Upon showing this to a friend of mine just now, it was suggested to me to get the words:
'haole ahole'
tattooed across my knuckles (thumbs included)
However, aside from these words being greatly offensive to many, as well as sealing your fate for limiting future employment opportunities (like a face tattoo would, with the Corporate world's disdain for visible body ink), I would simply not have these words 'haole ahole' printed on my body, and I am reminded of a quote from Mark Twain:
"It is better to keep your mouth shut and appear stupid, than to open it and remove all doubt.”
(of course the irony here is that I am referring solely to myself in this case)
Having said all that, I think the tattoo in the OP's picture above, is actually very cool. I am glad that someone has a tattoo like that.