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Obama says that if we allowed people to purchase insurance out of state, all insurers would move to a state in which they could offer plans that didn't mandate coverage of certain treatments. But under the current system in which there are nearly 2,000 mandates nationwide, Americans in highly regulated states are denied the ability to purchase cheaper, basic plans if that's all they desire. It's as if the government required you to purchase a Porsche, and if you can't afford one, you end up with no car at all.