To: Cogito who wrote (129985 ) 2/2/2010 6:48:20 PM From: TimF Respond to of 541735 Tim thinks, from what I can gather, that allowing people to buy insurance across state lines means letting people in any state buy insurance that is offered in any other state. I guess the idea is that since insurance costs less in Wyoming than it does in New Jersey, we should let the people who live in New Jersey buy the Wyoming insurance. Or whatever. You understand what I'm getting at. But what you don't understand why that would lead to a "national policy" the way Lane3 was talking about. Each company would likely make one policy for the whole nation, whether it was approved in Wyoming, Delaware, Texas, PA, or whatever. You wouldn't have XYZ insurance company of Wyoming, its afiliate XYZ of NY, its afiliate XYZ of CA, etc, you would have the one regulatory setup to deal with if your dealing with that company. Competing companies might use several states, but not the 50 they have to use now (if they want to offer insurance to the whole nation). Lets say Wyoming, Delaware, Nevada, and Florida get all the business. Then there will be essentially four different setups to deal with (and they might be very similar since they will be competing against each other). For big companies that will be much simpler. Even for the small supplier I shouldn't hurt any. Right now small suppliers have to deal with a lot of different insurance companies anyway, they might have to deal with fewer if allowing one national market allows for some consolidation. If its the regulatory environment that's important for the small provider (and I really think its the insurance company that has to deal with that complexity), then it still shouldn't be any worse. As it is now, a doctor operating in say DC, might frequently see patients with insurance companies charted in DC, in VA, and in MD, and less frequently in many other states.