[objektif]

It is quiet shocking to see #1 getting posted over and over again. How is that supposed to solve the pricing problem? How do you like pricing of say Comcast, Apple or any other company with pricing power? They offer services accross all states. I think it is way past time that we stop offering cute free market solutions to our disasterous healthcare industry. Medicare for All or gtfo.

[ceejayoz]

> It is quiet shocking to see #1 getting posted over and over again.

Yup. If anything, it'd make things substantially worse.

There's a reason all the credit card companies moved to Delaware - they found the most favorable jurisdiction (and work to ensure it stays that way).

Health insurers would love to all move to the most insurer-friendly jurisdiction.

[User23]

Wrong. Everyone incorporates in Delaware because the Court of Chancery[1] has some of the most professional and consistent judges in the country. Both parties know what the judge is going to decide before it ever gets to trial, which makes reaching settlements and thus saving money far easier. A good businessman can work within the constraints of virtually any consistently applied set of rules. It's when court cases become roulette games that massive inefficiencies arise.

[1] https://courts.delaware.gov/chancery/

[ceejayoz]

https://en.wikipedia.org/wiki/Marquette_National_Bank_of_Min....

> The decision attracted little notice at the time. Two years later, the possibilities it opened up became clearer when Citibank, squeezed by interest rate caps, decided to move its credit-card operations out of New York City. The company persuaded Bill Janklow, then governor of South Dakota, whose agricultural economy was struggling at the time due to high fuel prices, to persuade that state's legislature to formally invite the bank there, as required by federal law before a national bank can do business from a state. He then successfully lobbied the legislators to pass a bill drafted by the bank that repealed the state's cap on interest rates, something a small group of legislators were already trying to do. Citibank quickly moved the 300 white-collar jobs in its credit-card division to Sioux Falls, where it has been ever since.

> South Dakota lured a few more large credit operators, such as Wells Fargo, before corporation-friendly Delaware repealed its anti-usury laws as well. Several other states also repealed their interest-rate caps, more lenders entered the credit-card field and introduced newer products and by 1990 the amount of credit cards in use in the U.S. had more than doubled. Credit cards, once a loss leader for the banks that issued them, became a major profit center as banks aggressively marketed them to "revolvers", customers who carried large balances but rarely paid more than the monthly minimum, resulting in large interest payments to the bank.

[sbov]

While that may be why some companies incorporate there, credit card companies specifically are headquartered in certain states (not just Delware IIRC) because, roughly speaking, the supreme court ruled that usury laws where they are headquartered is the only thing that matters. A while back several states tried to make high interest rates (20% or so) illegal and the supremes smacked them down.

[TheRealDunkirk]

Listen: If you know of a better way to encapsulate the idea of really creating a competitive market for health insurance, I'm all ears. That's just been the easiest way I've ever seen of expressing: "Hey, let's have a REAL market for the stuff, like EVERY OTHER KIND OF INSURANCE!"

[ceejayoz]

Health insurance largely isn't like other forms of insurance, though. You can opt out of owning a house or driving a car. You can't really opt out of having health issues, and the potential costs involved make it impossible for most folks to effectively self-insure.

Most of the rest of the developed world has long since acknowledged this - that certain things are better disconnected from profit.