The mandate approach isn’t going so well in Massachusetts, which remains the highest-profile state to implement an individual insurance mandate. In fact, if the demands for “evidence-based medicine” were applied equally to public policy, policymakers would run away from the idea of mandatory coverage as fast as possible.
“Republican governor (and former presidential candidate) Mitt Romney proclaimed that ‘every uninsured citizen in Massachusetts will soon have affordable health insurance,’ that costs would be reduced through ‘market reforms’ encouraging ‘personal responsibility,’ and that the plan would require ‘no new taxes … and no government takeover,’” wrote Dr. Paul Hsieh, president of the Foundation for Individual Rights in Medicine, in the Fall 2008 issue of the Objective Standard.
However, “two years after its inception, the Massachusetts plan has failed to achieve either of its goals. Instead,” wrote Hsieh, “the plan has increased costs for individuals and the state, reduced revenues for doctors and hospitals, and left Massachusetts officials in the awkward position of having to admit that their ‘universal coverage is not likely to be universal any time soon.’”