"Buying policies across state lines" is a fairy tale myth that wouldn't do diddly to this AK issue. ANY AND EVERY insurance company would still rate Alaskans according to the population's cost to deliver health services in the geography of your Alaska residence. If you live in Alaska, you can't or never will be able to get a lower 48 rate. A single payer option that socializes and shares health delivery costs across all demographics is the only way that Alaskans will ever be able to receive an insurance rate comparable to lower 48 rates.