But of course not. ObamaCare is based on RomneyCare — a government-run health care initiative Romney remains proud of to this day. He only changed his tune about RomneyCare on the national level once polls shifted. Until then he was full speed ahead on an ObamaCare-like system.
“You will not repeal the act in its entirety, but you will see major changes, particularly if there is a Republican president,” Coleman told BioCentury This Week television in an interview that aired on Sunday. “You can’t whole-cloth throw it out. But you can substantially change what’s been done.”
Romney, by the way, has — despite his previous positions on the issue — promised to fully repeal the legislation. His own advisers apparently are less-than-convinced he’ll live up to his word. And who can blame them. Romney changes positions more often than Paris Hilton changes wardrobes.
Ben Domenech makes the case that Coleman’s statement is an even bigger deal than we imagine now because the former senator may well end up running the Department of Health and Human Services in a hypothetical Romney Administration.
If Coleman is correct—and I think it’s possible he is—the next Republican president is likely to go through an experience along these lines: an attempt to repeal the whole bill will be made, passing the House but being filibustered in the Senate. Reconciliation can only go so far, and in the wake of a Supreme Court decision knocking down the individual mandate, the right’s political push to repeal the whole of Obamacare is likely to become less pressing (ironically, the Court’s getting rid of the worst part of the law from the public’s perspective may undercut these efforts). The Senate is likely to force instead a compromise position, in which Obamacare is “fixed,” not repealed – made “more market friendly”, as Coleman suggests.
This may be a good end result for many of the stakeholders and the politicians involved. As for the American people, well, that’s a different story.
In other words, ObamaCare remains intact with a few minor PR changes. Something along the lines of the “spending cuts” the Republican House “secured” that amounted to little and were actually just reductions in projected future spending increases. Good for public relations but little structural change.
We can’t have Romney’s advisers surrendering the field before the battle even begins. And yet that’s exactly what Coleman is doing here.
27. January 2012