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Nathan Golia
Nathan Golia
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Obama, Romney Spar Over Pre-Existing Conditions

Insurers who wonder what might be held over from an Affordable Care Act repeal got some clues during Wednesday's debate.

Insurance will be name-checked periodically throughout this election season due to Republican presidential candidate Mitt Romney's insistence on repealing the Patient Protection and Affordable Care Act if he is elected to replace President Obama. In Wednesday's debate, the candidates sparred momentarily over the issue of covering pre-existing conditions, which is mandated under the Affordable Care Act. (Note: All quotes come from the CNN transcript of the debate.)

Obama: Governor Romney says, we should replace it, I'm just going to repeal it, but -- but we can replace it with something. But the problem is, he hasn't described what exactly we'd replace it with, other than saying we're going to leave it to the states.

But the fact of the matter is that some of the prescriptions that he's offered, like letting you buy insurance across state lines, there's no indication that that somehow is going to help somebody who's got a pre-existing condition be able to finally buy insurance. In fact, it's estimated that by repealing Obamacare, you're looking at 50 million people losing health insurance.

Romney: Well, actually it's -- it's -- it's a lengthy description. But, number one, preexisting conditions are covered under my plan. Number two, young people are able to stay on their family plan. That's already offered in the private marketplace. You don't have to have the government mandate that for that to occur.

Obama: Let's go back to what Governor Romney indicated, that under his plan, he would be able to cover people with preexisting conditions.

Well, actually Governor, that isn't what your plan does. What your plan does is to duplicate what's already the law, which says if you are out of health insurance for three months, then you can end up getting continuous coverage and an insurance company can't deny you if you've -- if it's been under 90 days.

But that's already the law and that doesn't help the millions of people out there with preexisting conditions.

Romney: With regards to health care, you had remarkable details with regards to my pre-existing condition plan. You obviously studied up on -- on my plan. In fact, I do have a plan that deals with people with pre-existing conditions. That's part of my health care plan. And what we did in Massachusetts is a model for the nation state by state. And I said that at that time.

Nathan Golia is senior editor of Insurance & Technology. He joined the publication in 2010 as associate editor and covers all aspects of the nexus between insurance and information technology, including mobility, distribution, core systems, customer interaction, and risk ... View Full Bio

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