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Those special procedures can only be performed in certain selected hospitals on Mainland. Hawaii is no different from North Dakota where residents have to fly to certain hospital in some cities to have that procedure performed.
Read those rankings and their criteria. Ethnicity is not mentioned.
Hawaii is completely different than North Dakota - as last I checked, North Dakota is closer to any mainland hospital than Hawaii. You probably don't have to disrupt your entire life if you need to go outside North Dakota nor do you probably have to move.
You can't talk about life expectancy in Hawaii and not mention ethnicity. You also don't land in Hawaii at age 70 from the mainland and you automatically get a few extra years of life expectancy.
If you are Chinese, Filipino, or Japanese and live out your life without unexpected health issues - yeah, you'll probably live longer than the average person in North Dakota. It is called genes.
I don't see somebody in rural North Dakota who got sick and couldn't receive quality treatment in any hospital in Bismarck fare much better than anyone from Hawaii. Assuming both need to be treated in certain hospital in Boston, he has to drive 3 hours to Bismarck to board the flight to Boston. At least one of his family may have to escort the patient. Same with the one from Hawaii. Their entire lives are disrupted no matter he lives in Hawaii or North Dakota.
The report is nothing about ethnicity. For example, the U.S. News report judged Quality of health care by: Fewest hospital readmission, Medicare Quality, Nursing Home quality and Preventable Admission.
And China's average life expectancy is 76.25 years while U.S. is 78.69 years. I don't see Chinese live longer than Americans because of genes.
I don't see somebody in rural North Dakota who got sick and couldn't receive quality treatment in any hospital in Bismarck fare much better than anyone from Hawaii. Assuming both need to be treated in certain hospital in Boston, he has to drive 3 hours to Bismarck to board the flight to Boston. At least one of his family may have to escort the patient. Same with the one from Hawaii. Their entire lives are disrupted no matter he lives in Hawaii or North Dakota.
The report is nothing about ethnicity. For example, the U.S. News report judged Quality of health care by: Fewest hospital readmission, Medicare Quality, Nursing Home quality and Preventable Admission.
And China's average life expectancy is 76.25 years while U.S. is 78.69 years. I don't see Chinese live longer than Americans because of genes.
Someone in rural North Dakota isn't going to go all the way to Boston - heck, they'll probably hop in the car and head to the Mayo Clinic in Minnesota.
You should try going to China - you'd instantly see why the life expectancy within China does not compare favorably to the US. If China had the same food standards, medical access, environmental controls on smog - they'd easily outlive the typical American. Quite frankly, that they are only off by 2.5 years from the US is astonishing.
Hawaii is not the best place to consider since the health care in Hawaii is at the bottom of the barrel.
I have lived here my entire life, and while I cannot speak for the healthcare in other places in the US, my experience with healthcare here has been very good.
According to State Department of Health, there are still about 11,000 properties with cesspool in Oahu. They will be gradually phased out completely by 2050: Wastewater Branch | CESSPOOLS IN HAWAI’I
Yes, but you mentioned you can "save some money" with a cesspool, which is patently not true. If you have a cesspool, you cannot repair or modify it; it is illegal to do so. You will be forced to replace it with a septic system and that will cost big bucks. Systems after design, permitting and construction with current regulations can run $25-$30K++... making the $90/mo sewer connection fee seem like a veritable bargain.
How common is it for Hawaiian residents to go without A/C? For any/all the islands?.
I'm not aware of anyone using it in their homes on the east side of Big Island, though no doubt some do. Buildings are usually over cooled, which is a bit obnoxious. It can be useful in cars though if you don't want the windows rolled down.
With adequate ventilation you can also get by on west side without, though some sea level locales could get a bit uncomfortable during the warmest months.
It's mostly personal preference, some people just aren't comfortable outside of a small range of temperatures. It seems as one gets older this becomes more common.
Quality of healthcare means nothing to you if you live on an outer island, get in a serious car wreck, and they can't fly you to Honolulu in time.
Quality of health care means nothing in Minnesota if you slip on ice and fracture your skull.
Health care services are rated fairly low in Alaska, emergency care can be hours away by any mode of transportation and yet one can find old folks choosing to live in all parts of the state, including the remote areas.
Understandable that this is a high priority for some, but for others it isn't.
Quality of health care means nothing in Minnesota if you slip on ice and fracture your skull.
Falling down from a slip on the ice can be a problem in Minnesota, or anywhere in the nation where ice can form, which includes a lot of land mass in the US. When icy conditions exist, you have to walk carefully and look at the ground when you walk to significantly reduce the chances of falling down on the ice. When driving, you have to drive carefully. You can’t drive like it’s summer in the wintertime! The people that are foolish, drive recknesss, tailgaters, make quick lane changes, or lane changes under bridges, can find themselves in the ditch or an accident.
I agree that someone from North Dakota isn’t going to fly to Boston for healthcare they can’t get in their state. They are most likely going to come to Minnesota, which is well known for high quality healthcare, not just the Mayo Clinic. But Minnesota isn’t utopia, the weather is nice only about 3 months out of the year, and the taxes are very high. If you’re poor, and put up with the bad weather most of the year, there’s a lot of free handouts, even for the freeloaders!
It can't be that bad - the population of Minnesota continues to rise year over year.
It's a tundra, but what would you know White (power I'm assuming) viper?
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