The concept of leasehold property has been a part of the Hawaiian real estate terrain for many decades. While many single-family properties on the islands have switched to fee simple ownership that is similar to a more conventional purchase of a home or property, the leasehold option remains a common one here, particularly on Oahu in Waikiki, Downtown, Makiki and the University areas.
Protecting your right to accept or refuse medical treatment isn't something you likely think about on a daily basis. You're young, and you just got married. You're thinking about your bright future, and none of that involves worrying about medical emergencies or being unable to make medical decisions on your own behalf.