"You can't go to insurance companies and say, you know what, we're not going to change anything having to do with the pool from which you - you draw your people. We're not going to do anything. But guess what, you can no longer allow for pre-existing conditions to disqualify somebody. And they go, oh. OK. How do I pay for that?"

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Well, I'm telling them two things. One is that, look, this is going to be something when the American people realize - once it's passed - that, A, it does take care of preexisting conditions; B, you're insurance rates aren't going to skyrocket; C, the insurance companies aren't going to be running the show like they were before; D, you're going to be in a position where you can keep your insurance that you have. That once the American public realizes that, you're going to get a reward for this. They're going to be rewarded.

— Joe Biden