Why Hawaii Faces a Physician Shortage

Hawaii, a state known for its rolling green hills, stunning beaches, and vibrant culture, is currently grappling with a significant issue: a physician shortage. Many factors contribute to this situation, making it a pressing concern for the community. This article explores the multiple reasons behind this shortage and sheds light on its implications for the healthcare system.

Overview of the Physician Shortage in Hawaii

According to recent data, Hawaii faces a similar physician shortage to the national situation, but the problem is more pronounced. By 2033, it is estimated that the United States will have a deficit of 139,000 physicians. In Hawaii, challenges are particularly acute, with 23% of its doctors being 65 or older and still practicing, and half being above 55 years old. In 2019, 91 doctors retired, 152 left the state, and 120 reduced their work hours, despite a net gain of 47 physicians. This net gain does not offset the loss of experienced doctors, and the increasing demand for healthcare services is putting additional pressure on the healthcare system.

Reasons for the Physician Shortage in Hawaii

Staggering Cost of Living

Hawaii is a remote archipelago, and the cost of living is exceptionally high. Everything of consequence needs to be imported, meaning that doctors need to earn an exceptional amount of money to maintain a lifestyle comparable to what they might enjoy on the mainland. This reality makes it difficult for medical professionals to attract and retain talent.

Isolation and Relocation

The isolation of Hawaii is a significant factor that impacts the physician shortage. Unless a doctor has a special affinity for the state or is from Hawaii, the island's remoteness can be a deterrent. Many people have family responsibilities on the mainland and need to be close to their relatives, especially those who are ill or elderly. The need for frequent travel to the mainland can also discourage medical professionals from relocating to Hawaii, as this can disrupt their personal and professional lives.

Limited Number of Work Locations

Hawaii is home to only 27 hospitals, excluding medical facilities at Pearl Harbor and on Hickam AFB. The limited number of options for employment makes it challenging for doctors to find suitable positions. Even if these hospitals were ideal workplaces, the lack of diversity in work locations can be a deterrent, especially given the remote and dispersed nature of the islands.

Isolation Impacts on Personal Life

The isolation of Hawaii not only affects professional life but also the personal life of medical professionals. The need to fly to the mainland for conferences, schools, or business meetings can be burdensome. This challenge can become more severe if a doctor’s spouse or children do not wish to relocate. Even if a doctor wants to move to Hawaii, they cannot if their loved ones do not share the same desire, making it a difficult decision for many medical professionals.

Conclusion

The physician shortage in Hawaii is a multifaceted issue, influenced by various factors such as the high cost of living, isolation, and limited work locations. This situation is compounded by the increasing demand for healthcare services and a reliance on general practitioners rather than specialists. While Hawaii offers a beautiful and unique lifestyle, these challenges can make it difficult for medical professionals to consider relocating. Addressing this shortage requires a comprehensive approach, including training programs and support for physicians to adapt to the unique demands of practicing in Hawaii.