We’ve read many confident assurances, in Ann Coulter columns and
elsewhere, that Mitt Romney never intended his Massachusetts health
care plan to be a national model and never supported
unconstitutional federal individual mandates. This 2009 USA
Today
op-ed, written at the height of the Obamacare debate, is the
latest piece of evidence suggesting that this isn’t exactly
true.
With the subheadline “Obama could learn a thing or two about
health care reform in Massachusetts,” Romney had this to say about
mandates:
Our experience also demonstrates that getting every citizen
insured doesn’t have to break the bank. 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. This doesn’t
cost the government a single dollar.
Tax penalities, what a beautiful choice. But Peter Suderman
pointed out in his Reason
profile of Romney that this is hardly the only example of the
candidate suggesting Romneycare could go national.
During his first presidential primary campaign, Romney
enthusiastically touted the plan’s national possibilities. “We have
to have our citizens insured, and we’re not going to do that by tax
exemptions, because the people that don’t have insurance aren’t
paying taxes,” he said at an Iowa debate in August 2007. “What you
have to do is what we did in Massachusetts. Is it perfect? No. But
we say, let’s rely on personal responsibility, help people buy
their own private insurance, get our citizens insured, not with a
government takeover, not with new taxes needed, but instead with a
free-market-based system that gets all of our citizens in the
system. No more free rides. It works.”
In October of that year, Romney told the Republican Jewish
Coalition: “I think we’ll be successful nationwide. My plan, by the
way, allows every citizen in America to get health insurance.”
Asked by CNN’s John King at the time whether RomneyCare was a good
model for the nation, he responded with a big grin, “Well, I think
so.”
These days, he thinks not. In an October 2011 debate on CNN,
Romney insisted, despite evidence to the contrary, that “in the
last campaign I was asked, ‘Is this something you would have the
whole nation do?’ And I said no.”
This is a candidate making a conservative case for the
individual mandate — and a candidate who seems poised to do well
on Super Tuesday tomorrow. If Romney is nominated, this will have
an impact on the Obamacare debate in the general election.
UPDATE: Ramesh Ponnuru provides
some context suggesting that Romney was stopping just short of
endorsing a federal insurance mandate in 2009. But when you look at
the entire record, it is pretty clear that this ironclad
distinction between state and federal mandates Romney is relying on
is a fairly recent invention.