Two large drivers of high health insurance costs in certain states is 1) bans on interstate competition for health insurance and 2) state-by-state mandates for minimum coverage. These two government actions lead to some states having remarkably higher health insurance prices than others. Via Carpe Diem:
The average health insurance ranges from a low of $1,254 in Wisconsin to a high of $8,537 in Massachusetts, and the national average is $2,613. That kind of variation couldn't exist in a competitive market for health insurance. Interstate competition for health insurance would go a long way towards bringing health insurance costs down.
That Massachusetts model sure is doing wonders, huh? If reimportation of drugs from Canada makes sense, why not of policies across state lines? See where your state ranks here.