If Roz Baker were having a massive heart attack in Puna and needed treatment at Queens Medical Center, do you think she would be content to wait 1-2 hours for ambulance #1 to the Hilo Hospital and initial evaluation, 1-2 hours for ambulance #2 to get to Hilo airport, 2-3 hour to fly to Honolulu airport, and another hour or more for ambulance #3 to QMC, then another hour to the cardiac cath lab (total 6-8 hours)? Helicopter direct from hospital to hospital could take less than half that time.  I wonder what Baker would be calling for then....