What Jacoby did in an article was present some parts of the plan that he feels may be troublesome to some. He suggested that Romney may want to point out specifics on how he would do the plan differently knowing what he knows now.
As far as insurance companies being regulated in MA resulting in higher premiums, he points out,
Reasonable people can disagree on whether health-insurance in Massachusetts is over- or under-regulated. Certainly 47 mandated benefits seem moderate compared to the 60 that are required in Texas, or the 69 in Rhode Island. On the other hand, Hawaii imposes only 23 mandates, and Idaho only 13.Jacoby suggests that Romney could champion the following in regards to Health Care reform:
Because insurance-licensing laws amount to a one-size-fits-all straitjacket at the state level, and only the 3 large complanies, Blue Cross Blue Shield, Harvard Pilgrim, and Tufts -- control 85 percent of the market there,
He (Romney) should promote legislation that would allow Massachusetts residents to purchase any health insurance policy that is properly licensed in any other state, and for that policy to be enforced according to that state's laws. If you like Massachusetts-style health-insurance regulation, you would shop for a health plan here. But those looking for more affordable coverage -- or for even more mandated benefits -- would be free to buy a policy from any licensed insurer in the country.Read the Complete story HERE.
Opening the Massachusetts health-insurance market to nationwide competition would be a boon for consumers. It would force local quasi-monopolies, such as Blue Cross Blue Shield, to compete harder on price -- without having regulators twist arms or control premiums. It would make RomneyCare more palatable to more voters. And it would give Beacon Hill some real-world evidence of the level of regulation Massachusetts citizens actually prefer.
Perhaps Jacoby is on to something. Romney has stated that one of the best ways to bring insuranse premiums down is to allow citizens of states to purchase accross state lines. Why not suggest this as a possible way to lower premium costs in MA? Even if Romney knows that Democratic Governor Deval Patrick and the Democratic majority in the legislature would laugh it off. At least by suggesting this, Romney would be supplying critics with a specific as to how the MA plan can be improved and more importantly, seperating himself from how HE would improve it versus the MA Democrats that want to maintain the status quo.