this post was submitted on 23 Jan 2024
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The Heritage Foundation pitched the idea of an insurance mandate in the 80s. Mitt Romney adopted it as the central plant of his Massachusetts health care reform in the 90s. And Obama picked it up as a "compromise" bill that would satisfy both Democrats and Republicans in the '00s.
Compare this to the original idea of Medicare/Medicaid, which was simply public financing of health care, extended to a cohort of people with the lowest incomes and highest liabilities. The component of Obamacare that has been MOST effective - both in terms of lives and dollars saved - has been extending the pool of people covered by Medicaid. The part that he ran on, the part that was central to the bulk of the written legislation, and the part that everyone now hates, is the Heritage Plan for subsidized private insurance mandates.