Healthcare is a hot, expensive mess not easily parsed into a single demon.  Rather it is a lot of demons, starting with us.  We eat too much and exercise too little.  The Certificate of Need  process in Alaska meant to ensure that facilities are utilized to capacity is completely perverted. It's one reason the 42nd St and Laurel/Providence complex exists. One pharmacy charges five times what another does for a generic drug.  Expensive Drugs are prescribed that have no benefit greater than over the counter drugs.  Employers and insurers pay minimal lip service to wellness processes, all the while wailing about increasing costs.  We as consumers of services have got to step up to the plate and be part of the solution. Not easy, not a pill to take to magically solve an issue, it takes effort.  At least it's a start.