Just like your phone, a vehicles IVI can be updated months or years after the car drives off the line... but how likely is that?
We've come to expect a ~2 year update cycle with phones... and many a manufacturer will simply stop issuing updates well before that time as an insentive to upgrade to the latest & greatest.
Cars have a much longer lifetime on the road, do we really think that the currently shipping Model XYZ from AutoCo with all of the bells and whistles is going to get the latest IVI update in 3, 5 or 10 years?
"Sorry, but you need an IVI 3.2 based system for that upgrade" will be the excuse.
Yes... even with OSS "you can just upgrade it yourself!"... which assumes the average user has the knowhow, skill & a vehicle that is so easily upgraded.
Yes, having issues with permits because of the existing dealership industry not liking the sales model is the sole reason they are not able to compete full on.
The lowest end Tesla Model S will set you back ~$63k... for that price I can buy 4 Ford Fiestas, or 5 Chevy Sparks.
What's that? You don't want to compare to low end & compact cars? For that same price we are still talking about a pair of his & hers Chevy Imapala's or 2x Subaru Outbacks.
Tesla's are quite expensive (luxury priced)... and will remain so for a good while, and while you may be willing/able to drop $63k on a car (or finance to a higher #), most people aren't.
Sure, being able to walk into your local %random_dealer% & test drive a new car makes it easier than having to track down a remote Tesla dealer, know what makes it even easier? Being able to walk out the same day with a car that you can afford... rather than wait 2-3 months for delivery!
More so, I can drive my Pontiac Aztek from coast to coast along major road ways, stopping only briefly every 300 miles or so for a fuel up... with a Tesla you either wait quite a while at a normal charging station, or be lucky enough to be driving a route with some of their quick charging stations... never mind the fact that you'll be filling up the Tesla twice as often as my Aztek will be.
If you don't think any of this is a bigger hindrance to Tesla adoption then breaking the back of the existing dealership system... then god help you.
I'm 6'5" and plenty of both... as currently my wife requested brochures on a number of vehicles and trying to sell me on this feature or that... I remind her that regardless of any other facts or features... my primary deciding fact is which do I fit in comfortably, everything else is secondary.
I've spent a lovely 10 years with my Pontiac Aztek... and fear the day that it dies (or requires more to keep running than I could buy something new(er) for)... as I've found few things that are not full size SUVs that fit me well.
Fat or not, agile or not... it's sure a heck of a lot easier (and cheaper) to buy a GM vehicle than it is a Tesla. GM dealerships are near everywhere (as is their quick fueling options)... not so much with Tesla.
Don't get me wrong... Tesla has a great bit of tech behind them, they are still the new comer and have a great deal of mindshare to win with regards to 'the big three'.
More so, the police have no duty to preventatively protect you from crime.
Have a restraining order against your abusive ex and see them standing outside your house? Go ahead and call the police, IF they come, chances are it won't be until after the ex has had more than an ample chance to do something and leave.
No money for police, but still seemingly money for just about everything else, odd that eh?
Ahh the Washington Monument Syndrome at work, something we are seeing plenty of in DC today... money being spent to keep people from open air monuments.
In defense of Oracle... Oregon is a state where you cannot be trusted to fuel up your own vehicle... so why do you think they'd let you buy something as important as government mandated health insurance online?
If a web site is rushed into place on October 1st but there's no reason to sign up until January 1st, wait several weeks before you try use it.
Yet that's not what we hear when it comes to early voting.
At the State of the Union this year, Desiline Victor, 102, of Miami was a guest of Michelle Obama in the balcony... and during his speech the President highlighted the fact that she waited in line for 3 hours to vote.
What you didn't hear was that she showed up to vote on the first day of early voting in her area. Unlike key release dates, early voting is usually not expected to be swamped, but then voting booth capacity doesn't quickly scale, compute capacity sure does, so the inability of the architects/developers/etc of these websites not being able to crank a knob and handle the (very expected) increased load is inexcusable given the amount of pomp being given to the Oct 1 launch.
I guess my boss & I are better at planning than 'your boss'... as we'll work together to scope out what sort of work is realistic in a given time frame... do that, and then re-evaluate... and do this multiple times during a dev/release cycle.
By the end not everything we wanted may be in the box, but it works.
Though not being able to get this whole mess right after 3 years another sign of their poor planning.
To be fair, TurboTax didn't always work well under heavy load. It has evolved over the years so now it works just fine. Something to keep in mind.
So... because it took a while for TurboTax to reach the level of stability they have today... we should just accept the feds incompetence in this area?
I would think what should be kept in mind is those who built & run healthcare.gov seemingly never bothered to reach out to companies & organizations which run massive data systems that can handle heavy load without falling over.
Clearly no one from the HHS ever called up a systems admin or developer at the NSA and asked "How do we make sure we can to the cloud^H^H^H^H^Hworld?"... Let alone someone at Apple, Amazon, Facebook, Google, Microsoft, Rackspace, Twitter or any number of other companies who have massive online presences and do not fail as quickly & easily like healthcare.gov... doubly so with the 3 years of lead-time the feds had on this project.
Let me guess. You only have two teeth, sleep with your gun, still don't believe O'Bammy is a US citizen and fantasize about sex with Sarah Palin.
Don't get into a war of insults. You're unarmed.
While my 'insults' are based on easily disprovable 'facts', yours seem more to be delusions based on your warped perceptions. It's ok, it's pretty normal for Obamabots who have a tenuous grasp of reality... as demonstrated above by your ignoring of existing law which would apply to both your hypothetical job switcher as well as your spouse's friend.
But then, why let reality get in the way of a good ole two minutes hate?
The "major Caveat"? Yes, I'd agree, that is a major issue. So fpr a whole lot of people, including the Start-ups in the article, that major caveat is as good as what I said.
Except for that the previous insurance can also be maintained for 18+ months under COBRA, so 'fpr' people who wish to go from a stable job to a startup, it is their choice to maintain their previous coverage or not, something I speak from experience on. Furthermore, in the event of COBRA lapsing, under the Health Insurance Portability and Accountability Act, coverage can still be achieved without the penalty for 'preexisting conditions'.
Worse... you didn't consider the applicability of the study.
As Izzy mentions below... the US is a bit different, not just in terms of obesity rates, but also we are a far more diverse & heterogeneous population compared to the Netherlands.
Now, if you want to cite a study or three from here in the states where some of these factors have been taken into account... I'd love to take a read, but what you provided is in an interesting tidbit but has not been conclusively reproduced elsewhere (you know, part of the scientific method).
Either you signed up for/. while you were still in the womb... or are a 12 year old who purchased your/. account on eBay... as they are the only two possible answers I can think of to how moronic your arguments here are.
Jesus Christ! Do you think through any of this euphoria diarrhea?
'Having health insurance' != 'getting care'
One may lead to the other, or even make it easier, but they are not the same thing, and if you don't understand the difference... then god help you.
and everyone accepts the same amount of risk
Which is a flaw of the system... not all people are of the same risk. If one chooses to put themselves into a higher risk category (smoking, weight, etc)... should they not pay more? That is a basic tenant of insurance!
The old way left people unable to afford insurance
Again, so many falsehoods. YOU HAVE MADE THE CHOICE TO GO WITHOUT INSURANCE. Do not speak to me about not being able to afford anything when you made the conscious choice because you didn't like the price.
Worse... is even if you have 'coverage', and you get 'treatment'... that doesn't mean that you will be able to pay for the part of the treatment not covered by insurance.
You'll be paying exactly $0 for my insurance. I'll be paying for it,
Yes, because the premium price you pay every month is the full and total cost of your policy... we'll just ignore the massive subsidizes to other people in the group (who I am paying for through increased taxes) who in turn bring down your costs a bit.
Again, you made the choice to go without insurance and now are making me pay for your mistakes.
Is that supposed to be an argument? You throw out some un-cited #'s... then make baseless judgments based on them.
you're more likely not to be insured if you have a pre-existing condition
Citation please.
And even if we accept your #'s as factual, why not consider the break down of them, to quote a book sitting on my shelf (Liberty & Tyranny (Page 107)):
In 2006, the Census Bureau reported that there were 46.6 million people without health insurance. About 9.5 million were not United States citizens. Another 17 million lived in households with incomes exceeding $50,000 a year and could, presumably, purchase their own health coverage. Eighteen million of the 46.6 million uninsured were between the ages of eighteen and thirty-four, most of whom were in good health and no necessarily in need of health-care coverage or chose not to purchase it. Moreover, only 30 percent of the nonelderly population who became uninsured in a given year remained uninsured for more than twelve months. Almost 50 percent regained their health coverage within four months. The 47 million "uninsured" figure used by [Speaker of the Houe Nancy] Pelosi and others is widely inaccurate.
that's 21 million people who are now able to get insurance who couldn't before.
You assume that they did not have insurance because they were unable to acquire it, but instead opted not to get it (such as you are doing by choice).
As they aren't independent, it's more likely to be 30 million.
Says you (if true)... but still ignoring the immediate secondary effects, not to mention tertiary items such as the loss of insurance by others due to the new law.
Fudged #'s can be as dramatic as the fudger wants them to be... though that doesn't make them any more credible.
Short version: So long as you were previously covered by a group plan which covered your 'preexisting condition', a new group plan is required to cover the 'preexisting condition'... the major caveat ends up being if you went without coverage for more than 63 days in between.... and even when a 'significant break' in coverage exists, they are limited as to for how long they can deny coverage (12-18 months normally).
I've a friend who spent 6 months in hospital with a necrotizing pancreatitis... racked up over a half a million in bills... care to guess how much he paid?
Not a single penny... and that before he was forced into bankruptcy due to the other financial issues that developed as part of not working for 6 months.
While the ER you work at may turn people out to the street when they come in with a problem ("Treat'em & street'em" I think is the phrase?)... I am happy to say that not all are as so.
Do please share where you work? I would like to make sure that if I do find myself ill in that area... that I try to make it to another ER.
Lemme guess... you are one of those who laments the fact that auto-insurance is so high as a new driver because of the "haven't carried insurance in the last 6 months" penalty... so opt to go without... right? Doubly so when under 24 and the rates are even higher?
Same goes for health insurance, if you did the responsible thing and bit the bullet and got some health insurance of your own (ie rather than having me help pay for it), you'd be able to move to a lower cost plan without the risk of issue from 'preexisting conditions'
Seriously, why is it you liberals are so unfamiliar with the Health Insurance Portability and Accountability Act?
AND if you're in a high risk category (weight, pre-existing conditions, etc).
Because the Health Insurance Portability and Accountability Act would still apply and limit the options for the new plan to 'discriminate' based on preexisting conditions, both when moving group to group but also with maintaining coverage under COBRA.
Odd how Democrats never remember that fact, because we all know that before Obamacare, a pre-existing condition was an automatic death sentence and you had to walk carefully on sidewalks to avoid the mass of dead bodies of those who lacked insurance of any kind.
The last round, those keyboards were peeling within days, if not hours.
Some yes... and when an owner found themselves in that state (such as my wife did), a quick exchange from a Microsoft store solved the problem
I do believe a nice solid BT keyboard made to go with an iPad cover (as integrated as Surface) makes for a much better user experience.
Oh? Which one? A quick search on amazon for "ipad Bluetooth keyboard" turns up 15,645 results for me.
Which of those is the 'nice solid BT keyboard made to go with an iPad cover'?
You've got to admit... Apple's 'Smart Cover' is a pretty good cover, and of a better polish & functionality than most of the other third party covers out there as Apple had the advantage to think & design it ahead of time (and probably having some influence on that generation's iPad design as well)... so to the same I think can be said for the Surface & the Touch and Type Covers.
..what the fuck can you do in surface rt command line?
A good chunk of what you can do otherwise, ditto with Powershell... though there are a few interop things which are locked out IIRC (such as P/Invoking from PS).
what the fuck is the usb port good for when you have no drivers for anything?
I dunno... transferring files via sneaker-net between an external thumb drive, HD or memory card?
I'd respond to more of what you've said, but it would appear you are so hate filled that there is no point in trying much more to reason with you.
It was passengers who subdued the guy with underwear bomb.
Correct... but only AFTER the detonator failed to ignite the explosive material... but instead ignited his pants and resulted in no boom.
The guy who tried to light his shoes on fire to set off an explosion was also subdued by the passengers.
Correct... but only AFTER he was unsuccessful at lighting the fuse.
In both cases it was not the passengers subduing the attackers which prevented the deaths of those onboard... but instead luck that neither device went off.
The primary reason it has turned into a mess in the US is massive government involvement... even before Obamacare.
Each state decided that it would be the exclusive regulator of insurance sold within a given state... there by preventing any cross state competition, which is unfortunate as previously the price difference between a basic plan in this state or that could be massive.
Remember... I can buy a pair of jeans in California, a TV in Iowa, and a car in Florida and bring them all back to my home state and use them... yet I can't shop around to companies in different states for the best deal on health insurance (short of moving there) because the states tell me I can't.
Worse... once each state said "you require our blessing on all that which you sell"... many then required additional goodies that must be part of a state minimum plan... fertility treatment, wigs for cancer patients, gender reassignment surgery, gastric bypass, etc.
Sure they all sound like good & compassionate ideas... only every item that you get at a reduced price means more people will take advantage of it and force others to pay. If the insurance company thought offering X or Y would reduce long term costs, they would offer it on their own and not require a bureaucrat to force them to instead.
This is also in addition to health 'insurance' no longer actually being 'insurance' but instead a discount program... also caused in large part by government involvement.
Just like your phone, a vehicles IVI can be updated months or years after the car drives off the line... but how likely is that?
We've come to expect a ~2 year update cycle with phones... and many a manufacturer will simply stop issuing updates well before that time as an insentive to upgrade to the latest & greatest.
Cars have a much longer lifetime on the road, do we really think that the currently shipping Model XYZ from AutoCo with all of the bells and whistles is going to get the latest IVI update in 3, 5 or 10 years?
"Sorry, but you need an IVI 3.2 based system for that upgrade" will be the excuse.
Yes... even with OSS "you can just upgrade it yourself!"... which assumes the average user has the knowhow, skill & a vehicle that is so easily upgraded.
Yes, having issues with permits because of the existing dealership industry not liking the sales model is the sole reason they are not able to compete full on.
The lowest end Tesla Model S will set you back ~$63k... for that price I can buy 4 Ford Fiestas, or 5 Chevy Sparks.
What's that? You don't want to compare to low end & compact cars? For that same price we are still talking about a pair of his & hers Chevy Imapala's or 2x Subaru Outbacks.
Tesla's are quite expensive (luxury priced)... and will remain so for a good while, and while you may be willing/able to drop $63k on a car (or finance to a higher #), most people aren't.
Sure, being able to walk into your local %random_dealer% & test drive a new car makes it easier than having to track down a remote Tesla dealer, know what makes it even easier? Being able to walk out the same day with a car that you can afford... rather than wait 2-3 months for delivery!
More so, I can drive my Pontiac Aztek from coast to coast along major road ways, stopping only briefly every 300 miles or so for a fuel up... with a Tesla you either wait quite a while at a normal charging station, or be lucky enough to be driving a route with some of their quick charging stations... never mind the fact that you'll be filling up the Tesla twice as often as my Aztek will be.
If you don't think any of this is a bigger hindrance to Tesla adoption then breaking the back of the existing dealership system... then god help you.
I'm 6'5" and plenty of both... as currently my wife requested brochures on a number of vehicles and trying to sell me on this feature or that... I remind her that regardless of any other facts or features... my primary deciding fact is which do I fit in comfortably, everything else is secondary.
I've spent a lovely 10 years with my Pontiac Aztek... and fear the day that it dies (or requires more to keep running than I could buy something new(er) for)... as I've found few things that are not full size SUVs that fit me well.
Fat or not, agile or not... it's sure a heck of a lot easier (and cheaper) to buy a GM vehicle than it is a Tesla. GM dealerships are near everywhere (as is their quick fueling options)... not so much with Tesla.
Don't get me wrong... Tesla has a great bit of tech behind them, they are still the new comer and have a great deal of mindshare to win with regards to 'the big three'.
More so, the police have no duty to preventatively protect you from crime.
Have a restraining order against your abusive ex and see them standing outside your house? Go ahead and call the police, IF they come, chances are it won't be until after the ex has had more than an ample chance to do something and leave.
No money for police, but still seemingly money for just about everything else, odd that eh?
Ahh the Washington Monument Syndrome at work, something we are seeing plenty of in DC today... money being spent to keep people from open air monuments.
In defense of Oracle... Oregon is a state where you cannot be trusted to fuel up your own vehicle... so why do you think they'd let you buy something as important as government mandated health insurance online?
Yet that's not what we hear when it comes to early voting.
At the State of the Union this year, Desiline Victor, 102, of Miami was a guest of Michelle Obama in the balcony... and during his speech the President highlighted the fact that she waited in line for 3 hours to vote.
What you didn't hear was that she showed up to vote on the first day of early voting in her area. Unlike key release dates, early voting is usually not expected to be swamped, but then voting booth capacity doesn't quickly scale, compute capacity sure does, so the inability of the architects/developers/etc of these websites not being able to crank a knob and handle the (very expected) increased load is inexcusable given the amount of pomp being given to the Oct 1 launch.
I guess my boss & I are better at planning than 'your boss'... as we'll work together to scope out what sort of work is realistic in a given time frame... do that, and then re-evaluate... and do this multiple times during a dev/release cycle.
By the end not everything we wanted may be in the box, but it works.
Though not being able to get this whole mess right after 3 years another sign of their poor planning.
So... because it took a while for TurboTax to reach the level of stability they have today... we should just accept the feds incompetence in this area?
I would think what should be kept in mind is those who built & run healthcare.gov seemingly never bothered to reach out to companies & organizations which run massive data systems that can handle heavy load without falling over.
Clearly no one from the HHS ever called up a systems admin or developer at the NSA and asked "How do we make sure we can to the cloud^H^H^H^H^Hworld?" ... Let alone someone at Apple, Amazon, Facebook, Google, Microsoft, Rackspace, Twitter or any number of other companies who have massive online presences and do not fail as quickly & easily like healthcare.gov... doubly so with the 3 years of lead-time the feds had on this project.
While my 'insults' are based on easily disprovable 'facts', yours seem more to be delusions based on your warped perceptions. It's ok, it's pretty normal for Obamabots who have a tenuous grasp of reality... as demonstrated above by your ignoring of existing law which would apply to both your hypothetical job switcher as well as your spouse's friend.
But then, why let reality get in the way of a good ole two minutes hate?
Except for that the previous insurance can also be maintained for 18+ months under COBRA, so 'fpr' people who wish to go from a stable job to a startup, it is their choice to maintain their previous coverage or not, something I speak from experience on. Furthermore, in the event of COBRA lapsing, under the Health Insurance Portability and Accountability Act, coverage can still be achieved without the penalty for 'preexisting conditions'.
JFC! You linked to two different articles about THE SAME BLOODY STUDY... the same SINGULAR study.
Wanna read it? Here it is: http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0050029
Worse... you didn't consider the applicability of the study.
As Izzy mentions below... the US is a bit different, not just in terms of obesity rates, but also we are a far more diverse & heterogeneous population compared to the Netherlands.
Now, if you want to cite a study or three from here in the states where some of these factors have been taken into account... I'd love to take a read, but what you provided is in an interesting tidbit but has not been conclusively reproduced elsewhere (you know, part of the scientific method).
Either you signed up for /. while you were still in the womb... or are a 12 year old who purchased your /. account on eBay... as they are the only two possible answers I can think of to how moronic your arguments here are.
Jesus Christ! Do you think through any of this euphoria diarrhea?
'Having health insurance' != 'getting care'
One may lead to the other, or even make it easier, but they are not the same thing, and if you don't understand the difference... then god help you.
Which is a flaw of the system... not all people are of the same risk. If one chooses to put themselves into a higher risk category (smoking, weight, etc)... should they not pay more? That is a basic tenant of insurance!
Again, so many falsehoods. YOU HAVE MADE THE CHOICE TO GO WITHOUT INSURANCE. Do not speak to me about not being able to afford anything when you made the conscious choice because you didn't like the price.
Worse... is even if you have 'coverage', and you get 'treatment'... that doesn't mean that you will be able to pay for the part of the treatment not covered by insurance.
Yes, because the premium price you pay every month is the full and total cost of your policy... we'll just ignore the massive subsidizes to other people in the group (who I am paying for through increased taxes) who in turn bring down your costs a bit.
Again, you made the choice to go without insurance and now are making me pay for your mistakes.
Does your boss let you get away with citation-less and nonsensical claims like this? If so, dear lord, I feel sorry for your company.
Is that supposed to be an argument? You throw out some un-cited #'s... then make baseless judgments based on them.
Citation please.
And even if we accept your #'s as factual, why not consider the break down of them, to quote a book sitting on my shelf (Liberty & Tyranny (Page 107)):
You assume that they did not have insurance because they were unable to acquire it, but instead opted not to get it (such as you are doing by choice).
Ahh more made up numbers!
One of the early features of Obamacare was expanding access to so called "high risk pools"... know what happened? Not a whole lot of people signed up: http://www.theatlantic.com/business/archive/2011/06/why-hasnt-anyone-signed-up-for-the-high-risk-health-insurance-pools/239833/
Says you (if true)... but still ignoring the immediate secondary effects, not to mention tertiary items such as the loss of insurance by others due to the new law.
Fudged #'s can be as dramatic as the fudger wants them to be... though that doesn't make them any more credible.
Lemme guess... your your spouses friend is an Obama voter? And you too I'd wager.
How do I know? Because you are both clearly poorly informed of the world & preexisting laws related to insurance... in this case, the 1986 Health Insurance Portability and Accountability Act.
Short version: So long as you were previously covered by a group plan which covered your 'preexisting condition', a new group plan is required to cover the 'preexisting condition'... the major caveat ends up being if you went without coverage for more than 63 days in between. ... and even when a 'significant break' in coverage exists, they are limited as to for how long they can deny coverage (12-18 months normally).
I've a friend who spent 6 months in hospital with a necrotizing pancreatitis... racked up over a half a million in bills... care to guess how much he paid?
Not a single penny... and that before he was forced into bankruptcy due to the other financial issues that developed as part of not working for 6 months.
While the ER you work at may turn people out to the street when they come in with a problem ("Treat'em & street'em" I think is the phrase?)... I am happy to say that not all are as so.
Do please share where you work? I would like to make sure that if I do find myself ill in that area... that I try to make it to another ER.
Lemme guess... you are one of those who laments the fact that auto-insurance is so high as a new driver because of the "haven't carried insurance in the last 6 months" penalty... so opt to go without... right? Doubly so when under 24 and the rates are even higher?
Same goes for health insurance, if you did the responsible thing and bit the bullet and got some health insurance of your own (ie rather than having me help pay for it), you'd be able to move to a lower cost plan without the risk of issue from 'preexisting conditions'
Seriously, why is it you liberals are so unfamiliar with the Health Insurance Portability and Accountability Act?
I think you meant to say:
Because the Health Insurance Portability and Accountability Act would still apply and limit the options for the new plan to 'discriminate' based on preexisting conditions, both when moving group to group but also with maintaining coverage under COBRA.
Odd how Democrats never remember that fact, because we all know that before Obamacare, a pre-existing condition was an automatic death sentence and you had to walk carefully on sidewalks to avoid the mass of dead bodies of those who lacked insurance of any kind.
Some yes... and when an owner found themselves in that state (such as my wife did), a quick exchange from a Microsoft store solved the problem
Oh? Which one? A quick search on amazon for "ipad Bluetooth keyboard" turns up 15,645 results for me.
Which of those is the 'nice solid BT keyboard made to go with an iPad cover'?
You've got to admit... Apple's 'Smart Cover' is a pretty good cover, and of a better polish & functionality than most of the other third party covers out there as Apple had the advantage to think & design it ahead of time (and probably having some influence on that generation's iPad design as well)... so to the same I think can be said for the Surface & the Touch and Type Covers.
And? Having an optional integrated keyboard/cover on the Surface is a far better experience than your average Bluetooth keyboard and an iPad.
A good chunk of what you can do otherwise, ditto with Powershell... though there are a few interop things which are locked out IIRC (such as P/Invoking from PS).
I dunno... transferring files via sneaker-net between an external thumb drive, HD or memory card?
I'd respond to more of what you've said, but it would appear you are so hate filled that there is no point in trying much more to reason with you.
Correct... but only AFTER the detonator failed to ignite the explosive material... but instead ignited his pants and resulted in no boom.
Correct... but only AFTER he was unsuccessful at lighting the fuse.
In both cases it was not the passengers subduing the attackers which prevented the deaths of those onboard... but instead luck that neither device went off.
The primary reason it has turned into a mess in the US is massive government involvement... even before Obamacare.
Each state decided that it would be the exclusive regulator of insurance sold within a given state... there by preventing any cross state competition, which is unfortunate as previously the price difference between a basic plan in this state or that could be massive.
Remember... I can buy a pair of jeans in California, a TV in Iowa, and a car in Florida and bring them all back to my home state and use them... yet I can't shop around to companies in different states for the best deal on health insurance (short of moving there) because the states tell me I can't.
Worse... once each state said "you require our blessing on all that which you sell"... many then required additional goodies that must be part of a state minimum plan... fertility treatment, wigs for cancer patients, gender reassignment surgery, gastric bypass, etc.
Sure they all sound like good & compassionate ideas... only every item that you get at a reduced price means more people will take advantage of it and force others to pay. If the insurance company thought offering X or Y would reduce long term costs, they would offer it on their own and not require a bureaucrat to force them to instead.
This is also in addition to health 'insurance' no longer actually being 'insurance' but instead a discount program... also caused in large part by government involvement.