You can play linguistic games with this all you want. The fact is if you force “insurance” to cover preexisting conditions, AND force them to charge the same rates they charge everyone else, you will either drive the rates up to atmospheric levels, or bankrupt the insurers.
OK, look at me. I’m 56, I’ve had an ulcer, knee surgery, foot surgery, and a melanoma removed.
I feel pretty good right now, and work out in the gym twice a week and walk two miles a day. No known health issues, although ankles and knees are not great.
If a health insurer takes me, he gets a pretty healthy risk. But, one the other hand, a knee might go or another ulcer might pop up. That’s the way it is with 56-year-old guys.
My own opinion is that it is not really insurance. It is a combination of insurance and pre-payment of needed services. The two aspects of it do not really get on very well together.