Mitt Romney offered an enthusiastic defense last night of the comprehensive health care law he helped create four years ago in Massachusetts, even as he pointed to crucial distinctions between it and a similar national program enacted last week by Democrats.
"Overall, ours is a model that works,’’ Romney said in response to a question after a speech at Iowa State University. “We solved our problem at the state level. Like it or not, it was a state solution. Why is it that President Obama is stepping in and saying ‘one size fits all’ ’’?
Obama’s signing of a federal health care law has put Romney — a possible 2012 presidential candidate — again on the defensive over the most significant achievement in his brief career in public office. The former governor, who has been mentioned as a possible candidate again for president in 2012, had labeled Obama’s bill “unhealthy for America’’ and has called for its repeal, even as conservative critics say it was modeled on Romney’s policy.
Yesterday, Romney proudly acknowledged that his bill included a set of new insurance regulations that “President Obama always likes to talk about in his health care plan — the good stuff.’’ Romney trumpeted the achievement of near-universal coverage in Massachusetts, while declining to acknowledge that the mechanism he used to achieve that goal — a requirement that individuals buy private insurance — is the same as the much-criticized mandate of Obama’s plan.
The accounting of “some similarities’’ and “some differences’’ between the two systems was a more delicate comparison than Romney has offered recently, when he wholly rejected the idea that the two had anything significant in common.
“People often compare his plan to the Massachusetts plan,’’ Romney said in an interview last month. “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.’’
In the last week, many health care policy specialists, Democrats celebrating the bill’s passage, and Republicans condemning it have come to another conclusion. The difference between the two systems, they say, is slim.
“Basically, it’s the same thing,’’ said Jonathan Gruber, an MIT economist who advised the Romney and Obama administrations on their health insurance programs. A national health overhaul would not have happened if Mitt Romney had not made “the decision in 2005 to go for it. He is in many ways the intellectual father of national health reform.’’
After Congress last week passed the national plan, considered the most expansive social legislation to become law in nearly a half-century, Romney wrote it was an “unconscionable abuse of power’’ that “will create a new entitlement even as the ones we already have are bankrupt.’’ Romney’s political action committee, a leading supporter of Republican candidates nationwide, has begun a campaign to support those who voted no as part of what it calls a “Prescription to Repeal.’’









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