Brian
Sounds like we have alot in common. My bro is an opthalmologist for Kaiser in Oahu and his wife is Thai. He will likely retire there also on p/t basis in a couple years.
Just one more comment about living as a foreigner there from someone that has for more than 10 years. My friend is actually planning on moving back after 10 years. Although he loves much about it, there isnt much to do there. He said most of the ex-pats there are people running away from something and not people he wants to socialize with.