We have physician shortages across the country and Hawai'i is no different. The problem is that our current reimbursement model encourages trainees to pursue medical fields that are lucrative rather than where there is an actual need. This model needs to change to get rid of the shortage. Sure as a whole we get reimbursed less as physicians in Hawai'i but it is still a calling for many of us. I would recommend focusing our efforts on finding cost effective ways to provide healthcare to as many people as we can.