I'm actually looking forward to hearing his speech today. Many prominent members of the GOP are all but begging him to admit that his signature accomplishment was a mistake. That's unlikely to happen, but it will be interesting to see if he provides any specifics as to what he would have done differently. I'll reserve judgement until I watch the speech.
(...)Read the entire article HERE
In the name of personal responsibility, Mr. Romney also introduced the individual mandate, first in the nation, requiring everyone to buy coverage or else pay a penalty. Free riders, he said, transferred their own costs to others, either through higher premiums or taxes. This is the same argument the Obama Administration is now using to justify the coercion of the individual mandate in the federal courts. Because the states have police powers under the Constitution, Mr. Romney's plan posed no legal problems. His blunder was his philosophy of government.
The people who don't buy coverage though they can afford it aren't really a major fiscal problem—unless the goal of the individual mandate is to force them to subsidize others. People who are priced out of coverage require subsidies—so in practice the logic of the individual mandate is that it is a government mandate too. Entitlements automatically grow and grow, and then the political class begins to make decisions that used to be left to markets and individuals.
Massachusetts took off on this entitlement trajectory after Mr. Romney signed the bill in 2006 and stepped down to run for President two years later. Let's go to the data, all of which are state-reported, in search of evidence of Mr. Romney's "success."
The only good news we can find is that the uninsured rate has dropped to 2% today from 6% in 2006. Yet four out of five of the newly insured receive low- or no-cost coverage from the government. The subsidies will cost at least $830 million in 2011 and are growing, conservatively measured, at 5.1% a year. Total state health-care spending as a share of the budget has grown from about 16% in the 1980s to 30% in 2006 to 40% today. The national state average is about 25%.
The safety-net fund that was supposed to be unwound, well, wasn't. Uncompensated hospital care rose 5% from 2008 to 2009, and 15% from 2009 to 2010, hitting $475 million (though the state only paid out $405 million). "Avoidable" use of emergency rooms—that is, for routine care like a sore throat—increased 9% between 2004 and 2008. Meanwhile, unsubsidized insurance premiums for individuals and small businesses have climbed to among the highest in the nation.
Like Mr. Obama's reform, RomneyCare was predicated on the illusion that insurance would be less expensive if everyone were covered. Even if this theory were plausible, it is not true in Massachusetts today. So as costs continue to climb, Mr. Romney's Democratic successor now wants to create a central board of political appointees to decide how much doctors and hospitals should be paid for thousands of services.
The Romney camp blames all this on a failure of execution, not of design. But by this cause-and-effect standard, Mr. Romney could push someone out of an airplane and blame the ground for killing him. Once government takes on the direct or implicit liability of paying for health care for everyone, the only way to afford it is through raw political control of all medical decisions.
In reality, his ostensible liberal allies like the late Ted Kennedy saw an opening to advance their own priorities, and in Mr. Romney they took advantage of a politician who still doesn't seem to understand how government works. It's no accident that RomneyCare's most vociferous defenders now are in the White House and left-wing media and think tanks. They know what happened, even if he doesn't.
More immediately for his Republican candidacy, the debate over ObamaCare and the larger entitlement state may be the central question of the 2012 election. On that question, Mr. Romney is compromised and not credible. If he does not change his message, he might as well try to knock off Joe Biden and get on the Obama ticket.