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Old 05-23-2015, 12:30 AM
 
Location: Kahala
12,120 posts, read 17,894,590 times
Reputation: 6176

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Quote:
Originally Posted by Mikala43 View Post

Liver specialist is not really something unique, it's not like needing to go to the Mayo Clinic or anything
Apparently it is in Hawaii.

Gambling, Chipotle, Satellite radio, and Trader Joes isn't terribly unique either - but you won't find that in Hawaii either.
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Old 05-23-2015, 04:06 AM
 
Location: Texas
44,254 posts, read 64,332,595 times
Reputation: 73931
No satellite radio?! Well, that just cuts it!
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Old 05-23-2015, 09:48 AM
 
2,687 posts, read 7,406,958 times
Reputation: 4219
Default not surprised...

I'm not surprised by any of these cuts. I left the State 2 years ago. Worked in the HHSC corporation. The State hospitals are run so poorly, well obviously. Kona could not keep any CEO in office. Maui wastes money on multi-thousand dollar a month buildings that sit empty. The entire HHSC was instigating a 'new and improved' system for billing/registration etc that never came to be. Kona could send no billing for six months due to the short-cuts that had been put in place to 'accomodate' the new system. The entire State healthcare system is foolishly run. I feel horrible for my friends that will be suffering from lack of a pay check. I'm sure Wesley Lo, Maui CEO will maintain his hefty paycheck. I have sent them all my Aloha and wish them all the best.
Koale
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Old 05-31-2015, 03:55 PM
 
2 posts, read 2,654 times
Reputation: 10
Hello,
Is there a demand for Family Physicians in Hawaii?
It seems as if the state run health care system is having some difficulties, but what about private insurance? Is there a significant amount of the population that has private insurance?
Thanks
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Old 05-31-2015, 11:15 PM
 
Location: Kahala
12,120 posts, read 17,894,590 times
Reputation: 6176
Quote:
Originally Posted by FiveRivers77 View Post
Hello,
Is there a demand for Family Physicians in Hawaii?
It seems as if the state run health care system is having some difficulties, but what about private insurance? Is there a significant amount of the population that has private insurance?
Thanks
Demand is high. Hawaii and Massachusetts have the most health insured by population in the U.S. However, reimbursement rates to Docs is poor compared to the mainland and many Docs can't afford to live here when accounting for loans to get thru med school.
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Old 06-01-2015, 11:06 AM
 
Location: mainland but born oahu
6,657 posts, read 7,749,740 times
Reputation: 3137
Quote:
Originally Posted by whtviper1 View Post
Hmmm, I think you are missing my point. You don't have the right expectations. You live on a remote island in the middle of the Pacific ocean. It isn't a reasonable expectation - aging population or not - to expect care and medical services that one has access to on the mainland - it just isn't realistic. That there are 2 specialists on Oahu that you need in my mind is a bonus for you. I believe if you have serious medical issues you need a mindset of not living in Hawaii or getting care on the mainland.
I disagree about your logic. I have to admit your a slippery fellow. Why not expect good health care? Alot of people expect and get every other mainland or modern thing in Oahu. The explanation of living on an island and remoteness is just that an excuse. On keeping it real, the issue of bad medical care is just like everyother labor issue on the islands, low pay that has not kept up with the cost of living. Unless your an executive. Emp don't want to pay for good docs.
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Old 06-01-2015, 11:12 AM
 
Location: Kahala
12,120 posts, read 17,894,590 times
Reputation: 6176
Quote:
Originally Posted by hawaiian by heart View Post
the issue of bad medical care
Where did I say there was "bad medical care" on Oahu?

Although you haven't been to Hawaii in 40 years you wouldn't know this but Hawaii has the highest life expectancy in the United States. The medical care can't be all that bad.

List of U.S. states by life expectancy - Wikipedia, the free encyclopedia
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Old 06-01-2015, 11:13 AM
 
Location: mainland but born oahu
6,657 posts, read 7,749,740 times
Reputation: 3137
Quote:
Originally Posted by Koale View Post
I'm not surprised by any of these cuts. I left the State 2 years ago. Worked in the HHSC corporation. The State hospitals are run so poorly, well obviously. Kona could not keep any CEO in office. Maui wastes money on multi-thousand dollar a month buildings that sit empty. The entire HHSC was instigating a 'new and improved' system for billing/registration etc that never came to be. Kona could send no billing for six months due to the short-cuts that had been put in place to 'accomodate' the new system. The entire State healthcare system is foolishly run. I feel horrible for my friends that will be suffering from lack of a pay check. I'm sure Wesley Lo, Maui CEO will maintain his hefty paycheck. I have sent them all my Aloha and wish them all the best.
Koale
Yeah its sad and not surprising but Hawaii has always had an infrastructure and management issue in operations of government services etc. Im just sorry it lands on health care because that can get scary.
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Old 06-01-2015, 12:49 PM
 
Location: Kūkiʻo, HI & Manhattan Beach, CA
2,624 posts, read 7,256,578 times
Reputation: 2416
Quote:
Originally Posted by whtviper1 View Post
... Hawaii has the highest life expectancy in the United States. The medical care can't be all that bad.

List of U.S. states by life expectancy - Wikipedia, the free encyclopedia
While Hawaiʻi might have the highest overall life expectancy rates in the United States -- it's probably not because of the medical care, but in spite of it. If you notice the ethnic disparities on the Wikipedia page that you linked you, you'd realize that "Asian Americans" and "Latinos" live longer in 27 other states and that "Whites" live longer in 4 other states. Apparently, the presence of a sizable "African American" population in a state lowers the overall life expectancy rate. If Hawai'i had a larger African American population, I suspect that over a dozen states would have higher overall life expectancy rates.

Similarly, if one looks at life expectancy data by county, folks residing in the County of Hawaiʻi have lower life expectancy rates than folks residing in the City and County of Honolulu...
http://files.hawaii.gov/dbedt/econom...e-forecast.pdf
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Old 06-01-2015, 01:40 PM
 
Location: Kahala
12,120 posts, read 17,894,590 times
Reputation: 6176
Quote:
Originally Posted by Jonah K View Post
While Hawaiʻi might have the highest overall life expectancy rates in the United States -- it's probably not because of the medical care, but in spite of it.

Similarly, if one looks at life expectancy data by county, folks residing in the County of Hawaiʻi have lower life expectancy rates than folks residing in the City and County of Honolulu...
I didn't say Hawaii had the highest life expectancy due to medical care - I pointed out "it can't be all that bad"

Generally, rural areas have lower life expectancy than urban areas so that makes perfect Hawaii County has a lower life expectancy than those on Oahu.

"Accidents, cardiovascular disease, COPD and lung cancer accounted for 70 percent of the overall rural–urban gap in life expectancy and 54 percent of the life expectancy gap between the urban rich and rural poor in 2005 to 2009.

A number of factors likely explain the disparity, said SIngh. “When compared to urban areas, rural areas have higher rates of both smoking and lung cancer, along with obesity, yet reduced access to health care services. Additionally, rural residents have a lower median family income, higher poverty rate and fewer have college degrees."

Gap in Life Expectancy Between Rural and Urban Residents Is Growing | Center for Advancing Health
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