As the political parties spend the rest of 2015 whittling down their nominations for president, one of the issues at the forefront of the election is Obamacare and health insurance in Texas ( and nationwide. The question is pretty straightforward when it comes to the Democratic and Republican divide. Democrats want to keep it and make improvements as needed, and Republicans want to cancel and replace it. The more interesting question for everyone in Texas with health insurance is what different candidates would do instead to their health insurance policies. Though many say things along the same lines, one of the most different answers belongs to Donald Trump.

Trump has long been an advocate for the single payer health insurance system. This is something similar to what other nations have, and very different than the health insurance Texas residents have grown used to. The single payer means that one person or entity is footing the bill. In some cases, like Britain and Canada, this is the government. In nations like Switzerland, all of the insurance is private, but the nation has limits based on procedure and cost of living that can be charged for all medical procedures, and insurance can use these to be certain to stay within certain cost boundaries. Trump believes this will lower the cost for both people and for governments who must take up the slack for those who cannot afford medical care.

The biggest difference that his method would create is a widening of interstate health insurance opportunities. Instead of having health insurance be Texas exclusive for residents there, it would be more like auto insurance, where customers can look nationwide for the best rates, and take any health insurance policy, Texas or not. This is especially useful for people who live on the border of a large city in another state, but far from larger cities with good hospitals that are in state. The belief is that if health insurance companies could spread their risk nationwide and have larger pools of people to bring in, rates can remain competitively low and affordable for customers.

Trump has not mentioned yet if he would maintain the requirement for health insurance Texas and other state residents currently have, or if he would return the system to optional. Most other Republican candidates have said that this is one of the first things that they would change in the system, but not all. Candidates like Ohio Governor John Kasich have said that a large investment into the state’s preventative Medicaid system has resulted in billions of dollars in savings over having their uninsured constituents wait until they require emergency room services, and pass those much higher costs over to teh state instead. Health insurance in Texas and other states as a cost saving, preventative measure over expensive illness was once a concept that Trump supported wholeheartedly. He has remained vague about whether this would be true still.

Though the shape of a potential Trump presidency is currently about foreign policy over domestic, this is one of the places where he sounds like he would be more of a democratic president over a republican. The popularity of health insurance in Texas and other states by those who were once trapped due to preexisting medical conditions may give him enough of an edge to run as an independent if his domestic policy turns out to be too liberal for the GOP.