In the case of Democrats using statewide numbers for people with preexisting conditions for votes concerning the AHCA, that’s worthy of Four Pinocchios. They’ve taken high-end estimates for the entire insurance market, even though the law affected only the individual market. Different states also would have had to proactively seek waivers. The Congressional Budget Office found that in states with one-sixth of the U.S. population, there could be turmoil in the insurance markets – but that meant it might be fine in other states. There’s little excuse to apply numbers for the entire insurance market to the much-smaller individual market.