It's hard to think of a more irresponsible suggestion from the White House.    If nothing else, you would think the business oriented Republican party would see the ridiculous position this put insurance companies in.    How do they plan for an unknown future?

A common hope of national health care is creating a system that allows for portable insurance that crosses state boundaries.    To do this you need similar if not equal state mandates.   Putting insurance back into the hands of the less powerful States guarantee's a  mishmash of  incompatible services across the states, and assures that medical providers/insurance will meet a much less powerful resistance to non-competitive pricing practices they will inflict on US consumers.