Top McCain campaign advisor running out of insurance. He has a "pre-existing condition."

If history had taken a different course, Doug Holtz-Eakin would be inside the McCain White House driving the Republican president's domestic agenda, including health-care reform. But now, one year after Sen. John McCain (R-Ariz.) lost the presidential election, the man who was by McCain's side as the campaign's top health-care guru remains unemployed -- and his COBRA health coverage is running out.

Irony of ironies, it gets worse. Holtz-Eakin, who is about to start shopping for insurance on the individual market, is 51. And he has one of those pesky "preexisting conditions" that insurance companies often cite in denying coverage.

"A right renal autotransplant," he said, pointing to his abdomen as he described the 1990 transplant surgery he went through after one of his kidneys was damaged in an accident. "They got rid of the artery, moved my kidney and rebuilt me for the 21st century. If you look at my file, any insurance company would go, 'Hmm . . .' "