washington u.s. house representatives speaker paul ryan call wednesday end obamacare financial protections people serious medical condition say consumers place state high-risk pool election-year remark could shed light expect republican healthcare alternative ryan say exist federal policy prevent insurers charge sick people high rat health coverage raise cost healthy consumers undermine choice competition rule cornerstone president barack obama affordable care act praise patient advocate provide access medical care people previously could afford private health insurance affordable care act also bar insurers exclude coverage pre-existing condition less 10 percent people 65 call people pre-existing condition really kind uninsurable ryan wisconsin republican tell student audience georgetown university let fund risk pool state level subsidize coverage get affordable coverage say dramatically low price everybody else make health insurance much affordable much competitive open competition charge rat individuals regardless medical history also key part group health plan private sector house republicans repeat vote repeal obamacare promise produce alternative affordable care act part broad policy agenda intend attract voters nov. presidential election policy document expect ahead republican presidential nominate convention july high-risk pool exist healthcare law state-level entities guarantee coverage people health problems analysts say prohibitively expensive offer less optimal health coverage republicans propose state-based risk pool obamacare alternative past last week conservative republican study committee recommend risk pool part house policy agenda say premiums cap 200 percent state average ryan want end obamacare cost protections sick consumers