When North Carolina passed its high-risk insurance pool, the legislature managed to do it without raising taxes and with the inclusion of high-deductible, HSA-eligible insurance options. The high-risk pool started enrolling people this year. It still makes more sense than regulating how insurance companies price their policies, but should be seen as a transitional product until we have consumer-driven markets. I made these points in an interview with Carolina Journal Radio. You can read the transcript here.