8537
VIP Member
Just to be clear on the Mandate.
The "individual mandate," which requires virtually all Americans to obtain health insurance or pay a fine, was the brainchild of conservative economists and embraced by some of the nation's most prominent Republicans for nearly two decades. Yet today, many of those champions -- including presidential hopefuls Mitt Romney and Newt Gingrich -- are among the mandate's most vocal critics.
Meanwhile, even as Democratic stalwarts warmed to the idea in recent years, one of the last holdouts was the man whose political fate is now most closely intertwined with the mandate: Obama.
"The ironies to this story are endless and everywhere," said John McDonough, a professor at the Harvard University School of Public Health who, as a Senate Democratic staffer, played a key role in drafting the law.
The tale begins in the late 1980s, when conservative economists such as Mark Pauly, a professor at the University of Pennsylvania's Wharton School of Business, were searching for ways to counter liberal calls for government-sponsored universal health coverage.
"We wanted to find an alternative that was more consistent with market-oriented economic ideas and would involve less government intervention," Pauly said.
His solution: a system of tax credits to ensure that all Americans could purchase at least bare-bones "catastrophic" coverage.
Pauly then proposed a mandate requiring everyone to obtain this minimum coverage, thus guarding against "free riders": people who refuse to buy insurance and then, in a crisis, receive care whose costs are absorbed by hospitals, the government and other consumers.
Heath-policy analysts at the conservative Heritage Foundation, led by Stuart Butler, picked up the idea and began developing it for lawmakers in Congress.
By 1993, when President Bill Clinton was readying his major health-care overhaul bill, the Heritage approach -- subsidizing and facilitating the purchase of private health plans, while using the individual mandate to maximize participation -- had gelled as the natural Republican alternative.
Read more: Health mandate was originally a Republican idea
My favorite part of the hearings is when Scallia said basically "Why not Let them die" when talking about how to pay for uninsured visits to ER across the country. What a guy!
Oh and don't count your chickens until the eggs have hatched.
That's what the President gets for adopting a Repubican idea.
The individual mandate and Cap & Trade: Two smart Republican ideas that have been tossed under the bus in the name of ALEC.
RLMFAO!!!!!!!!
I know......the Dems inherited it.
Indeed! The individual mandate was the conservative/gingrich/romney/Heritage/CATO response to Clinton's health care reform proposal. Cap and Trade was the brainchild of economists in GHW Bush's administration.