"Each State has its own health insurance mandates, and some of them are good, but there are about 1,800 of them all across the Nation, including provisions for acupuncturists, massage therapists, and hair replacements"

This quote by Timothy Murphy is referring to the fact that each state in the United States has its own medical insurance mandates. These requireds are laws that need specific types of health insurance protection to be provided by insurer. While some of these requireds are useful, there are a great deal of them, amounting to around 1,800 throughout the nation. These mandates consist of coverage for alternative treatments such as acupuncture, massage therapy, and hair replacement. This quote is highlighting the reality that while a few of these requireds are helpful, there is a large number of them that can be tough to monitor.