The point about safety inspections depends on what state you live in. Here (Nevada) there's no such thing, only an annual smog check. Insurance is the same (unless you want collision, which I wouldn't know about), since it pays when you hit the other guy.
I've been driving an Insight with a salvage title for six years now. It'd been stolen, then recovered after the insurance company paid off. I've had very little trouble with the car at all, and nothing that's in any way related to the titling.
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