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In page Hawaii:

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As of 2009, Hawaii's health care system insures 92% of residents. Under the state's plan, businesses are required to provide insurance to employees who work more than twenty hours per week. Heavy regulation of insurance companies helps reduce the cost to employers. Due in part to heavy emphasis on preventive care, Hawaiians require hospital treatment less frequently than the rest of the United States, while total health care expenses measured as a percentage of state GDP are substantially lower.[citation needed] Proponents of universal health care elsewhere in the U.S. sometimes use Hawaii as a model for proposed federal and state health care plans.[citation needed]