[F]or 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. There's no government plan. And if you don't want to buy insurance, then you have to help pay for the cost of the state picking up your bill, because under federal law if someone doesn't have insurance, then we have to care for them in the hospitals, give them free care. So we said, no more, no more free riders. We are insisting on personal responsibility. Either get the insurance or help pay for your care. And that was the conclusion that we reached.
Oops, I guess he was actually talking about Romneycare. Same thing.
As Adam Serwer says:
All of this can be said about Obamacare. It doesn't "take over" the health care system, it regulates a health insurance market in which private companies compete. Individuals are compelled to buy insurance because, if they don't, taxpayers ends up paying for their health care once they get sick. Romney simply can't explain why Romneycare isn't socialism without also explaining why Obamacare isn't socialism. He can't defend Romneycare's individual mandate as an issue of personal responsibility without also doing the same with the individual mandate in the Affordable Care Act.
The strange part wasn't that Romney offered this defense — after all, he's done it before. It's that when he offered it, the Republican audience actually applauded.
Perhaps someone ought to provide that Republican audience with a clue.
In other news on health care reform, I highly recommend an article in The Nation by Bernard Avishai titled A Spoonful of Sugar: On the Affordable Care Act.
It is hard to read Remedy and Reaction, Paul Starr’s remarkable chronicle of the hundred-year effort to legislate universal health insurance in the United States, without recalling Robert Gibbs’s tortured quip that Democrats who’ve denounced the Obama White House for having knuckled under to Republican principles or intimidation “ought to be drug-tested.” Nobody with a sense of history—that is, nobody who reads Starr’s book—could doubt how sensible and brave was the president’s effort to drive the Patient Protection and Affordable Care Act of 2010 through Congress. Nobody with a feel for the present moment should doubt how imminent is the threat to the act, how urgent it is for progressive Democrats to rally around Obama—and without all the condescending qualifications that “independents,” who flock away from allegedly weak or incompetent leaders, interpret as contempt.
Its a rather lengthy summary of Starr's book. But well worth the effort to get an overview on the historical significance of what President Obama accomplished.