I have no problem with specialists making top wages. What gets under my skin is the difference we get "gouged" here in Alaska compared to the lower 48. My hip replacement cost close to $130K up here! I can get the same procedure for between $30K-$40k outside. There is no good explanation why there is such a huge difference. Like everything else up here, I know things are going to  be more expensive but give me a break! This is simply taking advantage of people because they can...end of story.