April 1, 2012

Destroying Conservative-Style Reform: GOP Turns on Insurance Mandate at Its Own Peril

In January 2009, Mitt Romney penned some advice to incoming President Barack Obama regarding health care reform in a USA Today op-ed piece. Romney suggested Obama look to “the lessons we learned in Massachusetts,” in contemplating federal-level reform, noting specifically:

First, we established incentives for those who were uninsured to buy insurance. Using tax penalties, as we did, or tax credits, as others have proposed, encourages ‘free riders’ to take responsibility for themselves rather than pass their medical costs on to others.

The Massachusetts reform aimed at getting virtually all our citizens insured. In that, it worked: 98 percent of our citizens are insured, 440,000 previously uninsured are covered and almost half of those purchased insurance on their own, with no subsidy.
In a January 2008 GOP Presidential Primary debate, Romney underscored his belief that the insurance mandate should be applied at a national level. When the moderator noted, “Romney’s system has mandates in Massachusetts, although you backed away from mandates on a national basis,” Romney interjected, “No, no, I like mandates. The mandates work.”