Financial deregulation allowed insurance companies to operate across states, although they still needed an insurance charter within each state.
The same happened with banking and brokerage. Fees dropped dramatically.
What a huge difference it made, unreal. So that’s the answer right there for health insurance. Deregulate and stop with the ambulance chasers and the cost will plummet. Litigation insurance is insane, one of my friends is an obstetrician and she pays something like a quarter mill a year.