I simply point out that if you want to cut the cost, you have to reduce the providers cost. If a doctor could get a decent education for less money and stuck to practicing medicine instead of opening surgery centers across the street from 3 others, that might help as well. Anchorage certainly doesn't need ten centers and 2 hospitals all charging the same rates, they don't compete as they all get what the insurance co pays. Figure out how to get them to compete and we can talk. And your argument of the ceo's making all that money and being the cause of the high rate?  Why are they leaving all the markets ? NO MONEY AT ALL IN IT, that's why.