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Right now in most states there is an approved list of insurance companies that can participate. Others can’t just jump in. Also, an insurance company in New Jersey can’t simply decide to do business in California, and open up shop there.

Trump wants to eliminate these restrictions. Any insurance company should be able to offer services in all 50 states. When you have 250 companies vying for your business, it’s far better than one or even ten.

Trump’s new plans will cause policies to proliferate, enhanced competition. He explained this for months on end, and it’s true.

Some will opt out, but with an abundance of insurance companies, others will pick up the slack.

Government is getting out of the business. Instead of Obamacare, there will be health care. Private people buying private policies. That’s what we want.

Government providing an tax deduction incentive could be termed a government subsidy, but it’s actually a way for you to purchase your medical care for less money. You decide how to spend your money. The government doesn’t. Isn’t that what we’ve always said we wanted?

May not be..., that’s what you wish to rest your objection on? You mean that you would rather pay 100% of your health insurance without a tax deduction? Okay, well, just refuse to take the deduction. No problem.

There will be no government program. I do expect there to be a program for folk who are uninsured now, but we were already paying for them. Medicaid was being used to cover folks. Finding a way for the government to cover them cheaper seems like a win/win to me.

What would be the incentive for businesses to discontinue providing insurance with rates falling due to more competition? Believe me, if companies are still providing insurance at this point, they’ll continue. The upward pressure under Trump will be much less.

I’m sure there will be some problematic areas that will have to be worked out. That being said, the goal is to get government out of health care. That again, is just what we wanted. Lower policies will mean that more people can afford insurance.

“That’s what they said about Obamacare.”

I’m sure you realized that Obamacare was designed to become single payer in the not so distant future. It was never designed to do what Trump’s plan will. “You can keep your own doctor.” I know you didn’t believe that, and I doubt you saw Obamacare for anything more than a sham, like everyone else with a clue here did.

It is a deduction. Spin that any way you like. The middle-class will be helped immeasurably by this system. Why are you attacking something far superior to Obamacare?

As for the lower wage earners, sure, it will probably give them a subsidy to buy insurance. Think about that.

What cost the government more, paying 100% of all health care needs, or helping people purchase insurance that will cover their health care needs?

The government is currently paying 100% of all this groups health care needs. Don’t you think it would be best if the government only paid the premiums, or just helped them pay the premiums instead of paying 100% of all the fees for services?

The money that was expended for Medicaid is where that money would come from. I would suggest a $1000 to $5000 dollar deductible policy. That $1000 to $5000 could be paid off over time, but it would get these folks into a policy in short order, and with that deductible, the costs to insure would be less.

We cannot simply talk about new fees out of the blue, if there is a way to expend the Medicaid costs more wisely.

You and I should realize this is a complex issue. It isn’t going to be 100% of what we want, but I think it could turn out to be a much better system than Obamacare. It’s probably the best possibly replacement for it.

It achieves all the goals we have, returns heath care choices to individuals and providers, and gets government out of micro managing it all.

That's correct. The 10th Amendment gives a stats the power to regulate insurance companies doing business within its borders.

They can vie for my business now. All they have to do is get approval to sell in Missouri.

But say Trump chooses to ignore the 10th Amendment and passes the law you want. In your scenario of a company in New Jersey not being able to sell in California, there is zero incentive for the company to want to sell a policy in California and zero incentive to buy from the company in New Jersey. And that is because of the way the industry is set up.

Insurance companies control costs by establishing networks of doctors, pharmacies, hospitals, and the like to set the rates the insurance company will pay. Without that agreement then the insurance company has to pay whatever the doctor or hospital charges. They encourage policy holders to use in-network providers by paying a larger percentage of the bill and setting lower deductibles and co-pays. I benefit because my out of pocket expenses are lower.

In your scenario, the insurance company in question does not currently do business in my state so they have no network. They have no way of knowing how much they will have to pay on my claims. They have no cost protections. For the policy holder, every doctors visit they make and every claim they file is out of network so they will pay a higher percentage of the cost. It makes no sense for the company to sell the policy, which they will never make money on. It makes no sense for the customer to buy it, and ensure that they pay more.

Government providing an tax deduction incentive could be termed a government subsidy, but it’s actually a way for you to purchase your medical care for less money.

Isn't that true of any subsidy? Obamacare allows people to buy insurance by subsidizing their premiums. This is no different.

No fear. I get terrific insurance through my employer. I'm not asking the government to pay for it.