lovetherates.com Oh, by the way, Medical insurance companies already compete across state lines. They have crossed state lines for a long time. So what is the big deal? Why is this even an issue? Is it just that health insurance companies want deregulation to increase their profits or is there a real benefit to consumers? Allowing the health insurance companies to freely compete across state lines could result in a very different future than the one promised by some pundits and politicians.