Monty Said: Thanks for your help. When you say "very poor health care availability (not to even discuss quality)"
Does that mean that even primary care physicians are no good or hard to get appointments with?
Me: I live in the Pahoa area. My primary [only] physician is in Hilo. I have no health insurance and pay as I go. I see him only for yearly check ups. He is an outstanding physician, Dr. Stefan Harmeling [
www.alohanuifamilypractice.com]. For those of us who routinely do business in town having a doctor in town is practical. I would imagine as the population grows out here in makai Puna we will see more and more docs setting up their practice...even if only for seniors... :::::wink::::
Monty: Does one have to get "wait-listed" for primary care visits too?
Me: I did not. My original doctor, Jon Martell, was my family doc for 15 years until he closed his practice and went to work fulltime at the Hospital. Doc Harmeling is 3 doors down from Doc Martell's former office and they took me with no wait list.
Monty: I do not mind the limited infrastructure as much. I am tired of living in cities.
Me: That is the sacrifice one must be ready to make. When my husband and I made the commitment to move here he was most concerned that we would be living in a rural area, not for himself, but for me. He was raised in a large city, Montreal, and I was raised in LA County. We raised our family in San Diego and moved here in 1991. I told him I was ready to live somewhere more obscure, less people, and when I needed a city fix we could fly to Oahu and play tourist like we did for many year before moving here. Once here, living in the rural world is a mixed bag. There is most definitely a trade off. The lack of multiple choice in eating establishments, for instance. But the positives far and away exceed the drawbacks. I truly love living somewhere you can actually make a difference and where people are just people. Keeping up with the Jones' here is hilarious...how many volunteer hats do you wear; what are you growing; what subdivision do you live in. The one thing we had a bit of getting used to was the incessant questions! And inappropriate ones too! We have been here for nearly 20 years now which has passed very quickly and we love it.
Monty: Right now, I am living in Atlanta, Georgia and i do not like it. But I like the "unconventional folks", which I assume Puna has in abundant quantities.
Me: I would say, Puna could be deemed the 'unconventional folks' capitol of the state! But you have no other place where you appreciate the freedoms as you do here. Freedom of self expression on so many levels is acceptable to so many people. After awhile people get to know you and you can't go to the store without a disguise if you want to just pop in buy and pop out...otherwise you wind up 'talking story' because you are sure to bump into someone you know. I believe you will love it here. There are a couple of Charter Schools on this side of the island. I am familiar with Hawaii Academy of Arts and Sciences [
http://www.haaspcs.org/] located in Pahoa and Connections Charter School located in Hilo. The principle at HAAS, Steve Hirakami, is very involved in the community and is a wholly nice man. The principle at Connections, John Thatcher, is equally involved in his community and equally devoted to his students. Both Charter schools have great reputations.
On a final note about health care here: My father lived with us for a few years when we first moved here. He is a Vet and uses the Veteran's Administration for his healthcare. Then, it was not as invested in Hilo as it is now. Hilo Medical Center, the local Hospital, has a mixed bag reputation. I have personally NEVER had a problem with them and I have had several surgeries...but I have known others whose nightmarish problems are notable. My best friend in the world lives on Oahu and both she and her husband have been particularly cursed with serious health problems yet both of them have received outstanding care from Straub Medical Center. Obviously, the population center for the state being on that island will reap the better quality care. We do have a Wal-Mart here in town so the generics are still 4$.
This has been my experience. While you visit the Big Island I hope you are wowed by the inherent spirit and beauty of the land. It will surely grab your heart and soul and even if you decide not to relocate here it will be a special place and memory that will bring you joy upon every remembrance.
“A penny saved is a government oversight.”
"Q might have done the right thing for the wrong reason, perhaps we need a good kick in our complacency to get us ready for what's ahead" -- Captain Picard, to Guinan (Q Who?)