Hard to afford because Alaskas reps including Lisa chose to not embrace the ACA. This ultimately kept subsidies from helping Alaskans to afford the health insurance company that does offer healthcare in Alaska and provide a field of companies to compete. Many 'red' States have this issue like Ohio (hello Dan) and Lisa is not far separated fro Sullivan on this issue but at least those with no monetary income in Alaska have access to healthcare through the medicaid expansion that Alaska finally followed. Now if the politicians in Alaska could to terms with the truth about affordable healthcare instead of blindly following the Republican agenda at any cost and lives true healthcare might someday become the reality. Until then or a malignant brain tumor it will be harder to pay for.