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[quote=Anonymous][quote=Anonymous]Insurance companies should operate across state lines. Increase market size. Will reduce costs. Only thing about trump I agree with. In addition to term limits[/quote]
Insurance companies already sell across state lines in the form of opening a sub in that state so that they follow that state's laws.  BCBS sells country wide. I had it in CA, and now have it in MD, both as private insurance.

If insurance companies sell across state lines without setting up a sub it will mean that no state will have any control over their healthcare laws. You take the control out of states' hands.   Also, some states have already looked into doing this, but with very little success. Nor, do most experts think this is a panacea.

Trump's idea of selling across state lines means no regulation at all (goes hand in hand with his desire to reduce regulations).  There would be no consumer protection. The advantage goes to big business while the little guy would be at the mercy of big busines.

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http://www.ncsl.org/research/health/out-of-state-health-insurance-purchases.aspx

"... For the last 10 months, states have been legally allowed to let insurers sell plans outside their borders. Despite the idea’s enduring popularity, no states have signaled interest in the policy, insurance experts and regulators say. And the federal government never even finished writing the rules for how it would work.

“Insurers aren’t interested at this point,” Linda Blumberg, a senior fellow on health policy at the Urban Institute, said in an interview. “It’s kind of a lot of effort for no necessary return.”....

Only three states have approved those laws — Kentucky, Georgia and Maine — although none have actually made deals with other states to sell their plans, according to the National Conference of State Legislatures.""

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http://www.modernhealthcare.com/article/20161010/NEWS/161019992

"Under the ACA, companies are allowed to sell across state lines if there is an agreement between the two states. The plans must still meet coverage requirements of the act, which also spells out licensing requirements and how disputes would be addressed.

No state has yet taken advantage of this option and no major insurers have asked for it."[/quote]

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