Where Romneycare Went Wrong

Written by David Frum on Wednesday January 5, 2011

In praising Romney's work on the Massachusetts Connector system, one can't ignore problems in how that system evolved. But is Romney to blame?

I want to be clear about something: In praising Mitt Romney's work to create the Massachusetts Connector system, I am not disregarding the problems in the way that system has evolved. In the comment on my prior blog, a reader links to an excellent summary of those problems by Joshua D. Archambault , a recent Kennedy school graduate now at Heritage.

The problems are large and real, but they are problems of implementation and staffing. The post-Romney administrators of the system snuffed out competition, piled up mandates, and excluded lower-cost alternatives from the exchange.

If you want to blame Romney for something, you can blame him for setting up the system as a one-term governor, then immediately exiting to run for president - rather than fighting for re-election and a second term to oversee the proper launch of the system: by for example acting to ensure adequate representation of business and especially small business.


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