The problem starts with the idea of employer paid medical expenses. A private industry grew out of the tendency for corps to arbitrage risk — health care insurance it is called. Guaranteed issue was part of that deal, that arrangement.
People that are not paid by their employer (the unemployed of course) through med expenses want that benie also. They also want guaranteed issue, no cancellation, no lifetime caps, etc., etc. They also don’t want to pay $much or at least not more than their cable of cell phone bill (according to Obama).
Obama made irrational, unaffordable promises that simply can’t be kept. How can the GOP disappoint The People now?