“Tomorrow Is Another Day”: Mitt Romney’s Ever-Changing Opinion On Health Care
Seeking to soften his image, Mitt Romney has this week taken — again — to touting the health care reform law he enacted as governor of Massachusetts, saying it illustrates his “empathy and care about the people of this country.”
While running for president in 2008, and the following year while the Affordable Care Act was still being crafted, Romney was actively evoking ‘Romneycare’ as a model for federal health reform. All that changed after President Obama signed the law in March 2010, at which point repeal became the Republican Party’s raison d’être. Romney quickly latched on to the cause.
That’s when the relationship between the now-Republican nominee and his signature achievement as governor grew complicated. Here’s a timeline.
April 12, 2006: Birth of Romneycare
Massachusetts Gov. Mitt Romney signs health care reform into law.
February 2, 2007: ‘Model for the nation’
Preparing to run for president, Romney touts Romneycare in a Baltimore speech. “I’m proud of what we’ve done,” he says. “If Massachusetts succeeds in implementing it, then that will be a model for the nation.” He repeats this message in multiple media appearances throughout his presidential run.
January 5, 2008: ‘I like mandates’
In a Republican primary debate, Romney defends Romneycare and its individual mandate. “I like mandates. The mandates work,” he says. “If somebody — 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.” He continues to echo this message.
July 30, 2009: Adopt my plan, Mr. President
The national health care debate is raging. Romney takes to USA Today to call on Obama to embrace the tenets of Romneycare. “Obama could learn a thing or two about health care reform from Massachusetts,” he writes, making the case for an individual mandate: “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 federal law enacted in March 2010 includes the three core planks of Romneycare: guaranteed insurance coverage, an individual mandate and subsidies to help people afford to buy their own policies on a regulated exchange.
March 30, 2010: ‘Different as night and day’
Reading the tea leaves, Romney proceeds to channel his party’s calls to unwind Obamacare and insists that it’s different from his plan.
“People often compare his plan to the Massachusetts plan,” he tells the Boston Globe. “They’re as different as night and day. There are some words that sound the same, but our plan is based on states solving our issues; his is based on a one-size-fits-all plan.”
After initially calling for partial repeal, Romney champions the GOP’s push to fully repeal the Affordable Care Act, describing it as both unconstitutional and damaging to the nation.
May 12, 2011: No apology
Weeks before announcing his presidential bid, and under pressure from conservatives to disavow his greatest political accomplishment, Romney gives a speech defending his law but vowing never to impose it on the nation. “Our plan was a state solution to a state problem and his plan was a federal power grab,” he says.
“I also recognize a lot of pundits are saying I should stand up and say this whole thing was a mistake,” he says at the University of Michigan. “But there’s only one problem with that: It wouldn’t be honest. I, in fact, did what I felt was right for the people of my state.”
June 12, 2011: Obamneycare
One day after his Republican primary opponent Tim Pawlenty derisively conflated the two laws with the moniker “Obamneycare,” Romney defends his version in a debate.
“If I’m elected president I will repeal Obamacare,” he says. “And also, on my first day in office … I will grant a waiver to all 50 states from Obamacare.”
Romney proceeds to avoid mentioning Romneycare for the rest of the primaries, but holds the line on the federal-state distinction each time he’s asked about it.
September 15, 2011: ‘One of my best assets’ against Obama
During a Republican primary debate in South Carolina, Romney explains how he will respond to Obama’s contention that he isn’t a credible critic of the Affordable Care Act.
“That will be one of my best assets if I’m able to debate President Obama,” he says, “as I hope to be able to do by saying, ‘Mr. President, you give me credit for what you’ve tried to copy in some ways. Our bill dealt with 8 percent of our population, the people who aren’t insured and said to them, if you can pay, don’t count on the government, take personal responsibility. We didn’t raise taxes, Mr. President. You raise taxes $500 billion. We didn’t cut Medicare.’”
December 7, 2011: ‘It’s not even perfect for Massachusetts!’
Looking to shore up his primary position, Romney puts more distance between himself and his Massachusetts law than ever before. In an interview with the Washington Examiner’s Byron York, he says he actually had serious concerns about his own bill. As for how many other states should mimic his signature law, he replies: “In its entirety, not very many.”
“It’s not even perfect for Massachusetts,” he says. “At the time we created it, I vetoed several measures and said these, I think, are mistakes, and you in Massachusetts will find you have to correct them over time. But that’s the nature of a piece of legislation of this nature. You’ll see what works, what doesn’t, and you’ll make the changes. But they have not made those changes, and in some cases they made things worse. So I wouldn’t encourage any state to adopt it in total.”
June 28, 2012: Upheld
The Supreme Court upholds the Affordable Care Act, and by now Romney has locked up the presidential nomination. “Our mission is clear,” he says. “If we want to get rid of Obamacare, we’re going to have to replace President Obama.” He does not mention Romneycare.
August 8, 2012: Romneycare revival
Accused in a vicious pro-Obama group’s ad of being responsible for the death of a woman by making decisions at Bain that cost her her health care, the Romney campaign seeks to soften his image by saying the Massachusetts law would have covered her.
“Obviously it is unfortunate when anyone loses their job,” says Romney spokeswoman Andrea Saul on Fox News. “To that point, you know, if people had been in Massachusetts under Gov. Romney’s health care plan they would’ve had health care.”
Conservatives threw a fit, unleashing a torrent of criticism at their nominee’s campaign, with some fearing that Saul’s remarks would cost him the election. The criticism, it turns out, would not silence the campaign’s embrace of the law.
August 26, 2012: ‘Very proud’
Fending off Democratic claims that Republicans are waging a “war on women,” Romney says he’s “very proud” that his Massachusetts law gave health care to many women.
“I’m the guy who was able to get all the health care for all the women and men for my state,” he says on Fox News. “They were talking about it at the federal level. We actually did something and we did it without cutting Medicare and without raising taxes.”
September 8, 2012: I like parts of Obamacare — but not exactly
In an interview on NBC, Romney briefly signals support for two key provisions in Obamacare — guaranteed coverage for preexisting conditions and letting young people remain on a parent’s policy until 26, which were also included in Romneycare.
“I’m not getting rid of all of health care reform,” he says. “Of course there are a number of things that I like in health care reform that I’m going to put in place.”
Soon, his campaign clarifies that he wasn’t expressing solidarity with the Affordable Care Act, but was reiterating support for different versions of the ideas. In the case of preexisting conditions, he wants laws protecting those who have maintained continuous coverage, but not first-time buyers. And he says insurers will adopt the under-26 provision on their own.
September 26, 2012: ‘Empathy and care’
Under fire again from the Obama campaign for his taped remarks deriding 47 percent of Americans as freeloaders, Romney cites Romneycare in a national TV interview as evidence of his compassion for ordinary people.
“Don’t forget — I got everybody in my state insured,” he says on NBC. “One hundred percent of the kids in our state had health insurance. I don’t think there’s anything that shows more empathy and care about the people of this country than that kind of record.”
On the same day, Romney touts Romneycare in a guest article for the New England Journal of Medicine contrasting his vision for health care reform with Obama’s. “Each state will have the flexibility to craft programs that most effectively address its challenges — as I did in Massachusetts,” he writes, “where we got 98 percent of our residents insured without raising taxes.”
By: Sahil Kapur, Talking Points Memo, September 29, 2012
“A Fateful Misposition”: Romney Didn’t Change Fast Or Far Enough
If you want to understand the recent, present, and probably future direction of the conservative movement and its wholly owned subsidiary, the Republican Party, it’s important to understand how thoroughly and rapidly it has engineered a revolution in the GOP, now that dissent from The Truth is ill-tolerated. A useful way to get a grip on this phenomenon is, of course, to look at Mitt Romney’s efforts to accommodate himself to the ever-changing zeitgeist. Sometimes you get the impression that Romney was this solid moderate Republican the day before yesterday, and only became “severely conservative” in this cycle. But as Steve Kornacki reminds us today at Salon, Mitt started repositioning himself to the right a long time ago–just not fast and far enough:
Romney began making moves toward a White House run nearly a decade ago, shifting away from his moderate Massachusetts roots and positioning himself to meet the national GOP’s various ideological tests. The Massachusetts healthcare law was to play a key role in this self-reinvention. It would give Romney a major bipartisan gubernatorial achievement, burnish his credentials as a forward-looking leader (and not just a simple panderer), and give him a huge general election asset – a universal coverage law that he could use to deflate the inevitable Democratic attacks about his lack of compassion and to stir hope among voters that he knew how to accomplish Big Things.
So Romneycare was not a legacy of RINO moderate heresy (you have to look back at the things he said during his 1994 Senate race against Ted Kennedy to find a lot of items that send conservatives completely over the wall), but a token of then-prevailing conservative orthodoxy. For two interlocking reasons–the decision by conservatives that any efforts to achieve universal health coverage were inherently “socialistic,” and the strategic decision to oppose everything proposed by Barack Obama as a step down the road to totalitarianism–Romney’s positioning turned out to be wrong. It’s worth remembering that his most serious “true conservative” rivals for the nomination, Rick Perry, Newt Gingrich and Rick Santorum, made similar mistakes.
In Romney’s case, however, this mispositioning has been especially fateful because it knocked the props from beneath his slender record of accomplishment, as Kornacki notes:
When Obama embraced RomneyCare and the GOP embraced reflexive opposition, it left Rommney with nothing to say.
And that’s where he is today, alternating between a failing “economic referendum on Obama” message and serial broken promises to lay out a positive agenda that isn’t the Ryan Budget with a side dish of Christian Right cultural extremism. If there was a Bain Capital for politicians, it would probably tell Mitt he needs to blow it all up and start over.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, September 27, 2012
“RomneyUseToCare”: Mitt’s New “I Care” Message Makes A Pretty Good Case For Obamacare
Mitt Romney, slipping in the polls after his bizarre dismissal of 47 percent of the American people as a “dependent” class with which he would not concern himself, has come up with a new tactic to revive his ailing campaign: compassion.
His message: “I care.”
“There are so many people in our country who are hurting right now,” says the Republican nominee for president. “I want to help them.”
And how does Mitt confirm his concern?
By embracing healthcare reforms that use the power of government to assure that Americans who have no insurance protection—or inadequate insurance—are provided with access to the coverage and the care they need.
“Don’t forget—I got everybody in my state insured,” Romney told NBC News while campaigning in Toledo, Ohio. “One hundred percent of the kids in our state had health insurance. I don’t think there’s anything that shows more empathy and care about the people of this country than that kind of record.”
Give Mitt his due.
As governor of Massachusetts, he did indeed establish a statewide program to expand access to healthcare. He was so associated with the program that it’s come to be known as “Romneycare.”
Just like President Obama’s association with the reasonably similar Affordable Care Act at the federal level led to it being dubbed “Obamacare.”
Both programs are imperfect, especially in the eyes of supporters of broader reform, such as the “Medicare for All” proposals advanced by Senator Bernie Sanders and other progressives.
But let’s accept that working to enact them qualifies as evidence of at least some degree of empathy.
So Romney cares—or, at the least, he cared.
And Obama cares.
The political question that remains to be resolved is this: How does Mitt Romney argue that Americans should vote for him because he cared about those who needed healthcare in Massachusetts while Romney is, at the same time, arguing that Americans should not vote for Barack Obama because he cared about those who needed healthcare in the other forty-nine states?
By: John Nichols, The Nation, September 27, 2012
“What Romney Left Behind”: He’s Devoted His Life To The Conservative Base
One of the common misconceptions about the presidential candidate version of Mitt Romney is that he disavowed his greatest achievement in public office, health care reform, in an attempt to appeal to his party’s base. The truth is that he never actually disavowed it or said it was a failure or a mistake. What he did was tell primary voters that Romneycare was really nothing at all like Obamacare, and anyway Romneycare shouldn’t be tried in any other state. His comments were utterly unconvincing, but since they were always accompanied by a thunderous denunciation of Obamacare, Republican voters were assuaged enough to let it slide.
Which means that had he wanted to, Romney probably could have entered the general election making a positive case on health care beyond “Repeal Obamacare!” By continuing to maintain that Romneycare was in fact a good thing when he was challenged on it (even if he didn’t want to talk about it all that much), he gave himself enough rhetorical room that he could now be using the issue to show voters that he’s both competent and compassionate, that he successfully tackled a difficult policy problem in a way that improved people’s lives. Instead, his entire case for competence is that he got really rich in private equity, and his entire case for compassion is that his wife seems nice.
As Charles Pierce explains, he could even use the issue to portray himself as someone who can get past Washington partisanship:
Mitt Romney would be well within his rights to assert that he had this idea first, and that he’d managed to get it passed without the kind of political bloodletting occasioned by the president’s efforts. There was no uprising in Massachusetts over the individual mandate, no howling about “death panels.” A popular bipartisan solution was devised to a vexing social problem, and Romney would be justified fully in basing his campaign purely on the fact that, in an era of gridlock and paralysis, he could get something like health-care reform done.
Pierce tells his own story (he has a pre-existing condition that might have made him uninsurable in any state other than Massachusetts) and reminds us of how thousands of people there have been helped, and in many cases literally saved, because of what Mitt Romney did. But Romney won’t talk about it even now, despite the fact that the pivot from what he said during the primaries really wouldn’t have been that hard to make. And here’s a partial clue why:
Mitt Romney’s campaign has concluded that the 2012 election will not be decided by elusive, much-targeted undecided voters — but by the motivated partisans of the Republican base.
This shifting campaign calculus has produced a split in Romney’s message. His talk show interviews and big ad buys continue to offer a straightforward economic focus aimed at traditional undecided voters. But out stumping day to day is a candidate who wants to talk about patriotism and God, and who is increasingly looking to connect with the right’s intense, personal dislike for President Barack Obama.
You can characterize this as a new strategic turn, but it seems to me that the Romney campaign has never been about independent voters, not for a minute. My theory about why is that for five years, nearly every waking moment of Mitt Romney’s life was devoted to the conservative base—massaging them, figuring out what makes them happy and what makes them angry, determining who they wanted to be their candidate, and trying, trying, trying to be that person. After working so hard at it for so long, he just can’t stop, and he and everyone around him are convinced that it’s the only way to win.
By: Paul Waldman, Contributing Editor, The American Prospect, September 17, 2012
“Mitt’s Most Shameless Lie”: So Craven And Demagogic, You’d Think Even He Would Be Embarrassed
People who lie a lot also tend to whine a lot, particularly when their prevarications are exposed. As a presidential candidate, Mitt Romney gives the impression of never having been in a fair fight. He’s remarkably thin-skinned for somebody in public life.
Everybody expects politicians to embellish the truth, but Romney’s epic misrepresentations continue to astonish. Yet he appears flabbergasted that anybody’s allowed to talk back. Why, my dear fellow, it simply isn’t done.
Maybe this works in the executive suites and country clubs where Romney’s spent his life. But it’s a dubious strategy in an American presidential campaign. Regarding his taxes, for example, Romney could easily quell suspicion that he’s hiding something politically disqualifying. Release five years’ worth of returns (half the number President Obama’s put on the record), and move on.
Instead, he essentially demands that voters take his gentleman’s word that he’s never paid less than (a meager) 13% in taxes. However, his recent statement didn’t specify “federal income taxes,” a significant omission for somebody who made his fortune manipulating the tax code. If Romney’s arrived at the 13% figure by combining state, local, sales, excise, as well as real estate taxes on his several mansions, voters deserve to know.
Reporters should also ask, straight up, if Romney took advantage of the IRS’s 2009 one-time amnesty for money hidden in foreign bank accounts.
Yes or no?
But Romney’s taxes are trivial compared to the ugly falsehoods his campaign’s spreading about Medicare—sowing fear and division among seniors in a transparent attempt to divert attention from his and Paul Ryan’s plan to “save” the program by turning it from a guaranteed insurance benefit to a privatized voucher system.
Here’s the script of a new TV ad the Romney campaign’s running:
“You paid in to Medicare for years. Every paycheck. Now, when you need it, Obama has cut $716 billion from Medicare. Why? To pay for Obamacare. So now the money you paid for your guaranteed health care is going to a massive new government program that’s not for you.”
Got that? Your benefits, paid for by your Medicare taxes, are supposedly being taken away and given to others. In case that’s too subtle, Romney himself has said “there’s only one president that I know of in history that has robbed Medicare.” He told an audience in Ohio that Obama “has taken $716 billion out of the Medicare trust fund. He’s raided that trust fund.”
And do you know what he did with it? He used it to pay for Obamacare, a risky, unproven, federal takeover of health care.”
On “Meet the Press,” Republican National Committee chairman Rience Priebus declared that “This president stole…$700 billion from Medicare to fund Obamacare. If any person in this entire debate has blood on their hands in regard to Medicare, it’s Barack Obama.”
Robbed, stole, raided, blood on his hands.
Then who IS Obamacare for, if not for you and yours?
A recent letter to my local newspaper spelled out what Romney’s too tasteful to say: “obese, lay-about, cigarette-smoking, drug-taking, welfare-sucking, emergency-room-visiting no-accounts…[who] expect the government to provide them everything for free.”
That’s right, THEM.
THEY are getting YOUR benefits.
Of course Romney’s smart enough to understand what the letter writer clearly doesn’t, which is that YOU’VE ALWAYS PAID for others’ medical care in the most wasteful, inefficient way possible. No matter who’s elected, you’ll keep paying until Congress passes a law saying hospitals can refuse sick and injured patients who can’t pay. Which would not only be immoral, but a public health menace.
That’s why Massachusetts has “Romneycare,” the only worthwhile accomplishment of Mitt’s public career, which he now wants people to forget.
Romney’s also smart enough to know that not a single dime has been robbed, stolen or otherwise removed from the Medicare trust fund. Indeed, its life has been extended. Nobody’s benefits have been altered in any way.
That’s a lie so craven and demagogic you’d think even Mitt Romney would be embarrassed.
What the Affordable Care Act does do is something conservatives have long clamored for: It cuts, not benefits, but Medicare’s future costs by roughly 10% (or $700 billion) over a ten year period by A.) Reducing corporate subsidies to insurance companies administering Medicare Advantage plans, and B.) Slowing the rate of growth in payments to hospitals.
Furthermore, the health care industry agreed to these changes during negotiations over the new law: Insurance companies because they’re gaining millions of new customers; hospitals because Obamacare virtually eliminates their huge problem of non-paying patients.
Got that? Because almost everybody will have health insurance under Obamacare, hospitals, private insurance companies, Medicare and Medicaid alike can quit robbing Peter to pay Paul, effecting significant savings.
These economies are in your interest whether you’re a Medicare beneficiary or not.
That is, if you’re clear-eyed enough to see through the Republican candidate’s shameless falsehoods.
By: Gene Lyons, The National Memo, August 22, 2012
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