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Mitt Romney on Health Care

Former Republican Governor (MA)


ObamaCare waivers on Day One; repeal bill on Day Two

SANTORUM: [to Romney]: We need to repeal ObamaCare. We can do it, not by waivers. That's the wrong idea. California going to waive that? No. NY going to waive it? No. All these states--many of them, liberal states--are going to continue on, and then states like NH that will waive it will end up subsidizing California. We need to repeal it by doing it through a reconciliation process .

ROMNEY: Rick, you're absolutely right. On day one, granting a waiver to all 50 states doesn't stop in its tracks entirely ObamaCare. That's why I also say we have to repeal ObamaCare, and I will do that on day two with a reconciliation bill, because, as you know, it was passed by reconciliation, 51 votes. We can get rid of it with 51 votes. We have to get rid of ObamaCare and return to the states the responsibility [for healthcare]. We all agree about repeal and replace. I put together a plan that says what I'm going to replace it with: to solve the problem of health care, to get it to work like a market.

Source: 2011 GOP debate at Dartmouth College, NH , Oct 11, 2011

RomneyCare intended as state plan; never as national model

PERRY: [to Romney]: In your hard copy book, you said RomneyCare was exactly what the American people needed, to have that RomneyCare given to them as you had in Massachusetts. Then in your paperback, you took that line out.

ROMNEY: I actually wrote my book, and in my book I said no such thing. When I put my health care plan together, a Washington Post reporter asked, "Is this is a plan that if you were president you would put on the whole nation, have a whole nation adopt it?" I said, "Absolutely not. This is a state plan for a state, it is not a national plan." And it's fine for to you retreat from your own words in your own book [on Social Security's constitutionality], but please don't try and make me retreat from the words that I wrote in my book. I stand by what I wrote. I believe in what I did. And I believe that the people of this country can read my book and see exactly what it is.

Source: 2011 GOP Google debate in Orlando FL , Sep 22, 2011

In MA, we addressed only the 8% who were uninsured

Q: The other day Gov. Perry called RomneyCare "socialized medicine." He said it has failed in western Europe and in Massachusetts. And he warns that Republicans should not nominate "Obama-lite."

ROMNEY: I don't think he knows what he was talking about in that regard. Let me tell you this about our system in Massachusetts: 92% of our people were insured before we put our plan in place. Nothing's changed for them. The system is the same. They have private market-based insurance. We had 8% of our people that weren't insured. And so what we did is we said let's find a way to get them insurance, again, market-based private insurance. We didn't come up with some new government insurance plan. Our plan in Massachusetts has some good parts, some bad parts, some things I'd change, some things I like about it. It's different than Obamacare. Obamacare intends to put someone between you and your physician. It must be repealed. That law is bad; it's unconstitutional; it shall not stand.

Source: 2011 GOP Google debate in Orlando FL , Sep 22, 2011

Reform Medicare, but don't cancel prescription program

Q: If you were president, would you repeal prescription drug benefits for seniors under Medicare?

PERRY: No. But it's a $17 trillion hole that we have in our budget we've got to deal with.

Q: [to Romney] How about you?

ROMNEY: I wouldn't repeal it. I'd reform Medicare and reform Medicaid and reform Social Security to get them on a sustainable basis, not for current retirees, but for those in their 20s and 30s and early 50s.

Source: 2011 GOP Tea Party debate in Tampa FL , Sep 12, 2011

I stand by what I did in Massachusetts

Q: Do you stand by what you did with the health care mandate in Massachusetts?

ROMNEY: Absolutely. I'm not running for governor. I'm running for president. And if I'm president, on day one I'll direct the secretary of Health and Human Services to grant a waiver from Obamacare to all 50 states. It's a problem that's bad law, it's not constitutional. I'll get rid of it.

Q: [to Perry]: Can a state like Massachusetts go ahead and pass health care reform, including mandates? Is that a good idea, if Massachusetts wants to do it?

PERRY: Well, that's what Gov. Romney wanted to do, so that's fine. But the fact of the matter is, that was the plan that President Obama has said himself was the model for Obamacare. I don't think it was right for Massachusetts when you look at what it's costing the people of Massachusetts today.

ROMNEY: If you think what we did in Massachusetts and what Pres. Obama did are the same, boy, take a closer look: he raised taxes $500 billion; we didn't raise taxes.

Source: 2011 GOP Tea Party debate in Tampa FL , Sep 12, 2011

Health Savings Accounts give patients stake in health costs

Q: [to Cain]: What is your health care plan?

CAIN: First, repeal Obamacare in its entirety. Secondly, [market reforms]: deductibility of health insurance premiums; loser-pay laws; and association health plans.

ROMNEY: Herman Cain is right, and let's get back to getting the cost of health care down. The reason health care is so expensive is not just because of insurance, it's because of the cost of providing care. And one reason for that is the person who receives care in America generally doesn't care how much it costs, because once they've paid their deductible, it's free. And the provider, the more they do, the more they get paid. And so what we have to do is make sure that individuals have a concern and care about how much something costs. And for that to happen, health savings accounts. Give people a stake in what the cost of insurance is going to be, what the cost of it is going to be. Co-insurance, where people pay a share of the bill, that makes a difference.

Source: 2011 GOP Tea Party debate in Tampa FL , Sep 12, 2011

ObamaCare has enormous differences from RomneyCare

PERRY: RomneyCare was the plan that President Obama has said himself was the model for ObamaCare.

ROMNEY: First, I'd be careful about trusting what President Obama says as to what the source was of his plan, number one. But number two, if you think wha we did in Massachusetts and what President Obama did are the same, boy, take a closer look, because:

Source: 2011 GOP Tea Party debate in Tampa FL , Sep 12, 2011

On Day One, ObamaCare waivers to all 50 states

Q: You've said some things about the Massachusetts law worked; other things didn't work as well. On the individual mandate, the government saying that people have to buy health insurance--was that one of the things that worked in Massachusetts?

ROMNEY: One thing I'd do on day one if I'm elected president is direct my secretary of health and human services to put out an executive order granting a waiver from Obamacare to all 50 states. It is bad law, it will not work, and I'll get that done on day one. Now, what we faced in our state is different than what other states face. In our state, our plan covered 8% of the people, the uninsured. One thing I know, and that is that what Pres. Obama put in place is not going to work. It's massively expensive. His plan is taking over 100% of the people, and the American people don't like it and should vote it down.

Source: 2011 GOP debate in Simi Valley CA at the Reagan Library , Sep 7, 2011

ObamaCare's biggest difference: I believe in 10th Amendment

Q: [to Pawlenty]: You've said that the president's plan and the Romney plan are so similar that you called them both ObamneyCare.

PAWLENTY: Obamacare was patterned after Mitt's plan. And for Mitt or anyone else to say that there aren't substantial similarities or they're not essentially the same plan, it just isn't credible.

ROMNEY: There are some similarities between what we did in Massachusetts and what President Obama did, but there are some big differences. And one is, I believe in the 10th Amendment of the Constitution. And that says that powers not specifically granted to the federal government are reserved by the states and the people. We put together a plan that was right for Massachusetts. The president took the power of the people & the states away from them and put in place a one-size-fits-all plan. It's bad law. It's bad constitutional law. It's bad medicine. And if I'm president, on my first day, I'll direct the secretary of HHS to grant a waiver from Obamacare to all 50 states

Source: Iowa Straw Poll 2011 GOP debate in Ames Iowa , Aug 11, 2011

MA Constitution allows mandate; US Constitution does not

Q: Do you think that government at any level has the right to make someone buy a good or service just because they are a resident? Where do you find that mandating authority in the Constitution?

A: You're asking me, what do we think we should do about Obamacare? And the answer is, I think you have to repeal Obamacare, and I will, and I'll put in place a plan that allows states to craft their own programs to make those programs work.

Q: I'm asking you where you find that authority in the Constitution.

A: Are you familiar with the Massachusetts constitution? I am. And the Massachusetts constitution allows states, for instance, to say that our kids have to go to school. It has that power. We said, look, we're finding people that can afford health insurance, that are going to the hospital and getting the state to pay for them--people who are free riders. We said, you know what? We're going to insist that those people who can afford to pay for themselves do so. That was our conclusion

Source: Iowa Straw Poll 2011 GOP debate in Ames Iowa , Aug 11, 2011

If people of MA don't like RomneyCare, they can change it

Q: [To Romney]: Gov. Pawlenty called your Massachusetts plan "Obamneycare". Is that a fair comparison?

ROMNEY: If I'm elected president, I will repeal Obamacare. And also, on my first day in office, I will grant a waiver to all 50 states from Obamacare. Now, there's some similarities and there are some big differences. Obamacare spends a trillion dollars. If it were perfect--and it's not perfect, it's terrible--we can't afford more federal spending. Secondly, it raises $500 billion in taxes. We didn't raise taxes in Massachusetts. Third, Obamacare takes $500 billion out of Medicare and funds Obamacare. We, of course, didn't do that. And, finally, ours was a state plan, a state solution, and if people don't like it in our state, they can change it. That's the nature of why states are the right place for this type of responsibility. And that's why I introduced a plan to repeal Obamacare and replace it with a state-centric program.

Source: 2011 GOP primary debate in Manchester NH , Jun 13, 2011

ObamaCare's power grab won't work; Obama didn't ask me

Q: [To Pawlenty]: Why "Obamneycare"?

PAWLENTY: I cited Obama's own words that he looked to Massachusetts as a blueprint or a guide when he designed Obamacare.

Q: You chose those words, "Obamneycare," on "Fox News Sunday;" why is it not "Obamneycare" with Romney right here?

PAWLENTY: Using the term "Obamneycare" was a reflection of the president's comments that he designed Obamacare on the Massachusetts health care plan.

ROMNEY: My guess is the president is going to eat those words and wish he hadn't put them out there. And I can't wait to debate him & say, Mr. President, if, in fact, you did look at what we did in Massachusetts, why didn't you give me a call and ask what worked & what didn't? And I would have told you, Mr. President, that wha you're doing will not work. It's a huge power grab by the federal government. It's going to be massively expensive, raising taxes, cutting Medicare. It's wrong for America. And that's why there's an outpouring across the nation to say no to Obamacare.

Source: 2011 GOP primary debate in Manchester NH , Jun 13, 2011

Base health care system on free choice & private medicine

Congressional Democrats are gearing up to take over the health care system. We need to advance a conservative plan--one based on free choice, personal responsibility, and private medicine; one that doesn't add massive new federal spending. I like what I proposed in Massachusetts when I was governor. And even though the final bill and its implementation aren't exactly the way I wanted, the plan is a good model. Today, almost every Massachusetts citizen who had been uninsured now has private, free-market coverage, and we didn't have to raise taxes or borrow money to make it happen. We may find even better ideas in other states. But let's make certain that conservative principles are front and center. A big-government takeover of health care is the next thing liberals are going to try, and it's the last thing America needs.
Source: Speech to 2009 Conservative Political Action Conference , Feb 27, 2009

Mandating citizens to buy health insurance is conservative

With regards to my health care plan, let me describe what is the ultimate conservative approach. In this country, you have today about 47 million people that don’t have health insurance. We went out and tried to find out why they don’t. We found out that about half of them could afford to buy insurance if it were reasonably priced. They could afford to buy it, but they weren’t buying it. it? If we get sick, we can go to the hospital and get care for free.“ And we said: what? If somebody could afford insurance, they should either buy the insurance or pay their own way. They don’t have to buy insurance if they don’t want to, but pay their own way. But they shouldn’t be allowed to just show up at the hospital and say, somebody else should pay for me. So we said: No more free riders. It was like bringing “workfare” to welfare. We said: If you can afford insurance, then either have the insurance or get a health savings account. Pay your own way, but no more free ride. That was what the mandate did.
Source: 2008 Republican debate at Reagan Library in Simi Valley , Jan 30, 2008

Get everyone some form of catastrophic health coverage

We found a way to get everybody insured with private free-market health insurance. I do support an effort to get everybody some form of catastrophic coverage. It may be a public-private partnership between private insurance industries and the federal government. It may be done with the states. But I’ll bring together the governors of all 50 states, leadership in Washington, and industry representatives, to say, “What’s the right way to fashion this that makes the most sense for the people of America?
Source: 2008 GOP debate in Boca Raton Florida , Jan 24, 2008

FactCheck: Untrue that 47M uninsured want to “not play”

Romney offered a theory for the number of uninsured that is simply false. Romney said, “The reason health care isn’t working like a market right now is you have 47 million people that are saying, ‘I’m not going to play. I’m just going to get free care paid for by everybody else.’ That doesn’t work.”

This idea--that most uninsured Americans simply don’t feel like having health insurance--is simply not the case: Most people who are offered insurance do not turn it down. A 2007 study found that 20% of the uninsured could have afforded coverage, but even leaving aside other factors like being turned down for insurance, that’s hardly 47 million people refusing to “play.”

Romney is also misleading when he implies that the uninsured are simply choosing between toeing the line and freeloading. While uninsured individuals can get a certain amount of free emergency care, it is by no means comparable to the care given to those with insurance.

Source: FactCheck.org on 2008 Facebook/WMUR-NH Republican debate , Jan 5, 2008

Personal responsibility instead of employer mandates

Q: What should we do with all the millions of people who are not insured?

A: Well, I actually got the job done. Working with people across the aisle, we said: Enough is enough. Look, the best kind of prevention you can have in health care is to have a doctor. And if someone doesn’t have a doctor, doesn’t have a clinic they can go to, doesn’t have health insurance to be able to provide the prescription drugs they need, you can’t be healthy. And you need to have health insurance for all of our citizens. And I found a way to do that without requiring raising taxes, without a government mandate, without a government takeover. When I said government mandate, I meant employer mandate. Instead, we have personal responsibility. We allowed individuals to buy their own policies. Those that couldn’t afford them, we helped them buy their policies. And you know what? It cost us no more money to help people buy insurance policies that they could afford than it was costing us before, handing out free care.

Source: 2007 Republican primary debate on Univision , Dec 9, 2007

Let states create their own private, market-based insurance

Q: Does the health care plan you left in Massachusetts, which required people to get their own insurance, amount to HillaryCare? You say it was the result of a Democratic legislature.

ROMNEY: First of all, I’m not going to give the Democratic legislature credit for the plan that I helped build. I think it’s a model that other states can adopt in some respects. But our plan is different than Hillary Clinton’s in a lot of important ways. For Democrats, they want to have government take it over. The right answer is to get all of our citizens insured so they don’t have to worry about losing their insurance if they change jobs or have a preexisting condition. But Hillary says the federal government’s going to tell you what kind of insurance, and it’s all government insurance. And I say no, let the states create their own plans, and instead of government insurance, [have] private, market-based insurance. Hillary’s plan costs an extra $110 billion. My plan doesn’t cost any additional money.

Source: 2007 GOP primary debate in Orlando, Florida , Oct 21, 2007

Removing most mandates drove down premium cost by half

HUNTER: Gov. Romney’s plan goes in exactly the wrong direction, because while it allows for private health insurance, it has lots of mandates. Those 1,000 or so mandates drive up the cost of health care by about 35%. We need freedom. We need to allow people to buy their health care across state lines. That will bring down the cost of health care.

ROMNEY: We took as many mandates out as we could in our policies. And the legislature kept some there. I tried to take them all out; they put some back in. It was a compromise. They put some mandates there. But, let me tell you how many we got out. The price of the premium for an individual, 42 years old, in Boston, used to $350 a month. Now, it’s $180. We basically cut it in half by deregulating. Congressman, you’re absolutely right that taking regulation out of insurance brings the price down, and that’s why my plan would go state by state, deregulate them so we can get the cost of premiums down. We got the job done.

Source: 2007 GOP primary debate in Orlando, Florida , Oct 21, 2007

FactCheck: HillaryCare closer to RomneyCare than “all gov’t”

Romney attacked Hillary Clinton’s health care proposal. But the plan he enacted in Massachusetts is quite similar to Clinton’s. Romney said, “Hillary says the federal government’s going to tell you what kind of insurance, & it’s all government insurance. And I say no, let the states create their own plans, and instead of government insurance, have private, market-based insurance.” Actually, the plan Romney brags about in Massachusetts shares a number of key characteristics with Clinton’s:Furthermore, Romney’s claim that Clinton espouses “all government insurance” is false. Under her proposals, people could keep their current insuranc. It is true that Clinton’s plan would require much more government involvement than Romney’s nationwide proposal.
Source: FactCheck.org on 2007 GOP primary debate in Orlando , Oct 21, 2007

Same tax treatment if people buy insurance without employers

Our health care system right now really penalizes individuals that might want to buy their own insurance, as opposed to buying it through their company. And that’s why I propose that people should be able to get their insurance individually, and it should be--and get the same tax treatment as to whether the company buys it for them, or they buy it for themselves. And all medical expenses would be tax deductible.
Source: 2007 Republican debate in Dearborn, Michigan , Oct 9, 2007

Get everybody insured with state-based market dynamics

The way we improve something is not by putting more government into it. In my view, instead, the right way for us to go is to bring in place the kind of market dynamics that make the rest of the economy so successful. So my plan gets everybody in America insured, takes the burden of free riders off of our auto companies and everybody else, and says let’s get everybody in the system.
  1. We’re going to have states create their own plans. We did it in our state, and it’s working. We’re not going to have the federal government tell them how to do it.
  2. We’re not going to spend more money. Hillary Clinton’s plan costs $110 billion. Mine says, let’s use the money we’re already spending a little more wisely.
  3. Instead of having the federal government give you government insurance, Medicare and federal employee insurance, let’s have private insurance.
Get everybody insured, but not in a government takeover, but by using the dynamics that have always made our other markets so successful.
Source: 2007 Republican debate in Dearborn, Michigan , Oct 9, 2007

MA plan blends personal responsibility & universal coverage

Romney says he is proud of the healthcare plan he masterminded for Massachusetts. It is a laudable plan that blends the Republican ideal of personal responsibility with the Democratic goal of universal healthcare.

Here’s a crash course in the 2006 Health Reform Statute. Every person is required to buy health insurance. Young, healthy people--who ordinarily wouldn’t buy health insurance--have to get it, even if they feel like they don’t need it. This inclusiveness lowers the premiums and allows state funds that were earmarked for medical care for the uninsured to be used to provide insurance for the populace. Medicaid still covers the indigent.

Critics say this isn’t fair to require everyone to buy health insurance. But it’s as equitable as requiring all drivers to buy automobile insurance. Everybody pays for the uninsured anyway, whether it’s in higher auto insurance premiums or higher hospital bills. Health insurance as a civic duty is a noble concept, but one that just may work.

Source: The Man, His Values, & His Vision, p. 34-35 , Aug 31, 2007

Conservative idea: individual responsibility for health care

Source: The Man, His Values, & His Vision, p.114 , Aug 31, 2007

Insure 45 million uninsured with a free-market based system

It doesn’t make sense to have 45 million people without insurance. It’s not good for them because they don’t get good preventative care and disease management. But it’s not good for the rest of the citizens either, because if people aren’t insured, they go to the emergency room for their care when they get very sick. That’s expensive. They don’t have any insurance to cover it. So guess who pays? Everybody else. So it’s not good for the people that aren’t insured. 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. 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.
Source: 2007 GOP Iowa Straw Poll debate , Aug 5, 2007

FactCheck: Romney plan virtually identical to Obama plan

Romney tried to distance his state’s universal health insurance plan from the proposals of the Democratic presidential candidates. Romney said, “Every Democrat up there’s talking about a form of socialized medicine, government takeover, massive tax increase. I’m the guy who actually tackled this issue. We get all of our citizens insured. We get people that were uninsured with private health insurance. We have to stand up and say the market works. Personal responsibility works.”

There are two problems with Romney’s characterization: One, Ohio Rep. Dennis Kucinich is the only Democratic candidate to propose a single-payer, wholly government-funded health care plan. And two, Romney’s Massachusetts universal insurance system bears a striking resemblance to the health care proposals of the Democratic front-runners. For example, the Obama and Romney plans are virtually identical. But in our view, the term “government takeover” could only be applied to Rep. Kucinich’s proposal.

Source: FactCheck.org on 2007 GOP debate at Saint Anselm College , Jun 3, 2007

Pharmaceutical companies create products to make us better

Don’t make the pharmaceutical companies into the big bad guys. Actually they’re trying to create products to make us well and make us better, and they’re doing the work of the free market.

And are there excesses? I’m sure there are, and we should go after excesses. But they’re an important industry to this country. But let me note something else, and that is the market will work. The buyer doesn’t have information about what the cost or quality is, or different choices they could have.

Source: 2008 Facebook/WMUR-NH Republican primary debate , Jan 5, 2006

Subsidies for health coverage for low-income individuals

Opposed requiring employers to contribute to cost of health care plans for their employees, preferring subsidies for health coverage for low-income individuals and providing tax incentives to individuals, including the unemployed and the self-employed, for the purchase of health insurance
Source: Boston Globe review of 1994 campaign issues , Mar 21, 2002

Voluntary purchasing pools

Source: Boston Globe review of 1994 campaign issues , Mar 21, 2002


Mitt Romney on Mass Health Plan

2006 lessons: involve everyone; demonize none; transparency

The debate over health care raged Washington during most of 2009. Sadly, that consensus as to the problem did not result in a consensus as to the solution. The real tragedy was that it wasn't the sort of bipartisan and genuine search for solutions that I experienced in Massachusetts in 2006 and 2007. Our reforms in Massachusetts didn't produce a perfect system, just one that was much better than what had been there before, and it taught us all valuable lessons on how to work collaboratively to reform health care. But the most important lessons--involve everyone, demonize no one, and be transparent--were never adopted by President Obama, Speaker Nancy Pelosi, Senator Harry Reid, and their surrogates. As a result, we have not achieved the kind of reforms that will tame health-care cost inflation.
Source: No Apology, by Mitt Romney, p.163 , Mar 2, 2010

People without insurance already receive care via E.R.

We had a collective epiphany: the people in Massachusetts who didn't have health insurance were, in fact, already receiving health care. Under federal law, hospitals had to treat people who arrived at their emergency rooms with acute conditions. That meant that someone was already paying for the cost of treating people who didn't have health insurance. If we could get our hands on that money, and therefore redirect it to help the uninsured BUY insurance instead--before acute conditions developed--the cost of insuring everyone in the state might not be as expensive as I had feared.

Massachusetts insurance regulations also didn't help. The commonwealth required insurers to offer only benefit-rich policies--and consequently, such policies were very expensive. Further, the state didn't allow insurers to adequately discount policy premiums for young healthy people. As a result, premiums for individuals who were not part of a pool were excessively high, & young healthy people declined to pay for them.

Source: No Apology, by Mitt Romney, p.171-172 , Mar 2, 2010

2006: Compromise with Ted Kennedy to make RomneyCare reality

The plan we ultimately constructed & proposed to the legislature relied on three basic components:
  1. Those who could afford insurance would either buy it pay their own health-care costs--no more free riders showing up at the hospital expecting to ge care at tax-payers' expense
  2. For those who couldn't afford health insurance on their own, the state would pay a portion of their premium with the amount of the subsidy determined on a sliding scale by income
  3. To make it easier to insurers to service individual customers, the state would create a "connector" or "exchange" that would collect premiums and pass them on to the insurers.
Our first stop was the office of Ted Kennedy. He saw an opportunity to work on a bipartisan experiment that might become a model for other states. He quickly grasped the structure of our program, and he agreed to support our approach. The bill wasn't perfect; nothing that groundbreaking could be. But it was a big improvement over what we had.
Source: No Apology, by Mitt Romney, p.173-175 , Mar 2, 2010

FactCheck: MA employers have no mandates, but “requirements”

Romney made some questionable statements about the Massachusetts universal health care plan he signed into law, saying he opposed employer mandates: “When I said government mandate, I meant employer mandate.”

Massachusetts may not call its rules for employers a “mandate,” but the state health care plan includes several “obligations” or “requirements,” as the state dubs them, for employers, along with fees for noncompliance. The requirements for employers are much narrower than those for individuals, who indeed, according to the state, face a “mandate” to get health insurance.

But is a “requirement” a “mandate”? You be the judge: Employers with more than 10 full-time employees must pay at least 33% of employee premium costs or have a group health plan. Those that fail to do so must pay a fee of $295 per full-time employee per year.

Individuals in the state must have health insurance. If not, they’ll lose their personal exemption on state income taxes in 2007--a penalty of $219.

Source: FactCheck.org on 2007 Republican primary debate on Univision , Dec 9, 2007

FactCheck: No, MA healthcare plan is not paid for, yet

As for the cost of the Massachusetts universal health care program, Romney said, “It cost us no more money to help people buy insurance policies that they could afford than it was costing us before, handing out free care.” Romney can’t yet make the claim that it has been completely paid for with the state’s “free care” money--funds used to pay for emergency health care for the uninsured.

The Massachusetts Taxpayers Foundation estimated that the state would need an extra $200 million each year for 2007 to 2009 to finance the health care plan, because more people enrolled in subsidized care than anticipated. That shortfall, however, is a projection, and a Boston Globe article on the budget gap said some money could be shifted from the free care fund, if there is money in that fund to do so. Additional dollars came from a Medicaid waiver granted by the federal government, which is set to expire in 2009. The Massachusetts government is negotiating with federal officials to renew that waiver.

Source: FactCheck.org on 2007 Republican primary debate on Univision , Dec 9, 2007

FactCheck: MA plan works, but Romney not proposing it for US

Romney now says he wouldn’t propose a Massachusetts-style plan for the nation, so the track record of the Massachusetts plan is a poor indicator of what Romney’s current proposals might accomplish nationally. And while his claim that his state plan lowered premiums is correct according to the Commonwealth Connector, a state agency created to implement the plan, the group says that resulted from a legally required merging of small group and non-group markets, which is something states would be allowed to do--but not required--under Romney’s current proposal.

It’s also unclear how many of the previously uninsured have gained coverage under the Massachusetts plan. While the program has successfully enrolled 200,000 people, some of those may have switched from less desirable policies. A more apples-to-apples measure found that 395,000 people didn’t have insurance in the state in 2006, then a 10% decrease in the uninsured through July 2007.

Source: FactCheck.org on 2007 GOP primary debate in Orlando , Oct 21, 2007

MA program relies on personal responsibility & the market

Q: [The Massachusetts] program mandates individual health insurance coverage. Some conservatives say this is simply big government--is it?

A: As governor, I talked to people, and they say, “If I lose my job, I’m worried I’ll lose my insurance, and my insurance premiums are getting higher and higher.” And we said: We got to find a way to get everybody insured. And the last thing we want is to have the government take over health care, because anything they take over gets worse. We said: We need to find a way to get everybody in our state insured with private insurance. [We found] a way to get them insured without raising taxes, without a government takeover. It relies on personal responsibility. Every Democrat up there’s talking about a form of socialized medicine, government takeover, massive tax increase. I’m the guy who actually tackled this issue. We get all of our citizens insured. We have to stand up and say the market works. Personal responsibility works.

Source: 2007 GOP debate at Saint Anselm College , Jun 3, 2007

MA health plan insures all without taxes or socialization

Q: A year ago, it seemed that you couldn’t wait to tell the world about your health-care experiment in Massachusetts. Since then, it’s been criticized by conservatives as something Hillary Clinton could’ve devised. You hardly mention it on your Web site. What’s changed?

A: I love it. It’s a fabulous program. I’m delighted with the fact that we worked together across the aisle, Republicans and Democrats, to find a way to get health care for all of our citizens that’s affordable and that’s portable. I helped write it and I knew it well, and this is a country that can get all of our people insured with not a government takeover, without Hillarycare, without socialized medicine. Instead, get the market to do its job. Let me people have health care that they can afford. Get the market to do its job. Let people have the opportunity to choose policies in the private sector. We didn’t expand government programs. We didn’t raise taxes. There was no government takeover.

Source: 2007 GOP primary debate, at Reagan library, hosted by MSNBC , May 3, 2007

FactCheck: MA plan not yet in place so analysis premature

Romney called his state health care experiment “a fabulous program” accomplished without any “government takeover”. Romney’s praise, however, is a bit premature--and while the plan is not government-administered health insurance, it includes mandates for individuals & employers, minimum coverage requirements, subsidized insurance & government-enforced fines for noncompliance.

Overall, it’s too soon to tell how successful the Massachusetts plan will be. The requirements for health coverage do not go int effect until July. By April, nearly 70,000 people had signed up for subsidized health plans. That number is half of those eligible. But the total estimate of uninsured Massachusetts residents is 372,000. The state has a long way to go.

And it has hit some snags in implementing the law. The initial bids from insurance companies were much more expensive than what Romney had touted, because over 200,000 insured residents would need to buy additional coverage to meet the original state requirements.

Source: FactCheck.org on 2007 GOP primary debate, at Reagan library , May 3, 2007

Signal accomplishment as Governor is MA insurance reform

Mitt Romney’s signal legislative accomplishment is health insurance reform. Romney wrestled from the Massachusetts legislature in 2006 an important and sweeping set of innovations on how health insurance will be managed in Massachusetts.
Source: A Mormon in the White House?, by Hugh Hewitt, p.150 , Mar 12, 2007

MA reform focuses on individual responsibility (via fines)

To reform health insurance, Romney partnered with the Heritage Foundation. Of the approximately half-million uninsured in Massachusetts, about 200,000 were healthy risk takers who preferred spending dollars on goods other than premiums for health care insurance they figured they would not need.

In fact thousands of those risk-takers end up needing health care, and of the expensive sort. The state and the care providers eat the costs, which means the taxpayer and premium payers eventually get the bills. To this group, Romney gives no choice. In January, 2008, they must either insure themselves or be subject to a fine. The poor get subsidies as well as assistance in signing up.

The legislature tacked on a provision that penalizes companies of 11 or more employees that do not provide health insurance. Romney vetoed this add-on. The legislature overrode his veto. But the lawmakers still handed Romney an enormous victory. They did so because the plan manifestly makes sense.

Source: A Mormon in the White House?, by Hugh Hewitt, p.150-152 , Mar 12, 2007

State universal coverage plan is national test case

Massachusetts has become the pioneer in universal coverage [via Romney’s] plan for radically restructuring the health-care financing system. One piece is subsidizing low-income families’ purchase of private health insurance, instead of reimbursing hospitals for treating the uninsured. The other big idea creates an insurance exchange-a public bank that will collect the premiums from individuals and pass them on to their chosen insurers-so individuals can buy health insurance with pretax dollars.

The program’s passage with overwhelming bipartisan support is a notable achievement. It remains to be seen how many uninsured people actually order policies. Romney remarked, “I wish I were going to be governor the next five years to see it through,” but he will step down at the end of this year and is preparing to seek the presidency. Meanwhile, his health plan gives him a unique calling card-and provides the country with an important opportunity to test one possible solution to a vexing problem.

Source: 2008 speculation: Eleanor Clift, Newsweek, “Gore Redux” , Apr 28, 2006

MA state health insurance plan lowered costs

We put in place a plan that gets every citizen in our state health insurance, and it didn’t cost us new money or require us to raise taxes. What we found was, it was less expensive or no more expensive to help individuals who had been uninsured by their own private policy than it had been for us to give out free care at the hospital. Since we put our plan in place last April, we’ve now had 300,000 people who were uninsured sign up for this insurance, private insurance. Where good doctor was wrong is tha it’s true the insurance companies don’t want to sell policies to one person at a time. It’s expensive. We established what we called a connector, a place where individuals could go to buy policies from any company, and that connector would in turn send their premiums on to those companies. So the economics of scale existed. As a result, the premiums for health insurance for an individual buying insurance went from $350 a month to $180 a month, with lower deductibles and now with prescription drugs.
Source: 2008 Facebook/WMUR-NH Republican primary debate , Jan 5, 2006

Mandates on health insurance work in Massachusetts

I like mandates. The mandates work. If somebody can afford insurance and decides not to buy it, and then they get sick, they ought to pay their own way, as opposed to expect the government to pay their way. That’s an American principle. That’s a principle of personal responsibility. If you can afford to buy insurance, then buy it. You don’t have to, if you don’t want to buy it, but then you got to put enough money aside that you can pay your own way. If people can afford to buy it, either buy the insurance or pay your own way; don’t be free-riders and pass on the cost to your health care to everybody else. It actually applies to people at three-times federal poverty. They pay for their own policy. At less than three-times federal poverty, we help them buy a policy, so everybody is insured, and everybody is able to buy a policy that is affordable for them. One-quarter of the uninsured in my state were making $75,000 a year or more.
Source: 2008 Facebook/WMUR-NH Republican primary debate , Jan 5, 2006

Other governors on Health Care: Mitt Romney on other issues:
MA Gubernatorial:
Deval Patrick
MA Senatorial:
John Kerry
Scott Brown

Newly seated 2010:
NJ Chris Christie
VA Bob McDonnell

Term-limited as of Jan. 2011:
AL Bob Riley
CA Arnold Schwarzenegger
GA Sonny Perdue
HI Linda Lingle
ME John Baldacci
MI Jennifer Granholm
NM Bill Richardson
OK Brad Henry
OR Ted Kulongoski
PA Ed Rendell
RI Donald Carcieri
SC Mark Sanford
SD Mike Rounds
TN Phil Bredesen
WY Dave Freudenthal
Newly Elected Nov. 2010:
AL: Robert Bentley (R)
CA: Jerry Brown (D)
CO: John Hickenlooper (D)
CT: Dan Malloy (D)
FL: Rick Scott (R)
GA: Nathan Deal (R)
HI: Neil Abercrombie (D)
IA: Terry Branstad (R)
KS: Sam Brownback (R)
ME: Paul LePage (R)
MI: Rick Snyder (R)
MN: Mark Dayton (D)
ND: Jack Dalrymple (R)
NM: Susana Martinez (R)
NV: Brian Sandoval (R)
NY: Andrew Cuomo (D)
OH: John Kasich (R)
OK: Mary Fallin (R)
PA: Tom Corbett (R)
RI: Lincoln Chafee (I)
SC: Nikki Haley (R)
SD: Dennis Daugaard (R)
TN: Bill Haslam (R)
VT: Peter Shumlin (D)
WI: Scott Walker (R)
WY: Matt Mead (R)
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Contact info:
Campaign website:
www.mittromney.com/
Mailing Address:
P.O. Box 55239, Boston, MA 02205

Page last updated: Nov 23, 2011