Insurance is regulated by state. You can have insurance in say Texas and visit your doctor in Oklahoma but as a Texas resident you cannot buy Oklahoma insuranc

Insurance is regulated by state. You can have insurance in say Texas and visit your doctor in Oklahoma but as a Texas resident you cannot buy Oklahoma insurance. This is why for example there is not one national Obama care market but fifty. And this is also why for example we don’t have uniform compliance with Obama care across all states and why it may cost many billions more in federal aid to help states set up exchanges. If I go any further in the explaination I’m risking being downvoted for making this a political posting (quite honestly I’m pretty happy I haven’t already been downvoted).