Mitt Romney’s health problems

The former Massachusetts governor attempts to distance himself from his health-care reforms. But wil

No, he's not the front-runner, but the former Massachusetts governor Mitt Romney is determined to snatch the Republican presidential nomination this time round. This week he managed to raise $1m for his campaign in a single, brief visit to New York, the former president George W Bush helping to pull those big-time Wall Street donors in.

Yesterday, he tried to overcome one of his biggest political obstacles in the GOP heartlands: his record on universal health care.

For though Romney is no liberal, the Massachusetts health-care bill that he helped to design and signed into law is widely credited with inspiring the current president's Obamacare plan.

Yes, that's right, the "socialised medicine" plan that Republicans are up in arms about – the plan that Romney himself described as "an unconscionable abuse of power", the plan that some states are at this very moment trying to prove is against the US constitution – was based on a Republican's idea.

Big Bad Gov

The main part that Republicans are challenging is the part that says citizens will be required by law to have health insurance. It's Big Government gone mad and an intrusion into private lives, say the conservatives. This is a sentiment shared by Romney – even though his Massachusetts law introduced America's first such requirement, making everyone get health coverage or pay a fine.

Yesterday, in a suitably businesslike PowerPoint demonstration in Ann Arbor, Michigan, Romney argued that he wants to "repeal and replace" Obamacare, in the hope that this will lay to rest any idea that he was the man behind the idea in the first place.

Not that he's apologising for the Massachusetts law, as conservative activists would no doubt prefer. An editorial in the Wall Street Journal did not pull any punches: "His failure to explain his own role, or admit any errors, suggests serious flaws both in his candidacy and as a potential president."

There was a sort of rowing back in March when he told supporters that "our experiment wasn't perfect – some things worked, some things didn't, and some things I'd change". Today he'll be tackling the issue head on, riskily choosing to lay out the detail of what he'd like to see instead of Obama's reforms.

And instead of dwelling on details of the past, Romney explained his alternative, claiming that Obamacare tramples all over the rights of states. He said he wants to give states block grants to provide their share of Medicaid and children's health schemes.

Abort, retry, fail

People would get a choice between tax credits to help fund insurance provided by their employer, as happens now, or a new type of tax deduction for those who decide to buy their own plan. He'll allow people to buy insurance across state lines. And he'll keep – but narrow – the rules that currently prevent insurers from refusing to cover people with pre-exisiting conditions. According to one of his advisers, Mike Leavitt: "Government's role is to organise an efficient market, not run the system."

But, for Romney's critics, the role of government is exactly what's at stake. They believe his record on health care means he's fundamentally adrift from the GOP's core principles, which are based on letting the market and competition have their way.

The Democrats, naturally, are making as much as they can out of Romney's dilemma, releasing clips from a 1994 campaign speech where he supported the idea of a federal mandate, saying: "I'm willing to vote for things that I'm not wild with." And they have released their own mock-PowerPoint slides with some of those "missing ideas".

Romney has reinvented himself many times before. When he ran for the nomination in 2008 he depicted his Massachusetts health-care policy as a market-friendly alternative to the failed Bill Clinton plan, which managed to win him the backing of conservative groups such as the Heritage Foundation. Plus there's that well-documented change of heart on abortion. In 2002, he ran as pro-choice. By 2007 he was declaring that his previous views had been wrong.

That led to something of a reputation for being a man who constantly changed his mind. Indeed, there are still websites dedicated to "Mitt Romney flip-flops". As one pundit wrote in the LA Times back in March: "If anything is transparently clear about American politics, it is that Mitt Romney will do or say anything to become president."

The former governor hopes that his detailed argument about the future of health care in the United States will succeed in changing that reputation. Good luck with that, Mitt. Sounds like you'll need it.

Felicity Spector is a deputy programme editor for Channel 4 News.

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To heal Britain’s cracks, it’s time for us northern graduates in London to return home

Isn’t it time for people like me, who’ve had privileges and experiences not open to everyone, to start heading back to our local communities, rather than reinforcing London’s suffocating dominance?

I’m from Warrington. The least cultured town in the UK. My town.

I moved to London almost exactly five years ago. Not because I particularly wanted to. Not because I wanted to depart the raucous northern town that I still call home. Because it was my only choice, really. I’d done my stint in the call centres and had some fun. But that couldn’t, surely, be my lot?

After university, I’d already started feeling a little weird and out of place back in Wazza. There were fewer and fewer people who didn’t look at me like I’d just fallen off a futuristic space flight that’d given me a different accent and lofty ideals.

Of course, that’s because most people like me had already skipped town without looking back and were all in the capital trying to strike beyond the ordinary.

The young, the cities, the metropolitan elite are still reeling after last week’s vote and wondering how people, half of our people, have got it so horribly wrong. We’re different, divided, done for.  

One thing I’ve clung onto while I’ve been in London is the fact that I’m from Warrington and proud. It might not be a cultured town, but it’s my town.

But I wasn’t proud of the outcome of the EU referendum that saw my town vote 54.3 per cent to 45.7 per cent to leave.

To be fair, even in my new “home” borough of Hackney, east London, the place with the third-largest Remain vote, one in five people voted for Brexit.

Yes, in one of London’s hottest and most international neighbourhoods, there are quite a lot of people who don’t feel like they’re being taken along to the discotheque.

Perversely, it was the poorest places in the UK that voted in largest numbers to leave the EU – that’s the same EU that provides big chunks of funding to try to save those local economies from ruin.

In many ways, of course, I understand the feelings of those people back in the place I still sometimes think of as home.

Compared to many suffering places in the UK, Warrington is a “boom town” and was one of the only places that grew during the last recession.

It’s a hub for telecoms and logistics companies, because, ironically, its good transport links make it an easy place to leave.

But there are many people who aren’t “living the dream” and, like anywhere else, they aren’t immune from the newspaper headlines that penetrate our brains with stories of strivers and scroungers.

Warrington is one of the whitest places in the UK, and I’m sure, to many locals, that means those immigrants are only a few towns away. There’s already a Polski sklep or two. And a few foreign taxi drivers. Those enterprising bastards.

We have never seriously addressed the economic imbalance in our economy. The gaping north-south divide. The post-industrial problem that politicians in Westminster have handily ignored, allowing the gap to be filled by those who find it quick and easy to blame immigrants.

When schemes like HS2, which is plotted to smash right through the place I grew up, are pushed against all of the evidence, instead of a much-needed, intercity Leeds to Liverpool investment to replace the two-carriage hourly service, it’s like positively sticking two fingers up to the north.

But I am also a big problem. People like me, who get educated and quickly head off to London when things aren’t going our way. We invested in ourselves, sometimes at state expense, and never really thought about putting that back into the places where we grew up.

There weren’t the right opportunities back home and that still stands. But, rather than doing something about that, people like me lazily joined the gravy train for London and now we’re surprised we feel more kinship with a 20-something from Norway than we do with someone who we used to knock on for when we should have been at school.

That’s not to suggest that our experiences in the capital – or mine at least – haven’t made us a thousand, million times better. 

I’ve met people who’ve lived lives I would never have known and I’m a profoundly better person for having the chance to meet people who aren’t just like me. But to take that view back home is increasingly like translating a message to someone from an entirely different world.

“You know, it’s only because you live in a country like this that a woman like you is allowed to even say things like that,” assured one of my dad’s friends down at the British Legion after we’d had a beer, and an argument or two.

Too right, pal. We live in what we all like to think is an open and tolerant and progressive society. And you’re now saying I shouldn’t use that right to call you out for your ignorance?

We’re both Warringtonians, English, British and European but I can increasingly find more agreement with a woman from Senegal who’s working in tech than I can with you.

It’s absolutely no secret that London has drained brains from the rest of the country, and even the rest of the world, to power its knowledge economy.

It’s a special place, but we have to see that there are many people clamouring for jobs they are far too qualified for, with no hope of saving for a home of their own, at the expense of the places they call home.

It’s been suggested in the past that London becomes its own city-state, now Londoners are petitioning to leave the UK.

But isn’t it time for people like me, who’ve had privileges and experiences not open to everyone, to start heading back to our local communities, rather than reinforcing London’s suffocating dominance?

We can expect local governments to do more with less, but when will we accept we need people power back in places like Warrington if we want to change the story to one of hope?

If this sounds like a patronising plan to parachute the north London intelligentsia into northern communities to ensure they don’t make the same mistake twice... Get fucked, as they say in Warrington.

It was Warrington that raised me. It’s time I gave something back.

Kirsty Styles is editor of the New Statesman's B2B tech site, NS Tech.