Anchorage has it's self to blame when it constantly out bids other communities for grants for social services. 
Anchorage often projects that it is "Alaska" and no other communities exist. So, when the services are not available in the regions people are sent to Anchorage for everything from substance abuse treatment, mental health evaluations and treatment, medical treatment, even to jail !  We are often not given a choice if a child is taken and sent to Anchorage because there is "specialized" foster care or residential treatment. Same for mental health issues. People walk away because they don't want to be there. 
You want the money that comes from building and running things but you don't want what goes with it. 
How would you feel if your mother was dying up there and she wanted to come home but is told that services are not available here for her to do that ? 
I would never want any of my family to have to be sent up there.