Not sure about the proportion of local to visitor incidences requiring expensive rescue personnel and resources. I think what irritates are those incidents that are self-inflicted -- like dangerously incapacitating oneself by drinking too much booze in the ocean. That's is reckless and frankly, disrespectful to the ocean. As for condoning indecency as long as they pay -- well, that just underscores my point that Hawaii and its indigenous culture, which embodies respect for all beings and nature, is severely compromised and undermined by a free market mentality where everything is for sale if the price is right.