Insurance, any type of insurance, needs the largest pool of insured that it can get in order to work well for the each insured. If automobile insurance was divided by age and driver history, many drivers would not be able to afford insurance, although many others would pay significantly less money for their policies.
The trade-offs are part of living in a society. Everyone has to give and take. If not in one area, in another. When some people are able to buy cheaper insurance, because of their youth, they generally won't have the major coverage that they would really need when severe problems occur. Then, if they are unfortunate, they will have to declare bankruptcy, losing things that they worked hard to get.
Bankruptcies went way down under the time of the ACA. Forty-percent fewer each year. Older workers probably won't be able to afford coverage, so they will hold off going to the doctors, until they wind up in emergency rooms, and the hospitals will have to eat most of the costs. As a result, even more hospitals will have to close. Mostly rural hospitals, but how will the more rural towns and areas attract new and larger businesses if they can't provide medical care?
And the selling of insurance in across state lines? Insurance doesn't work that way. Each insurance company is by state insurance commissions!
When anyone gets excited about it, it just shows that they don't have a clue!
Lebanon (Oct. 16)