Evan Falchuk, president of Best Doctors Inc, lists some reasons why health insurance is so expensive:

Each state requires that insurers who wish to sell there comply with a huge variety of coverage mandates.  In fact, there are nearly 2,000 mandates, some of which add significant costs to health insurance.  Adding new mandates is a regular activity of state governments, based on the political clout of patient groups, pharmaceutical companies and others.  State governments have had an important role to play in driving premium increases.

We want to hear what you think about this article. Submit a letter to the editor or write to letters@theatlantic.com.