Alaska is a low population state and the "pain" o the costs of health care is hard for all to share since a lot of health care is paid for by the feds to large groups of our population such as Medicare, Native Heath, the VA/ Military. State employee's have their own  health care programs, the union and of course our medical care for life politicians.  Programs on the GOP chopping block are medicaide and I predict the federal Denali Kid Car Program in this state that also provides pre-natal care for pregnant women and not grantng any federal funds to Planned Parenthood  that will end or limit pre-natal services for women at that clinic.  Planned Parenthood provides also screenings for diseases, female cancers and reproductive planning and low costs birth control. PP does not get federal money, Congress sets so much aside to PP in grants and PP bills the feds for services ( no abortion) and the total bill is not paid in full but PP fundraising pay the rest. Citizens the ACA covered.