Health in Hawaii

Life expectancy, healthcare access, hospitals and insurance.

Age-adjusted death rate, all causes
584.9
2017 · CDC National Center for Health Statistics
Residents without health insurance
3.5%
2024 · Census American Community Survey 1-year estimates
Hospital jobs
16,675
2025 · BLS Current Employment Statistics
Adults with any health care coverage
93.3%
2020 · CDC BRFSS
Adults with obesity
26.4%
2025 · CDC BRFSS via Chronic Disease Indicators
Adults who currently smoke
8.3%
2025 · CDC Behavioral Risk Factor Surveillance System

Life Expectancy

Hawaii has the highest life expectancy of any U.S. state, at 80.7 years.

Age-adjusted death rate, all causes
584.9
2017 · CDC National Center for Health Statistics
Total deaths, all causes
11,390
2017 · CDC National Center for Health Statistics
Life expectancy
80.7 years
Rank
1st in the U.S.
U.S. average
78.4 years

Age-adjusted death rate, all causes

1999–2017
584.9▼ 15%

CDC National Center for Health Statistics, leading causes of death (1999–2017), all causes, age-adjusted.

Total deaths, all causes

1999–2017
11,390▲ 38%

CDC National Center for Health Statistics, leading causes of death (1999–2017).

IndicatorHawaiiU.S.
Life expectancy (years)80.778.4
  • •Hawaii has ranked first in the nation for life expectancy for many consecutive years.

Healthcare Access

Hawaii has a relatively strong supply of primary care physicians, at about 250 per 100,000 residents.

Residents without health insurance
3.5%
2024 · Census American Community Survey 1-year estimates
Primary care physicians
250 per 100k
Dentists
74 per 100k
Mental health providers
330 per 100k

Residents without health insurance

2009–2024
3.5%

Census American Community Survey 1-year estimates, civilian noninstitutionalized population, B27010 (2020 not released).

  • •Hawaii's neighbor islands often face significant physician shortages compared to Oahu, prompting reliance on telehealth.

Hospitals

Hawaii has about 26 hospitals, with inter-island transfers common for specialised care.

Hospital jobs
16,675
2025 · BLS Current Employment Statistics
Health care jobs (ambulatory, hospitals and nursing)
76,833
2025 · BLS Current Employment Statistics
Hospitals
26
Hospital beds
2.0 per 1,000
Largest hospital
The Queen’’s Medical Center

Hospital jobs

1990–2025
16,675▲ 25%

BLS Current Employment Statistics, NAICS 622, annual average (FRED SMU15000006562200001).

Health care jobs (ambulatory, hospitals and nursing)

1990–2025
76,833▲ 103%

BLS Current Employment Statistics, NAICS 621–623, annual average (FRED SMU15000006562000001).

Insurance Coverage

Hawaii has the lowest uninsured rate in the nation, at just 4.2%, thanks to its landmark employer mandate.

Adults with any health care coverage
93.3%
2020 · CDC BRFSS
Uninsured rate
4.2%
Medicaid enrollment
~380,000
Employer coverage share
~60%

Adults with any health care coverage

2011–2020
93.3%

CDC BRFSS, adults 18+ (question discontinued after 2020).

IndicatorHawaiiU.S.
Uninsured rate4.27.9
  • •Hawaii's employer health insurance mandate, enacted in 1974, remains unique among U.S. states.

Obesity

Hawaii has one of the lowest adult obesity rates in the country, at about 24.5%.

Adults with obesity
26.4%
2025 · CDC BRFSS via Chronic Disease Indicators
Adult obesity rate
24.5%
Rank
2nd lowest
U.S. average
33.9%

Adults with obesity

2011–2025
26.4%

CDC BRFSS via Chronic Disease Indicators, adults 18+.

IndicatorHawaiiU.S.
Adult obesity rate24.533.9
  • •Hawaii has ranked among the two or three lowest-obesity states in the U.S. for over a decade.

Public Health Indicators

Hawaii consistently ranks among the healthiest states, combining the highest life expectancy with low smoking and obesity rates.

Adults who currently smoke
8.3%
2025 · CDC Behavioral Risk Factor Surveillance System
Life expectancy
80.7 years
Adult smoking rate
10.7%
Adult obesity rate
24.5%

Adults who currently smoke

2011–2025
8.3%

CDC Behavioral Risk Factor Surveillance System, adults 18+.