How has Obamacare affected health insurance in Hawaii?
In Hawaii specifically, Obamacare has not had a huge impact on the uninsured rate, most likely because the state has always had a progressive stance on access to care. Healthcare reform started in the state as early as the 1970s, well before the rest of the nation. So, when the Affordable Care Act was passed, the uninsured population only decreased by a few percentage points. This change is likely due to Medicaid expansion in the state, which increased access to healthcare by 18% for low-income families.