Most major medical procedures are done in Honolulu. The Community College also offers continuing education programs. Plenty of site seeing and a great place to amuse oneself. Hilo is only 40,000 citizens strong. The Coast Guard here is a close knit community because we only have each other way out here in the middle of the Pacific.
Unemployment is high and there are few opportunities for spouse to find a decent job.
The cost of living is extremely high, but COLA is a great way to help offset the high costs. Contact a Welcome Wagon volunteer here .