Romney's goal was to get everyone insured in the state by making insurance available and affordable through the use of a combination of Massachusetts share of federal monies that were earmarked for hospitals and revenues from state user fees.
There was also a freerider problem in the state. Because of a law passed under President Reagan, hospitals nationwide were mandated to service ALL individuals regardless of insurance. Every time these voluntarily uninsured folks walked into an hospital emergency room without insurance, we tax payers picked up the tab through higher taxes and higher health care premiums. That practice stopped under Romney because now you are required to have health insurance in our state.
Perry on the other hand had a different kind of mandate. Perry signed an Executive Order that mandated that girls in Texas as young as 12 be immunized against Human papillomavirus, (HPV), which is the most common sexually transmitted sexual disease. The Texas Legislature later overturned his Executive Order. At the time, social conservatives were NOT happy saying that the vaccine would definitely encourage sexual promiscuity among teenagers.
Lets compare mandates:
The Massachusetts Health Care bill addressed the health care needs of the state and was and still is popular in Massachusetts. Perry's on the other hand assumed that girls as young as 12 were promiscuous in his state and that he and not parents should decide what should be put into their child's body. His plan caused outrage in his state and was later overturned by the Texas Legislature.
Both Romney and Perry believe in states rights. Perry trumpets the idea that each state should determine its own laws. (Just read his latest book). Isn’t that what Romney was essentially doing? It certainly was!
But is there a difference between a Governor working with his legislature to solve problems in his state and a Governor deciding on his own, that he knows best?
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