Well SaltySeaOtter, you are wrong. They do not deliver care at reasonable costs. Essentially they fund each patients procedure twice once with funds from Native Health Care and for every single person who they can find as eligible they also fund through Medicare... this nearly doubles what they are 'paid' for the care. Have you ever walked down the halls of ANMC? Edgecombe? ever wonder why the halls are papered with posters begging people to sign up for Medicare? Odd since all or nearly all of their patients are already fully covered by Indian Health Care.

Hell just the travel bill for patients to and from the 'Hubs' in Anchorage and Sitka is almost unbelievable and no effort is being made to curtail the costs because they have a big pot to dip into.