In their various health plans, Republicans want to roll back protections for people with pre-existing conditions. A study by the Center for American Progress shows us how many people would be harmed by this policy in each of our six Congressional districts.

As explained by CAP:

Republicans are now discussing a provision that is effectively a sick tax on premiums: People with health conditions would be charged multiples more based on their medical history, paying above-standard rates for coverage. Even if the new plan preserved the ACA’s rules on guaranteed issue—meaning that issuers cannot deny coverage—consumers with pre-existing conditions could still be priced out of the market.

About 50% of Americans have some sort of pre-existing condition, including as many as 1 in 4 children. And of course, the percentages go up as people get older, hitting 84% of those 55 to 64. Most of the plans put forward by Republicans would let insurers put those people into high-risk, high-premium pools, instead of spreading the risk over the larger pool of all insureds.

From the CAP study, here are the numbers of people with pre-existing conditions in each of our state’s Congressional districts. The next time you speak with, or write to, your Congress-person, ask them if they think this many people need to be financially punished for having a pre-existing condition:

District Children Total
James Comer (KY-1) 38,600 280,100
Brett Guthrie (KY-2) 41,600 304,500
John A. Yarmuth (KY-3) 39,500 309,700
Thomas Massie (KY-4) 43,200 313,400
Harold Rogers (KY-5) 37,500 272,500
Andy Barr (KY-6) 40,000 315,300


Bruce Maples
Bruce Maples has been involved in politics and activism since 2004, when he became active in the Kerry Kentucky movement. He has been President, Vice-President, and Treasurer of the Metro Democratic Club, and has served on the Democratic Party Executive Committee in Louisville. He began blogging in 2004, and currently operates two personal blogs ( and He founded Forward Kentucky in the wake of the state elections in 2015, and expanded it in the summer of 2016. He has lived in Louisville since 1992 with his wife and two sons.