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Stephen Kemble, M.D.Stephen B. Kemble, M.D.

Dr. Steve Kemble attended medical school at the John A. Burns School of Medicine when it was a 2-year school, and completed medical school at Harvard. He trained in both internal medicine and psychiatry. He is a psychiatrist in private practice and also teaches psychiatric aspects of general medical care to internal medicine residents. He is an Assistant Clinical Professor of both Medicine and Psychiatry at the University of Hawaii School of Medicine. He is a past president of both the Hawaii Psychiatric Medical Association and the Hawaii Medical Association. Dr. Kemble has a longstanding interest in health care reform, and he has been appointed to the Hawaii Health Authority, charged with overall health planning for the State of Hawaii and with designing a universal health care system covering everyone in the State. He is also a longstanding member of PNHP and serves as a PNHP board adviser.

Leslie Hartley Gise, M.D.
(808) 878-3314

Dr. Gise is a Clinical Professor, Department of Psychiatry, John A Burns School of Medicine, University of Hawai’i, She is the contact person for the PNHP Hawaii State Chapter.

Hawaii State News

Posted on Thursday, March 8, 2018

By Leslie Hartley Gise, M.D. | The Maui (Hawaii) News, Letters, March 8, 2018
The solution is simple. We have already done it. If our Congress would vote to allow Medicare to bargain with drug companies, like the VA already does, prices would drop significantly.

Posted on Wednesday, January 24, 2018

By Stephen B. Kemble, M.D. | Honolulu Star Advertiser, Jan. 24, 2018
At the “2018 Hawaii State of Reform” health policy conference on Jan. 10, I saw only a handful of physicians in the audience of about 300, but plenty of participants representing health plans and their contractors and subcontractors.

Posted on Wednesday, January 24, 2018

By Arcelita Imasa and Seiji Yamada | Honolulu Star Advertiser, Jan. 24, 2018
Projected increases in health costs in Hawaii are growing public concerns. Just this past Saturday, at the medical student-organized “Doctors Create Local Solutions” event, physicians gathered to propose medically informed solutions to Hawaii’s health care crisis.

Posted on Monday, February 20, 2017

By Stephen B. Kemble, M.D. | Honolulu Star-Advertiser, Feb. 20, 2017
Hawaii’s once-exemplary health care system is now starting to fall apart due to policies pushed by Medicare, HMSA, the Ige administration and a few key legislators, including the chairwomen of the Senate and House health committees.

Posted on Friday, December 16, 2016

By Bob Jones | MidWeek (Honolulu, Hawaii), Dec. 14, 2016
Psychiatrist Stephen Kemble, Punahou and Harvard Medical School alumnus, former president of Hawaii Medical Association and assistant professor at the UH medical school, has been advocating unsuccessfully for health care reform for at least 20 years.

Posted on Wednesday, February 3, 2016

By Stephen B. Kemble, M.D. | Honolulu Star-Advertiser
Now Medicare is pushing payment and delivery system reforms referred to as “value-based” payment, designed to reward doctors financially for delivering less care.

Posted on Tuesday, September 8, 2015

By Stephen B. Kemble, M.D. | Honolulu Star-Advertiser
The architects of the federal Affordable Care Act (ACA) blamed high U.S. health costs on excessive and unnecessary care.

Posted on Wednesday, May 20, 2015

By Kathleen Kozak, M.D. | Honolulu Civil Beat
All across the nation, health insurance exchanges are facing some difficult financial realities. Right here at home, the Hawaii Health Connector has already announced a contingency plan for ceasing operations and deferring the management of the insurance exchange to the federal government as of Sept. 30.

Posted on Thursday, April 16, 2015

By Stephen B. Kemble, M.D. | Honolulu Star-Advertiser
Medicare’s “Sustainable Growth Rate” (SGR) formula, passed in 1997, required drastic cuts to physician fees annually. Each year Congress postponed the cuts in response to warnings that implementation would lead to severe problems with access to care for Medicare beneficiaries, but without changing the formula, effectively “kicking the can down the road.”

Posted on Monday, March 9, 2015

By Stephen B. Kemble, M.D. | Honolulu Star-Advertiser
In 2009, the Hawaii Legislature passed a bill to create the Hawaii Health Authority, charged with designing a universal health care system covering all residents of Hawaii.

Posted on Tuesday, February 17, 2015

By Stephen Kemble, M.D. | Modern Healthcare
Moving the ACO model to the privately insured means holding doctors and hospitals accountable for outcomes they cannot control—a bad deal for all.

Posted on Thursday, November 6, 2014

By Stephen B. Kemble, M.D. | Honolulu Star-Advertiser
Recent studies have documented high administrative burdens for American doctors and hospitals. The average U.S. physician spends a sixth of their time on administrative tasks that are not integral to patient care, and this is worst for psychiatrists, internists, and family practitioners – the very specialties for which we have the worst shortages.

Posted on Wednesday, July 9, 2014

By Stephen Kemble, M.D. | Honolulu Star-Advertiser
Hawaii physicians are being offered contracts to join a “clinically integrated physician network” (CIPN) with Queen’s Medical Center through one of the local physician organizations. This is the next phase in implementation of health care payment and delivery system reforms envisioned under the Affordable Care Act.

Posted on Thursday, December 5, 2013

By Stephen B. Kemble, M.D. | Honolulu Star-Advertiser
I attended the recent Hawaii 2013 Healthcare Summit, on how Hawaii is implementing the Affordable Care Act and transforming health care. The keynote address by Dr. Abraham Verghese was inspiring — all about the sanctity of the doctor-patient relationship and how health care should be focused on the living patient, not the “iPatient” in the computer.

Posted on Monday, April 22, 2013

By Stephen Kemble, M.D. | Honolulu Star-Advertiser
Hawaii converted our state-run, fee-for-service Medicaid program to managed care via competing private plans, in stages, in 1994 and 2009. This conversion has demonstrably increased the cost of the Medicaid program while reducing patient access to care and quality of care.

Posted on Saturday, October 6, 2012

By Stephen B. Kemble, M.D.
PNHP note: The following is the inaugural address that Dr. Kemble, president of the Hawaii Medical Association and single-payer advocate, delivered to the HMA at its annual Ola Pono Ike (“Health is Knowledge”) assembly on Oct. 6, 2012.

Posted on Wednesday, January 11, 2012

By Stephen Kemble, M.D.
Consider H.R.676, the House single-payer bill kept "off the table" during health reform negotiations. It proposes public financing of universal health care, but leaves care delivery (doctors and hospitals) private and independent.

Posted on Wednesday, January 11, 2012

The Hawaii Health Authority, which was established by the Hawaii Legislature as part of the state’s Department of Budget and Finance and tasked with being “responsible for overall health planning for the state,” issued a report to Gov. Neil Abercrombie and the Legislature on Dec. 23, 2011. It consists of a 1999 report by the Health Futures Task Force and a 2011 Update. A few of the members of the 1999 Health Futures Task Force are now members of the HHA.

Posted on Monday, September 26, 2011