So native Hawaiians are doing as bad or better than black Americans. This is because native Hawaiians tend to be poorer than their non-native peers, and because living healthfully in Hawaii is expensive. Seems like there are two options if you can't make it work in a certain area: move, or get more money. Seeing as how most of the social welfare programs designed to benefit native Hawaiians are more of a hand-out than a hand-up, the second choice probably won't work very well. Maybe they should move out of state in order to get the higher quality of life they need.