insurance is when a group of similar people pool their money together to share risk. they all pay in before anyone needs the money to save up enough that they can pay out when one or more of them has a covered need.
By allowing people with pre-existing conditions to join the pools, this is no longer insurance against an uncertain future. It's a pool of money that anyone can pull money out of when they need it (for a small cost at the time of need) and anyone who wants to can contribute money before they need it. (there's a small tax to discourage abuse but it's too small to be stop people from waiting until they need it - they have to decide they want to "be fair" against their own financial interests).
Also, buy limiting the number of pools, it is no longer about people with similar risks sharing those risks. The healthy small business can't get get lower rates by encouraging their workers to keep in good health. The non-smoking, exercising, healthy-eating, non-obese individual has to share risk with the smoking, obese, soda-guzzling couch potato. It's like saying the Leaf owner and Farrari owner have to pay the same rates for car insurance while knowing that on average they will have very different payouts.
The government needs to fix health care (i.e. universal coverage or a public option for the "uninsurable"
, not pretend to fix the way private companies pay for our health care and call it "insurance".
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