A senior Hawaiʻi health care leader says issues with government reimbursements are leading to “a state of non-viability” for the state’s entire health care system.

In the wake of last week’s flood, student doctors from the John A. Burns School of Medicine are treating ailments ranging from digestive issues to joint pain.

Bills primarily serving Hawaiʻi, Maui and Kauaʻi counties often struggle to gain traction, but a major housing bill has promise.

Flooding damaged elevators in the 16-story building. Repair of the main passenger elevator will take months.

Few departments met the official 10% goal last year. While cost, quality and lack of consistent supply are concerns, the current pace doesn’t bode well for the larger push to wean the islands off imported food.

Changes could touch 760,000 HMSA members and their doctors.

Direct primary care is a burgeoning business model that bypasses insurance. If widely adopted, it could lessen the state’s dire shortage of primary care doctors — or make things worse.

The union representing Hawaiʻi and California employees wants Kaiser to return to the bargaining table.

State pilot program to help connect people with services on Oʻahu expected to begin later this month for Molokaʻi and in February for Lānaʻi.

Neighbor islands bear the brunt of the growing shortage, which contributes to uneven costs and poorer care.