More than 150 Hawaii doctors left the state this year - roughly 5% of workforce (schedule, specialists)

[Grassyknoll]

Originally Posted by whtviper1

Well - the government shouldn't be doing anything about it. It isn't their responsibility.

Yet a government report was the catalyst for all this posts' hub-bub and hand-wringing?

[terracore]

Originally Posted by whtviper1

Well - the government shouldn't be doing anything about it. It isn't their responsibility.

"The government" is deeply involved/invested in health care in this state: What they require employers to provide, how much of our taxes are metered out to those who cannot provide for themselves, etc.

Your statement would be correct if "the government" stayed out of healthcare, but they are already involved, and they have already ruined it.

Government has broken healthcare, the only solution is to 100% solve it, or 100% get out of it. Politicians are capable of neither.

[whtviper1]

Originally Posted by Grassyknoll

Yet a government report was the catalyst for all this posts' hub-bub and hand-wringing?

Only if you consider the government - University of Hawaii

[whtviper1]

Originally Posted by terracore

"The government" is deeply involved/invested in health care in this state: What they require employers to provide, how much of our taxes are metered out to those who cannot provide for themselves, etc.

I'll clarify - they aren't in the business of hiring/firing doctors - and don't set reimbursement rates to physicians by the insurers

[rya96797]

As far as doctors working in clinics run by kaiser, etc. in hawaii, yeah there's a big shift towards this model. It's easier to simply work for a salary than deal with the headaches and uncertainty of running your own business, dealing with poor reimbursement rates and high insurance costs. The easiest (but expensive) way to get a foot up in running your own practice is to buy a retiring doctor's practice and book of business. So you already have someone that just graduated and finished residency with a high debt load, and now saddling on more debt. Not an easy choice to make. I know people that chosen both paths, neither is easy. Sad when I've been told by frustrated doctors that I should be glad that I didn't become a doctor.

[artillery77]

Which hospital is the best in Hawaii?

[whtviper1]

Originally Posted by artillery77

Which hospital is the best in Hawaii?

Queens

[mxg67]

Define best. Queens has been having issues in recent years. Folks I know in healthcare say HPH is where it's at, though they have their limitations.

[whtviper1]

Originally Posted by mxg67

Define best. Queens has been having issues in recent years. Folks I know in healthcare say HPH is where it's at, though they have their limitations.

The most specialists - ability to handle trauma - when you have a serious accident on the Big Island, they don't take you to HPH - they airlift you to Queen's

[mxg67]

Trauma for sure. But some specialists and doctors overall have left or avoided queens because of their issues. Just because there's more doesn't mean it's good across the board. If you need that level of specialization, then sure. If it's women or children's health Kapiolani is the better bet. Again, it depends.