The failure of RomneyCare

The Bay State is also suffering from what the Massachusetts Medical Society calls a “critical shortage” of primary-care physicians. As one would expect, expanded insurance has caused an increase in demand for medical services. But there hasn’t been a corresponding increase in the number of doctors. As a result, many patients are insured in name only: They have health coverage but can’t find a doctor…

The difficulties in getting primary care have led to an increasing number of patients who rely on emergency rooms for basic medical services. Emergency room visits jumped 7% between 2005 and 2007. Officials have determined that half of those added ER visits didn’t actually require immediate treatment and could have been dealt with at a doctor’s office—if patients could have found one.

Mr. Romney insists that in Massachusetts, “We didn’t do what President Obama’s doing, which is putting controls on our system of premiums for private insurance companies.”

But that is what’s happening now: Faced with soaring medical expenses, Gov. Deval Patrick, Mr. Romney’s successor, wants to cap insurance rate increases at 4.8%, not the 8% to 32% increases the companies have requested for April 1. Three of the four major health insurers in Massachusetts showed operating losses for 2009. If their rates are capped, they say they’ll be forced to cut payments to health providers, putting further pressure on doctors and fragile hospitals.