The evidence cited in Timothy Noah's
article for The New Republic most certainly does NOT prove that Rick Santorum once favored a healthcare mandate. Noah lazily reads today's debate about compulsory coverage back into a 1994 debate that was about private vs. employer-provided coverage.
In one article
here from 1994, the emphasis is clearly on drawing a contrast between privately purchased coverage by individuals vs. the common practice of employer purchased coverage for employees. A mandate to purchase coverage is not in view:
"Santorum and Watkins would require individuals to buy health insurance rather than forcing employers to pay for employee benefits. ... Santorum introduced the idea of a medical savings account, called Medisave, which has become part of the Gramm bill. Under it, workers would buy major medical insurance and could make tax-free contributions to a Medisave account, from which they would pay for preventive services."
It is insane to press this language to prove Santorum supported government compulsion to purchase insurance in a 1994 race against an incumbent Democrat who was running away from Hillarycare at the time.
"Wofford supports a modified version of President Clinton's call for health coverage for all Americans, funded largely by requiring employers to pay most of the premiums, as many do today.
"For several years, Santorum has promoted a Republican alternative. It would require workers to buy their own health insurance and allow monthly tax-free contributions into "Medisave" accounts to pay for routine medical services."
The context of the debate as presented is entirely within the world of work and employer provided health plans. The issue of compulsory coverage, and of coverage for individuals NOT employed, is wholly unaddressed.
But if Noah had actually bothered to read
this article which he also cites (conveniently with a broken link), it should have been crystal clear to him that Santorum was operating in a healthcare environment which "offered," not "compelled," and that Santorum explicitly declined to offer the marginally employed person coverage of the type he was advocating at the time. Santorum's idea of healthcare restructuring was not universal, not compulsory, and wholly confined to the world of work:
U.S. Rep. Rick Santorum, R-Pittsburgh area, and Joe Watkins, a Philadelphia businessman who worked in the Bush White House, are seeking the Republican Senate nomination, creating the only true Senate primary race. ...
Santorum and Watkins both oppose having businesses provide health care for their employees. Instead, they would require individuals to purchase insurance. ...
They also oppose government-run health care and disagree with controls on doctor or hospital fees. They would cap malpractice awards. ...
The candidates split on offering health care for "marginally employed" people, with Watkins supporting it. Both oppose federally funded abortions.