The focus should be on changing the Republican plan to protect the advantages of employer provided medical insurance which by law we all have if we are full time employees partly by way of a federal subsidy . The subsidy is a tax break for employers who provide employer plans. Republican plan does two bad things for us: (1) gets rid of the employer's tax credit, and (2) excludes anyone with an employer provided plan from taking the tax credits in the Republican plan. So Hawaii full time workers will have their premiums increased for the plan coverage we have today (small businesses on the mainland on our side on this).