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Of course I know that local conditions--particularly since health insurance and health care delivery are inherently local--dominate. That was my point. I's why "Allow insurance companies to sell across state lines and that lets the free markets work" is a soundbite, not a well thought-out policy position.
actually it is. it is true market competition. While you have plan A in NY that would cost 7k a year you could find the same exact plan in ND or NM that costs 4k a year.
where do you think people will go? they won't go to NY to get their insurance plans.
And it's why in all the states that allow across-state-lines purchasing (Georgia, Wyoming, Maine) and in all that states that have actively explored it
(Rhode Island, Washington and Kentucky), no out-of-state insurers ever indicated any actual interest in selling in their markets. Much to the surprise of the conservatives in those states who pushed through those proposals.
Then you don't understand how the system works because it doesn't work that way. if you currently live in NY or even GA you can't go to another state and buy insurance.
you have to buy insurance in the state that you live in. allowing people to shop outside the state for better insurance policies would actually lower costs.
obamacare has increased premiums.
Allowing insurers to sell across state lines is not a panacea.
No one said it was but it is a way to actually reduce costs and make a true competitive market.