by Brian C. Joondeph, M.D.
Hawaii is an American gem, a collection of island paradises that one can travel to in a reasonable period of time from most of the US mainland. Hawaii poses no issues with language, currency, or cell phone service. The climate is wonderful, with beaches, palm trees, and sea breezes. Under COVID however, visiting Hawaii is more like checking into prison with myriad rules and procedures, including monitored quarantine and GPS bracelets.
Virtually all countries requiring a COVID test for admission allow the standard PCR test now available ubiquitously in any pharmacy, lab, or parking lot test center. But not Hawaii. Each Hawaiian island, despite being part of a single state, makes its own rules, similar what American states do under the concept of federalism.