Boss
Take a Memo:
Boss, having spent my 50 year career in health insurance, I can assure you that health insurance companies have little or no lobbies in Washington. That is because we have almost no regulation from Washington. We deal 90% with state, not federal regulation.
That has been changing in the last 8 years, only because of ACA, but such lobbies are not thoroughly entrenched. The health insurance industry is trying to guide Congress toward what they are doing with Medicare Advantage plans. The have no risk under those plans, and it is in their best interests for Congress to expand Medicare to all ages, and allow insurance companies to offer alternatives to straight government Medicare. The health insurance industry is, in fact, moving out of the risk business altogether. They make far more money, with no risk, hiring themselves out to major employers to handle their self insured plans administration. If congress were to make health insurance illegal, the insurance companies would be delighted, as long as they can continue to write cost plus plans, like Medicare Advantage..
The insurance lobby WROTE the ACA bill.
All due respect to your expertise in the field, I understand you deal with state regulators 90% of the time, but the states are federally regulated too. Many of these mandates and regulations are the result of insurance lobbyists who buy influence in Washington.
There is a reason health insurance isn't sold across state lines. The insurance companies enjoy an advantage of not having to compete.