have an employer plan, you get a group discount plan, and you and the employer get Federal tax benefits that subsidize the cost of insurance. The employer gets a tax credit for his or her paying a share of the premium, and the employee does not need to report or pay tax on the portion of the premium paid by the employer. That is just one example. Last I checked the Republicans are not touching employer provided health insurance.