In 1992, Heritage proposed a sweeping reform it called the Heritage Consumer Choice Health Plan. Among the plan’s features:
“Require all households to purchase at least a basic package of insurance, unless they are covered by Medicaid, Medicare, or other government health programs. The private insurance market would be reformed to make a standard basic package available to all at an acceptable price.”
As President Bill Clinton began to push for a government-run system in 1993, Republicans introduced bills that included an individual mandate. At the time, Newt Gingrich hailed them:
“I am for people, individuals — exactly like automobile insurance — individuals having health insurance and being required to have health insurance,” he told “Meet the Press” in 1993. “And I’m prepared to vote for a voucher system which will give individuals, on a sliding scale, a government subsidy, to ensure that everyone as individuals has health insurance.”
That same year, Heritage Foundation health care guru Stuart Butler argued before Congress for “a requirement on individuals to enroll themselves and their dependents in at least a basic health plan — one that at the minimum should protect the rest of society from large and unexpected medical costs incurred by the family ... To the extent that the family cannot reasonably afford reasonable basic coverage, the rest of society, via government, should take responsibility for financing that minimum coverage.”
As late as 2007, Democrats and Republicans introduced a bipartisan bill that included an individual mandate — still seen as an essentially conservative idea. Gingrich in 2007 argued that “citizens should not be able to cheat their neighbors by not buying insurance, particularly when they can afford it, and expect others to pay for their care when they need it.”
In other words, the individual mandate is not creeping socialism. It is the opposite. It is about requiring citizens to take individual responsibility in the arena of health care, where the inaction of some costs taxpayers billions of dollars each year.
Ironic challenge: Affordable Care Act's principles were originally conservative | PennLive.com