Given how much we spend on Healthcare here in Hawaii and across the Nation, our fragmented privatized system is a disgrace. We spend twice that of other developed nations, but our outcomes are at the bottom compared to their single payer systems.  Competitive markets are supposed to yield higher-quality for lower-cost. Clearly this is not happening in our health care system where scheming to limit access to quality care is more profitable than delivering it. 

How long can we afford to keep supporting this bloated, convoluted web of corporate bureaucracies and overpaid administrators feeding at the trough? These swelling armies of healthcare lawyers, lobbyists and bean ccounters never deliver any direct care themselves, while the shrinking supply of those who do are overworked and burned out.

Hawaii may be better than Louisianna and other US states in terms of access, quality, cost and outcomes, but it turns out that's like saying we're more righteous than murderers and thieves.