Most Republican candidates failed to adequately address the issue of pre-existing conditions ahead of the midterm elections and for this they paid a political price. Voters said they trusted Democrats more on pre-existing conditions than Republicans (58-34 percent) and health-care voters broke for Democrats 3-to-1. The GOP sorely needs to demonstrate leadership on the issue of pre-existing conditions, not just by rejecting the ACA, but by offering a better solution.