Mitt Romney's Medicare plan: Resurrecting the public option?
Romney wants the elderly to choose between subsidized private insurance and a federal system. Isn't that what liberals wanted for all Americans?

Republican presidential frontrunner Mitt Romney has unveiled a plan to replace Medicare with a system offering older Americans subsidies to help them buy private insurance coverage. Romney's plan is similar to House GOP budget expert Paul Ryan's controversial proposal to voucherize the system, with one important exception: Romney would let people keep their Medicare coverage if they didn't want to enroll in his "premium support" program. But if the private coverage that elderly Americans dismissed was cheaper, seniors would have to pay the difference to keep Medicare. Some critics have been quick to point out that this is quite similar to the choice — between a private health insurance option and a public one — that Republicans hated when it was floated by liberals during the health care reform debate. Is Romney really resurrecting the public option?
Yes. Romney is essentially proposing a public option: Liberals wanted to "pit private insurers against a public insurer" so private providers would have to lower costs or lose customers, says Ezra Klein at The Washington Post. That government health insurance was called the "public option," and conservatives hated it. But they seem to love the idea now that Romney is proposing it for Medicare. What they don't realize is that if Romney wins, and his Medicare plan succeeds, "the pressure to open the revamped, semi-privatized Medicare program up to younger and younger Americans will be immense." Welcome back, public option.
"Wonkbook: Romney embraces the public option"
Subscribe to The Week
Escape your echo chamber. Get the facts behind the news, plus analysis from multiple perspectives.

Sign up for The Week's Free Newsletters
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
Actually, Romney is moving away from government control: While I prefer Paul Ryan's entirely private Medicare model, says Joseph Lawler at The American Spectator, it's just not politically feasible. Romney's plan is, at least, a realistic step in the right direction. And make no mistake: This would reduce the government's role, and "could yield significant Medicare savings" by tapping the power of the market.
"Romney hints at Medicare reform strategy"
Romney's plan won't change anything: Liberals and conservatives are both wrong about Romney's plan, says Peter Suderman at Reason. The presidential hopeful's plan is simply "designed for maximum pandering." Romney is trying to please the Right by offering a private option to Medicare's public one, and he's trying to soothe the Left and the elderly by positioning himself as "the protector of Medicare." But under Romney's hybrid system, private insurers would likely be "unable to 'compete' with a heavily subsidized, artificially low-priced government-run insurance plan." The result? Medicare as we know it would win out, and the government would stay in control of seniors' health care system. This is business-as-usual masquerading as reform.
"Mitt Romney loves Medicare very much and won't ever let anyone take it away, no matter what"
Sign up for Today's Best Articles in your inbox
A free daily email with the biggest news stories of the day – and the best features from TheWeek.com
-
Scientists want to fight malaria by poisoning mosquitoes with human blood
Under the radar Drugging the bugs
By Devika Rao, The Week US Published
-
Crossword: March 31, 2025
The Week's daily crossword
By The Week Staff Published
-
Sudoku medium: March 31, 2025
The Week's daily medium sudoku puzzle
By The Week Staff Published
-
The JFK files: the truth at last?
In The Spotlight More than 64,000 previously classified documents relating the 1963 assassination of John F. Kennedy have been released by the Trump administration
By The Week Staff Published
-
'Seriously, not literally': how should the world take Donald Trump?
Today's big question White House rhetoric and reality look likely to become increasingly blurred
By Sorcha Bradley, The Week UK Published
-
Will Trump's 'madman' strategy pay off?
Today's Big Question Incoming US president likes to seem unpredictable but, this time round, world leaders could be wise to his playbook
By Sorcha Bradley, The Week UK Published
-
Democrats vs. Republicans: who are the billionaires backing?
The Explainer Younger tech titans join 'boys' club throwing money and support' behind President Trump, while older plutocrats quietly rebuke new administration
By Harriet Marsden, The Week UK Published
-
US election: where things stand with one week to go
The Explainer Harris' lead in the polls has been narrowing in Trump's favour, but her campaign remains 'cautiously optimistic'
By Harriet Marsden, The Week UK Published
-
Is Trump okay?
Today's Big Question Former president's mental fitness and alleged cognitive decline firmly back in the spotlight after 'bizarre' town hall event
By Harriet Marsden, The Week UK Published
-
The life and times of Kamala Harris
The Explainer The vice-president is narrowly leading the race to become the next US president. How did she get to where she is now?
By The Week UK Published
-
Will 'weirdly civil' VP debate move dial in US election?
Today's Big Question 'Diametrically opposed' candidates showed 'a lot of commonality' on some issues, but offered competing visions for America's future and democracy
By Harriet Marsden, The Week UK Published