Molson Hart

"In Democrat-controlled California, a patient with a costly medical condition may likely get relatively affordable premiums, while a young, healthy and self-employed professional could pay more. In Republican Texas [it's the opposite]" https://www.wsj.com/articles/red-and-blue-states-move-further-apart-on-health-policy-1519813801?mod=e2fb …

If this policy continues (impossible to say), because of adverse selection, the sick will rush the blue states, and the healthy will flee, thereby putting a burden on the blue states which will eventually cause an inability to continue offering this service.

There is a reason while countries with reasonably functioning health care systems (Netherlands, Germany) socialize some aspects of healthcare (e.g. chronic/long term sickness) and use private insurance for others.