Key mental health worker on Lānaʻi resigns, eroding in-person patient care and exposing the fragility of a system that depends so heavily on one worker.

An army of supporters, including the governor, rallied to help Jim Ireland advance after opponents blamed him for a toxic workplace and slow response times.

The legal battle comes as the Legislature debates a bill that would allow pharmacists on neighbor islands to remotely supervise services at rural medical clinics.

The building was accepted by the state, but leaks and other serious problems quickly became apparent. Lawmakers want to know what went wrong.

State officials say it will take $8.16 million, including $2 million in legal costs, to repair water leaks and get rid of mold that employees say is a health hazard.

Former employees testified that Emergency Services Director Jim Ireland practices favoritism and retaliation, which contributes to staff and ambulance shortages.

Some of those trapped in nursing homes were frail, others were simply abandoned.

Native Hawaiian and Pacific Islander adults are more likely to turn to traditional or cultural practices as a substitute for conventional medicine. Their health outcomes remain poor compared to white people.

Doctors were scarce before the Lahaina fire, which burned medical facilities, displaced health care workers and patients and heightened financial stress.

Bird flu has been found in dairy cows in 16 states and in more than 60 humans on the mainland so far this year.