The hospital map
Maui County has five hospitals across three islands. Maui Memorial in Kahului is the only acute-care hospital on Maui. Kula Hospital has been closed since the March 2026 storm, displacing more than 100 patients. Lānaʻi Community Hospital handles 24-hour urgent care only; mothers cannot give birth on Lānaʻi.
Maui Now: Kula Hospital patients displaced → The doctor shortage
Statewide, Hawaiʻi is 644 doctors short. Maui is 179 short, a 41% gap, and Maui's primary care shortage is the worst in the state. The post-fire physician exodus has not been replaced. Doctors cannot afford to live here.
Civil Beat: Hawaiʻi's physician shortage → Inter-island care, and the NICU we do not have
Maui Memorial has no neonatal ICU. Complex cardiology, oncology, neonatal care, and high-risk obstetrics require a flight to Oʻahu. Civil Beat found more than two-thirds of Maui County residents delayed care last year, a 21% jump from 2022.
Civil Beat: even medical workers struggle to get care → The 2026 insurance squeeze
On July 1, 2026, HMSA reverts from capitated payments to fee-for-service, a change physicians warn will further destabilize independent practices. Federal cuts under H.R.1 are projected to drop 40,000 Hawaiʻi residents from coverage. The HMSA-HPH merger remains contested.
Civil Beat: the HMSA-HPH merger debate → Post-fire mental health
UHERO's 2025 follow-up found 51% of Lahaina children screened positive for some level of depression, with 22% in the severe range. One in three has elevated blood pressure. The crisis is intensifying, not fading.
UHERO: from crisis to recovery → Rural and Native Hawaiian disparities
Native Hawaiians live the shortest lives of any major group in Hawaiʻi, a 2025 University of Hawaiʻi study found. NHPI residents are at least three times more likely to develop chronic disease. Roughly 15% of Native Hawaiians lack health insurance. Hāna District depends on a single federally-qualified health center.
UH Mānoa: life expectancy in Hawaiʻi, 2025 → Continues in Our Dangers
The care we have left is exposed to the next storm. In March 2026, back-to-back Kona lows dropped four feet of rain on Kula, damaged most of the building, and forced 112 patients and residents off-island. Climate risk and aging infrastructure are now the next chapter of the healthcare story.
Read Our Dangers →