More than anyone else during any of the previous Republican presidential
debates, Rick Santorum took dead aim tonight at the similarities between
Romneycare and Obamacare. Arguing that those similarities could pose great
problems for the Republican party and for the prospects for repeal if Mitt
Romney were to win the nomination, Santorum implored GOP voters to remember, “We
can’t give this issue away in this election.”
The exchange over Romneycare and Obamacare began when
Santorum responded to a health care question from an audience member. He said,
“Governor Romney was the author of Romneycare, which is a top-down
government-run health care system which, [I] read [in] an article today, has 15
different items directly in common with Obamacare, everything from the increase
in the Medicaid program…to [the] mandate you buy something [as] a condition of
breathing, [the] mandate that you buy an insurance policy….”
Santorum argued that Romney’s Massachusetts health care
overhaul is “pretty much a model for what Obamacare is going to look like: the
highest health care costs in the country, 27 percent above the average...[and]
94 percent of the people in Massachusetts are now insured, but there was just a
survey that came out and said one in four don’t get the care they need because
of the high cost. So, you have a card, you’re covered, but you can’t get
care.”
In his book, No Apology, Romney admitted that
getting “overall health-care costs for everyone [in Massachusetts] to actually
go down…is the task that remains.” However, in response to Santorum’s critique,
Romney stood by Romneycare:
“The system that we put in place in our state was something
we worked out with the labor community, the health care community, business, and
the citizens of the nation. We came together, it was voted [on] by a 200-person
legislature. Only two voted no.
“Our system has a lot of flaws, a lot of things I'd do
differently. It has a lot of benefits. The people of the state like it by about
three to one.”
Romney didn’t mention that the people of that state also
voted for Barack Obama by nearly two to one.
Without having said how Romneycare differs from Obamacare,
Romney concluded by saying, “We consider it very different than Obamacare.” He
then shifted his focus to Obamacare itself, saying, “If I were president, [on]
day one I will take action to repeal Obamacare. It’s bad medicine. It’s bad
economy. I’ll repeal it.”
He added, “I believe the people of each state should be able
to craft programs that they feel are best for their people. I think ours is
working pretty well.”
Santorum pounced:
“What Governor Romney just said is that government-run
top-down medicine is working pretty well in Massachusetts, and he supports it.
Now, think about what that means — going up against Barack Obama…you are going
to claim, well, top-down government-run medicine on the federal level doesn’t
work, and we should repeal it. And he’s going to say, wait a minute, Governor.
You just said that top-down government-run medicine in Massachusetts works
well.
Santorum added, “Folks, we can’t give this issue away in this
election. It is about fundamental freedom.”
Romney then replied by issuing a defense of Romneycare that
sounded a lot like the defense that Obama (who might have even been taking
notes) is likely to give of Obamacare: “I didn’t say I’m in favor of top-down
government-run health care. Ninety-two percent of the people in my state had
insurance before our plan went in place.” (For Obamacare, it’s
nearly the same percentage of people, only nationwide) “And
nothing changes for them. They own the same private insurance they had before.”
(As Obama likes to say, “If you like your health care plan, you can keep your
health care plan.”) “And for the 8 percent of people who didn't have insurance,
we said to them, if you can afford insurance, buy it yourself, any one of the
plans out there, you can choose any plan.” (The same is true for Obamacare —
except, as in Romneycare, for the large numbers of people who get shuttled onto
Medicaid.) “There’s no government plan.” (There isn’t one in Obamacare either,
as the public outcry caused the “public option” to be nixed.)
Referring to the individual mandate, Romney added, “We are
insisting on personal responsibility.”
Santorum responded, “Does everybody in Massachusetts have a
requirement to buy health care?”
Romney replied, “Everyone has a requirement to either buy it
or pay the state for the cost of providing them free care.”
Santorum said, “Just so I understand this, in Massachusetts,
everybody is mandated as a condition of breathing in Massachusetts, to buy
health insurance, and if you don’t, and if you don’t, you have to pay a
fine.”
Moments later, as the discussion over Romneycare and
Obamacare continued, Romney rebuked Santorum, saying, “First of all, it's not
worth getting angry about.”
Romney then reiterated that his fundamental objection to
Obamacare, apart from it being an affront to federalism, is apparently that he
doesn’t like the way it’s funded: “Look, I know you don’t like the plan that we
had [in Massachusetts]. I don’t like the Obama plan. His plan cuts Medicare by
$500 billion. We didn’t, of course, touch anything like that. He raises taxes by
$500 billion. We didn’t do that.”
Romney then repeated his claim that somehow Obamacare, which
requires that essentially everyone buy government-approved health insurance,
deals with “100 percent of the people of the country,” whereas Romneyacare,
which requires that essentially everyone buy government-approved health
insurance, only deals with “the 8 percent of the people that were
uninsured.”
Moments later, he asserted, “If I'm president of the United
States, I will stop it [Obamacare]. And in debating Barack Obama…I will be able
to point out that what he did was wrong.” He then repeated his mantra: “It was
bad medicine, it's bad for the economy, and I will repeal it.”
Santorum got in the last word: “[W]hat Governor Romney said
is just factually incorrect. Your mandate is no different than Barack Obama’s
mandate. It is the same mandate….You take over 100 percent [of health care],
just like he takes over 100 percent....The same fines that you put in place in
Massachusetts are [the] fines that he puts in place in the federal level. Same
programs.”
The exchange offered a stark reminder of one inescapable set
of facts: President Obama spent the bulk of his first 15 months in office
ramming his signature legislation down the throats of the American people. Yet,
as his State of the Union Address made clear, he’d rather not bring it up. So if
Republicans are going to have a mandate to repeal this unprecedented threat to
liberty and fiscal solvency, they will have to bring it up — or,
rather, their nominee will have to bring it up. And he will have to know
why he opposes it — not merely that he does.
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