Dept of Health/CDC vs. Dr Martel & his colleagues in Asia on disagreement with use of anti parasite drugs for treatmemt; Maui Dr's completely misdiagnosing ratlungworm when it should be at the top of diagnostic probabilities for patients presenting 'strange' debilitating symptoms, etc.  I think we know where the Hawaii taxpayer money needs to be spent and that is NOT only educating tourists and residents about rat lungworm, be mindful of what they eat AND stepping up enforcment of unlicensed food establishments with stepping up their slug & rat extermination programs in the worst areas.  They need to PROACTIVELY go after all food establishments about their fresh vegetable food sourcing and preparation, statewide education of all Drs and hospitals AND convene open discussions on world health experts on BOTH sides of the debate on use of anti parasite meds.  HTA needs to STOP hiding the problem in fear of hurting tourism and attack this problem with OPEN debate, discussion & education.