Mitt Romney delivers his health care
speech on Thursday afternoon
So Mitt Romney's
big speech on health care is over. You can
watch it here.
Romney defended the plan he signed into law in Massachusetts, including its health care mandate, which he mentioned by name, saying it was a good solution for the problems Massachusetts faced.
Romney argued that the mandate he signed into law was acceptable because states have the right to impose mandates, but that the mandate President Obama signed into law was unconstitutional because it was national in scope.
Romney's entire argument is rooted in the notion that states are "laboratories of democracy." According to Romney:
If states compete, voters in those states will vote out the people that didn't come up with good ideas, and vote in the people who have better ideas, and we'll end up with a system that's more effective and gives people better care.
So what would that system look like? Here's what he said in 2007:
I think you're going to find, when it's all said and done, after all these states that are laboratories of democracy get their chance to try their own plans, that those who follow the path that we pursued will find it's the best path, and we'll end up with a nation that's taken a mandate approach.
So in 2007, Mitt Romney believed we'd end up with a "nation that's taken a mandate approach" to health care reform. To be fair to him, he thought we'd get there by letting every state pick its own system, but to be fair to the health care reform law President Obama signed last year, any state that doesn't want to have a mandate can receive a waiver to allow it to use a different system of its own choosing.
Basically, Romney's argument is that the only thing wrong with President Obama's health care plan was that it was applied at the national level instead of at the state level. But that if it were applied on the state level, pretty much every state would end up following the same general approach.
Obviously, Romney's relying on a pretty thin thread to hold up his argument. It's entirely process-oriented: he agrees that our national approach to health care reform will require mandates, but he thinks states will get there on their own and that it's okay if some don't. The plan Obama signed into law also requires mandates, but acknowledges that some states may prefer a different approach, and gives them the opportunity to waive the mandate—as long as they find a different way to achieve universal coverage.
But while Romney 2007 and Romney 2011 might be able to keep a somewhat straight face while grasping that thread, it's worth pointing out that Romney 1994 and Romney 2009 both endorsed plans featuring a national health insurance mandate.
In 1994, as a candidate for U.S. Senate, Romney supported a plan by Rhode Island Senator John Chaffee to provide universal health care by imposing a national health insurance mandate. And here he is in June 2009 on Meet The Press:
We have a healthcare plan. You, you look at Wyden-Bennett, that's a healthcare plan that a number of Republicans think is a very good healthcare plan, one that we support. ... We have a model that worked. One state in America, my state, was able to put in place a plan that got everybody health insurance, and it did not require a public government insurance company. ... That we can do, as we did it in Massachusetts, as Wyden-Bennett is proposing doing it at the national level.
Both the Massachusetts plan and the Wyden-Bennett plan require individuals to buy health insurance. Mitt Romney supported them both. The difference? The Wyden-Bennett plan featured a mandate at the national level. And Romney's support for it—and his support for Chafee's plan in 1994—undercuts the supposed authenticity of everything else he said today.