Originally Posted by MichaelB
I didn't see anything to support that statement, and what I have read elsewhere points to the opposite conclusion. Rural and sparsely populated areas are high health care cost while large metropolitan areas are lower cost. Exception to Hawaii and NYC.
As an illustration if you look at the premiums for the Texas High Risk Pool you find that the premiums for Houston are much higher than San Antonio and then less again further west. (Partly that may be because unskilled labor pays less in the boonies) The list goes by zip codes. For the 3k deductable plan for those 60-64 the rates are in The highest cost areas (Houston and Dallas) for a guy 1198/month, in Fort Worth a bit less and In San Antonio 951 and in the boonies 841. Now the table is some what irrational in that those with a Bellaire Tx zip code pay $100 less all be it that Bellaire is surrounded by Houston on all sides.
So yes the regional disparities exist. (Note also that Dallas Suburbs pay less than Dallas city again the folks in the suburbs might be a bit healthier)