If insurers all set up shop in a few low-regulation states, it's likely they won’t try hard to develop robust provider networks for customers in certain parts of the U.S., such as rural areas. (Photo: iStock)

Very little that President-elect Donald Trump said during his 16-month campaign for president about health care was clear or consistent. But there was one vow he stuck by at all times: He would allow insurers to sell health plans across state lines.

“Modify existing law that inhibits the sale of health insurance across state lines,” states his website’s health care policy section. “As long as the plan purchased complies with state requirements, any vendor ought to be able to offer insurance in any state. By allowing full competition in this market, insurance costs will go down and consumer satisfaction will go up.”

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