With healthcare problems continuing to mount in South Florida, leaders in the region say the most they can hope for out of Washington is some kind of limited change after hearing President Barack Obama's State of the Union speech. Florida's Miami-Dade County already has among the highest healthcare costs in the nation, and a huge number of uninsured. South Florida hospitals and other providers raise rates to cover the costs of uninsured, and each time rates are raised, more employers can't afford coverage, the Miami Herald reports.