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I will admit to having only skimmed it, as well as reading the cnn [0] piece on it, but literally the one expansion-of-coverage move that Trump kept talking abo
by SmellTheGlove 10y ago
I will admit to having only skimmed it, as well as reading the cnn [0] piece on it, but literally the one expansion-of-coverage move that Trump kept talking about - interstate competition - doesn't appear to be part of it.
[0] http://www.cnn.com/2017/03/06/politics/republicans-public-obamacare-plan/index.html http://www.cnn.com/2017/03/06/politics/republicans-public-ob...
- gumby 10y agoNot that it would likely make much difference. Some states have authorized cross state insurance company reciprocity but AFAICT no companies have taken advantage of it.
- SmellTheGlove 10y agoThe regulatory patchwork makes it difficult. Even if some states have authorized it, you still have individual regulators in those states themselves. I work in a different type of insurance, but even in my space, writing one insurance contract that satisfies two sets of regulators isn't easy. A full blown shift to federal regulation of insurance is probably too much to ask - and frankly, the state regulated system we have today is more consumer-friendly so I doubt anyone except insurance companies wants to give that up. We could, however, do with a federal definition of a basic policy that is authorized to market in all 50 states. Something (and I'm simplifying) like what Switzerland does with a legally defined minimum set of coverage that all policies must offer - the Swiss also regulate the pricing of that contract, but let's set that aside for now and start with price competition on a defined minimum coverage.
- deleted 10y ago[deleted]