in alaska they have gone up over 203% in the last four years. >> you laid the case for why you think some changes need to be made, but this change? basically in every single medical group you can think came out this morning with a letter and they write this. we agree that the bill will result in dramatic cuts to medicaid, changing the way that states provide coverage. millions will close their coverage and go without needed care. the big concern is this is a massive change in how medicate is given out in this country. is this the time to do that? >> medicaid is going to go broke. what the republican plan does is not cut medicaid. it does not. it does decrease the rate of growth which only in washington does that mean it's a cut. all of those groups decided at a price they would climb in bed with the obama administration to