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Zefram said:Romney himself has made this claim and I'm still wondering what secret knowledge he's supposed to have that isn't available to others, including the folks who designed and implemented the Massachusetts reforms and are involved in implementing the ACA (like Jonathan Gruber, a key architect and evaluator of both laws, or Jon Kingsdale, who ran the Connector). Of course, it's not as if the ACA is a carbon copy of the Massachusetts law, beyond the coverage pieces being thematically similar. It borrows pieces from several states that had tried various reforms (e.g. the SHOP exchanges for small businesses are lifted from Utah, the Basic Health option is a hat tip to Washington).
In fact, the biggest complaint against the Massachusetts law is that it didn't contain much of any cost controls (payment or delivery system reforms). The ACA, on the other hand, has lots of these sorts of things, which is why it was a significantly longer piece of legislation than the Massachusetts law. Is Romney the right person to implement those?
To borrow/adopt a line from Nancy Pelosi regarding healthcare reform legislation - we'll have to elect Romney first - then we'll see how he can fix it.