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Mr Khan said:
badgenome said:

A good use of the commerce clause and the supremacy clause would have been to remove the artificial limitations that prevent the selling of health insurance across state lines. That actually facilitates commerce, and it would actually insure more people in an affordable way. And bonus: it's actually the sort of thing that the commerce clause was created to do in the first place.

I'll actually agree to that, if only because i'm not certain why the process was banned in the first place, so long as acceptable national standards on care are set so that companies can't exploit buying and selling across state-lines to short-change care levels in certain states...

It's because states have their own regulations on health insurers. So for decades now the federal government has been bowing to the idea that you can have these fucked up virtual monopolies because some assholes in Trenton, NJ have a different idea of what health insurers should be and do than some assholes in Montgomery, AL do.