The author needs to come to Alaska where insurance rates for individuals have skyrocketed. There is also a disincentive to work because single able bodied people can enroll in Medicaid even though they don't want to work. Finally, in Alaska Medicaid reimburses doctors 31% more than Medicare does so seniors are pushed to the back of the line. This is flat wrong--these seniors have paid into Medicare every working day of their lives and also have to pay a Part B Medicare premium of at least $140/month. Meanwhile, the lazy non-working person pays nothing and gets "free" healthcare under Medicaid.