As part of the problem Brian can you explain why a colonoscopy up here costs a couple thousands of dollars while in the rest of the nation the cost is around $700? What is the justification for such grossly more expensive procedures up here to the point it is cheaper to fly to Seattle, stay in hotels and still save money? If healthcare delivery itself was not so exorbitantly over priced up here then health insurance would not be so high right? What am I missing here Brian?