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  "path": "/news/2026-07-patients-hawaii-spent-230m-state.html",
  "publishedAt": "2026-07-03T10:00:05.000Z",
  "site": "https://medicalxpress.com",
  "textContent": "A new study led by researchers at the University of Hawaiʻi Cancer Center found that at least $230 million was spent on cancer care delivered outside Hawaiʻi between 2021 and 2023, highlighting the significant financial impact of geographic isolation on patients and the health care system.",
  "title": "Patients in Hawai'i spent $230M+ on out-of-state cancer care in 2021–2023, study finds"
}