No problem with that.
2. Allow insurance to be sold across state lines
If a company is not currently doing business in my state then where is the incentive for them to sell me a policy? And where is my incentive to buy it?
3. Make insurance a cafeteria plan - pay for what you use
That would be something that the insurance companies would have to do. I would think that managing, and more importantly, pricing such a plan would be a nightmare.
4. No more mandatory minimum coverage (I do not need labor/delivery). If you are married and male and of child bearing age (and not sterile) there should be a trigger to have to purchase
On the other hand all experts agree that a preventive medicine is of great cost-savings benefit. A malady caught early is easier and cheaper to treat than one caught late.
5. Move all of the high risk pool (needs to be properly defined) onto medicare/medicaid - It would be cheaper.
Medicare is designed and managed to treat senior citizens. Adding high-risk people of whatever age to that would throw the cost structure out of whack. Medicaid is a state run program. Moving high-risk people to that would increase the cost to the states. And what if states refuse to expand their program, as they refused to expand for Obamacare? Then what?
6. Move insurance from an employee perk to an individual choice - then it becomes portable. Employers then can give cash that is exempt from taxation to purchase the plan of their choice. Business can still have the choice of pooling, but I would imagine they want to get out of that business.
You want to cut my compensation. Thanks a lot. But more importantly, why should government be in the business of telling private business how it can compensate it's employees?
7. Allow there to be private pools for discounts (e.g. Costco could sell insurance to members).
Why would Costco want to get in the insurance business?
9. No medicare/medicaid for illegals
No problem with that.
10. Poor lifestyle choices should be charged a higher rate (e.g. obese, not overweight)
My company offers incentives for a healthy lifestyle through credits to offset my insurance costs so that's already in place for many people.
Thoughtful responses, now you tell me how to fix it. This is sort of the whole point to my post.
Companies would do business across state lines in the same way, they sell life insurance, auto insurance, homeowners insurance, elder care, etc. This is part of the same reason State Farm is also a bank. More business, bigger part of the pie.
Costco would sell insurance for the same reason that Walmart wanted to become a bank...to give their customers more services and to differentiate themselves from their competitors.
FYI, I said a company can do what ever it wants, but you are not getting your compensation cut. If the money is going to insurance, it is not going into your pocket.