This investigation compares, contrasts and analyzes the impact of healthcare insurance availability on health outcomes in Hawai'i and Mississippi and tests the hypothesis that health insurance prevalence improves access to care and health outcomes. Utilizing Centers for Disease Control (CDC) Behavioral Risk Factor Surveillance System (BRFSS) survey data for the states of Hawai‛i and Mississippi, author James Lenhart argues for public health policy that improves healthcare insurance prevalence in the U.S. as well as public policy that improves health insurance plan characteristics.