

I recommend against Hawaii. It’s not exactly self sustaining since there are too many people living there. Housing/rent is crazy high so there are many homeless. Everything is much more expensive. Jobs can be hard to find. The islands are sinking. Storms still hit every season. Depending on the island, you may be dealing with volcanic eruptions and vog. And I do believe their coral reefs are bleaching. It sounds like a disaster waiting to happen. Then factor in the locals, they only want locals living there and to restore their Hawaiian Kingdom, #GoHomeHaole. Best to pick somewhere else.
Medicare is federal health insurance for people 65 or older, and some people under 65 with certain disabilities or conditions. A person’s Medicare coverage will be the same no matter what state they live in. People with Medicare pay part of the costs through things like monthly premiums for medical and drug coverage, deductibles and coinsurance.
Medicaid is a joint federal and state program that helps cover medical costs for some people with limited income and resources. The federal government has general rules that all state Medicaid programs must follow, but each state runs its own program. Eligibility requirements and benefits can vary from state to state.
Medicaid offers benefits that Medicare doesn’t normally cover, like nursing home care and personal care services. People with Medicaid usually don’t pay anything for covered medical expenses but may owe a small co-payment for some items or services.
https://www.hhs.gov/answers/medicare-and-medicaid/what-is-the-difference-between-medicare-medicaid/index.html
(Just adding more info)