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Ryan Grim

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Mitt Romney Health Care Op-Ed Presents Deeper Problem

Posted: 03/04/2012 9:15 am

WASHINGTON -- The immediate reaction to Mitt Romney's 2009 USA Today op-ed on health care reform has zeroed in on his suggestion that President Barack Obama pursue an individual mandate. But that focus misses a broader problem the op-ed creates for the former Massachusetts governor.

Romney has consistently defended his health care reform effort in Massachusetts on 10th Amendment grounds, insisting that it was merely "a state solution to a state problem." The trouble with the president's plan, Romney has argued, is not that its policy particulars -- the individual mandate to buy health insurance, the coverage subsidies, the Medicaid expansion -- were based on the Massachusetts plan, but rather that it "was a power grab by the federal government to put in place a one-size-fits-all plan across the nation."

But Romney's op-ed, published during the heat of the health care debate and recently unearthed by BuzzFeed, is squarely on the side of health care reform being driven by the federal government. In fact, the national plan that Romney sketched out as acceptable to conservatives closely resembles the one that Obama ultimately signed into law.

Romney, after touting the success of the Massachusetts plan in the op-ed, noted that the main problem facing health care generally is soaring inflation and that only the federal government can rein it in. "Here is where the federal government can do something we could not: Take steps to stop or slow medical inflation," he wrote.

Simply believing that the federal government could take action to slow medical cost inflation is not evidence of hypocrisy, of course. Rep. Paul Ryan (R-WI), for instance, has put forth a plan that is nothing like Obama's and that he believes would ultimately lower health care costs. Romney has since embraced the basic contours of the Ryan plan. But Romney's Massachusetts law and Ryan's proposal are as divorced from each other as possible, and there's no indication that Romney was referring to a Ryan-type system in his 2009 op-ed.

After all, MIT economics professor Jonathan Gruber, a key policy architect behind both the federal and Massachusetts plans, famously compared them by saying "they're the same f***ing bill."

Indeed, Romney said in 2009 that Republicans would back the federal reform effort -- under a few conditions.

"Republicans will join with the Democrats if the president abandons his government insurance plan, if he endeavors to craft a plan that does not burden the nation with greater debt, if he broadens his scope to reduce health costs for all Americans, and if he is willing to devote the rigorous effort, requisite time and bipartisan process that health care reform deserves," he wrote in the final paragraph of his op-ed.

Nobody could accuse the president of not spending the "requisite time," with 14 months devoted to the process.

As for that "bipartisan process," the White House and Sen. Max Baucus (D-MT) worked endlessly with the bipartisan Gang of Six, threatening to drag down the entire bill as they negotiated for months. Ultimately, the only Republican who voted for the bill was Sen. Olympia Snowe (R-ME), and she did so only in the Finance Committee, opposing it on final passage.

As for the "government insurance plan," also known as the public option, Obama discarded that. The final bill did not increase the debt according to the Congressional Budget Office. And it will reduce "health care costs for all Americans" not just by providing subsidies but also by rewarding doctors and hospitals for healthy outcomes in general, rather than for a total number of procedures, just as Romney has repeatedly advocated.

The problem for Romney is that the federal-state distinction was the only real way he had of differentiating what he did from what the president has done. His own op-ed suggesting a bipartisan federal health care approach undermines any attempt to make that distinction between now and November.

 
 
 

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07:45 PM on 03/05/2012
If Santorum couldn't find an op-ed in a national publication from 3 years ago, he needs new opposition researchers.
01:54 PM on 03/06/2012
Heck, none of the other GOP candidates found this article. That shows how utterly inept they were.
05:26 PM on 03/05/2012
Mitt lied.
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plzgetreal
They claim Lincoln - But act like McCarthy & Nixon
02:28 PM on 03/06/2012
The shock of it all.
08:43 AM on 03/12/2012
Can nobody read the ACTUAL OP-ED?? Good grief, does it shock anyone that the media and so called news agencies SPIN away from the truth?

http://americaneedsmitt.com/blog/obamacare-romneycare-truth/
10:32 AM on 03/05/2012
Don't you people get it that health care should be in the hands of the states, not the federal government? While some of the areas of the Massachusetts health care plan may be similar to Obamacare, it was NEVER MEANT to be used as a plan in the control of the federal government. If it is used, it should be used by state determination, not federal determination. That to me is a BIG GOVERNMENT. We are getting so close to total socialistic control in this country that it is scary. What is wrong with the American people in not seeing the BIG DIFFERENCE in this?
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07:46 PM on 03/05/2012
How is a state mandating that I buy insurance any different than the feds doing it?

How is it not "socialist" just because it's smaller?
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HUFFPOST SUPER USER
FNBS Media com
Such FNBS:MSM & Politicos R Worthless & Treasonous
09:22 PM on 03/05/2012
seems to me that we should have the type of health care that MOST americans want. most seem to want a public option.

why are you so upset that some people choose to disagree with you? if you don't like our government, make sure you don't take advantage of any benefits from it. but, of course, you are likely to be one of "those" who want to pick and choose for other people what parts of government are good and what parts are not good. of courese, ou can always leave if you are so upset and paranoid about the EEEEEEVIL GOVERNMENT! LOL
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HUFFPOST SUPER USER
olerealist
retired trial attorney; former member of VA abd Wa
09:58 AM on 03/05/2012
WHAT’S WRONG WITH AMERICAN MEDICINE?
IT’S THE PRICE
This comment is based on Ezra Klein, March 4, 2012, W. Post; Organization for Economic Cooperation and Development (OECD) Gerard F Anderson, Uwe E Reinhardt, Peter S Hussey, Varduhi Petrosyan, New England Journal of Medicine, Health Affairs (2003) Volume: 22, Issue: 3, Publisher: Health Affairs, Pages: 89-105

When you look at the cost of almost any medical procedure performed in the U.S., you find that typical and frequent ones cost from 25 to 35 percent more than other advanced industrial countries. The evidence also shows that on average the U.S. citizen does not utilize medical care anymore than the citizens of those other nations. In terms of quality and results, the U.S. ranks slightly below the others.

What accounts for the huge price differential? It appears that only the U.S. does not have government mechanisms to put a lid on costs.

A glaring example of the politically imposed costs so frequently seen in the U.S. is that Congress refused to permit Medicare, Medicaid and the V.A. to negotiate drug prices with “big pharmacy”.

The tragedy of this is that the comparative overcharge imposed by the medical industry is draining billions of dollars from things like education and food inspection, national defense and a host of other vital programs while being, BY FAR, the leading cause of individual bankruptcies.
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HUFFPOST SUPER USER
ennis438
09:21 AM on 03/05/2012
Mitt the Flip has done this 180 on everything, not just health care. He now finds himself supporting issues he opposed as governor. He tries to be everything to everyone. Personally, I don't understand how anyone can vote for him because he is for and against just about everything. Pro abortion, now against. Pro health care plan, now against. Pro birth control now against. Mitt the Flip does far more flips than Olga Korbut did.
yoda987
Paul Krugman is right!
09:08 AM on 03/05/2012
Even more evidence that Mitt will say or do anything to get elected!!!

"The trees are the right height" - Willard Romney
09:05 AM on 03/05/2012
Even for such a discredited job as a politician Romney is hitting new lows in opportunism. When he ran in 2008 the other candidates including McCain who supports him today had only contempt for his utter lack of conviction on the issues. He is making it almost a certainty that there will be a serious independent candidate in 2012.
prudencehall
Dear Prudence...
08:16 AM on 03/05/2012
The best quote from Sunday talk: "How can Mitt Romney stand up to Iran when he can't stand up to Rush Limbaugh?"
10:28 AM on 03/05/2012
Do you seriously want anybody running for public office ANYWHERE NEAR Rush limbaugh?? If you have disdain for Rush...QUIT LISTENING!

This may be hard to imagine, but Rush Limbaugh is a private citizen...I don't want the government telling private citizens what they can and cannot say.
HUFFPOST SUPER USER
jaqaloo
09:54 PM on 03/11/2012
The government has done absolutely nothing to Limbaugh. However, almost all of his national sponsors have exercised their freedom of association to disassociate themselves from him. This week's show will be brought to you by public service announcements from the Ad Council, on subjects near to Rush's heart, like the United Negro College Fund, Big Brothers and Big Sisters, and a spot from the Department of Health and Human Services about the dangers of obesity.
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HUFFPOST SUPER USER
Jacquie Hamilton
Love my Mollster
10:58 AM on 03/05/2012
He can't even stand up to himself.
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ThankGodhesgone
Always Progressive and loving the CONs meltdown.
08:00 AM on 03/05/2012
We need a new word for flip flopper. It doesn't do Romney justice anymore.
11:57 AM on 03/05/2012
Liar?
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MyDawg1967
No Party Affiliation
07:49 AM on 03/05/2012
Well this entire article is a complete moot point EVERYONE knows Romneys running on the "trees are the right height" platform.
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HUFFPOST BLOGGER
Lawyer13
retired Lawyer, General and Psychiatric Nurse, wit
07:37 AM on 03/05/2012
A view from across the pond : My dear Mr. Mitt Romney what you fail to grasp and I can see so clearly is that what is good for the State were you were it's former Governor is good for all States, after it is called the UNITED STATES OF AMERICA, or maybe you don't understand simple logic Mitt, or maybe you just spew out nonsense as you think it will get you a few votes. This is the Twenty First Century Mitt not the Eighteenth, people are educated now and WISE to you.
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HUFFPOST SUPER USER
Jerry Frey
unCommon sense for the common good
07:15 AM on 03/05/2012
The best that can be said about Romney, he's not a lawyer.
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HUFFPOST BLOGGER
Lawyer13
retired Lawyer, General and Psychiatric Nurse, wit
07:38 AM on 03/05/2012
He's not a politician EITHER
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HUFFPOST SUPER USER
tangelan
You will not cast aspersions on my asparagus.
07:40 AM on 03/05/2012
He has an MBA and a JD from Harvard, actually.
prudencehall
Dear Prudence...
08:14 AM on 03/05/2012
MBA not JD
07:04 AM on 03/05/2012
so if romneys wins we will have 2 democrats at the top of the ticket
07:03 AM on 03/05/2012
so who is the real mitt romney should be the dems bumper sticker
HUFFPOST SUPER USER
jaqaloo
09:45 PM on 03/11/2012
How about "The Two Mitts: Are They Both Clones?"
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Olethea
Life may be sweeter for this- I don't know.
06:54 AM on 03/05/2012
I'll bet his campaign is working over time with Karl Rove to dig himself out of this one.

Expect a comment today.