200,000 recipients of Alaska Medicaid at annual cost of $1.5 BILLION dollars - annually. Do your math. Pretty expensive, huh?

Government run programs are not cost effective, nor able to root out regular and ongoing Medicaid fraud, waste, abuse, and non-compliance. Major work is needed. Legislators need to tackle this fiscal problem intelligently. Maybe study Kaiser Permanente, a longtime well established HMO which serves Washington, Oregon, California, and Hawaii with a very cost effective and efficient for citizens system which meets people's healthcare needs. At a reduced and reasonable cost.  Unlike the current crazy, cost bloated Alaska Medicaid cost.