Mark please note the following article;
Monday, November 29, 2004  Star Bulletin, Gary Kubota
"Maui Memorial has made a profit in 14 of the last 18 years and has improved patient safety"  Back them while HHSC was losing money Maui memorial was profitable and therefore wanted to break away from HHSC.
It is clear that in planning for Maui Memorial Hospital's future disastrous financial mistakes have been made.  Those responsible should explain the mistakes made so we do not repeat them and hopefully we can move forward in a calm rational apolitical manner.  
Healthcare, policing, fire fighting, national defense, infrastructure maintenance are not businesses; they are essential services provided to the people by their government paid for by taxes.  Policing is losing money every year since it existed; privatization of the prison system shows that unforeseen abuses arise when money is the objective.