The state administration fails on many levels, Ige has appointed incompetent people to run state government. From the DOH to DOT to DHHL to DLNR, they're all run by incompetent people who's only qualification is they are democratic party insiders. 
DOH Director Virginia Pressler is likely one of the most incompetent of the bunch, the federal government had to step in and take over the investigation when Genki sushi sickened over 100 people with tainted scallops. It took the feds only days to figure out where the problem was. Pressler also screwed up the deague outbreak on the big island too, this current issue with medical marijuana is just another example of her poor leadership and lack of qualification to run a state health department.