Too often, we forget what our healthcare system was like before we passed the Affordable Care Act. Before the ACA, healthcare costs were skyrocketing; insurers could deny people coverage if they had a preexisting condition; policies did not have to provide essential benefits; and people were losing their insurance at alarming rates. Before the Affordable Care Act, insurers could place annual and lifetime caps on insurance coverage. Today, the Affordable Care Act ensures that 130 million Americans with preexisting conditions can have access to the healthcare peace of mind and financial security that comes with quality, affordable health coverage. Now, we have heard a lot about what we can do to make things better. We have heard about a bill that just protects those with preexisting conditions. The problem with that, Mr. Speaker, is, if you allow people to wait until they get sick before they buy insurance, they will wait until they get sick before they buy insurance. Those buying insurance are, on average, sicker, and the costs tend to go up. Fewer people can afford it. The healthy people drop out, and the costs go up. There is a name for this cycle. It is called the death spiral. Every time they try to protect those with preexisting conditions without the supports of the Affordable Care Act, there is a death spiral out of control. In Washington State, for 3 years, they tried that. In the 3 years, nobody could buy insurance.…
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