"Fortunately we had a model to work with, one that, ironically, had grown out of a partnership between Ted Kennedy and former Massachusetts governor Mitt Romney, one of John McCain's opponents in the Republican primary for president. Confronting budget shortfalls and the prospect of losing Medicaid funding a few years earlier, Romney had become fixated on finding a way to get more Massachusetts residents properly insured, which would then reduce state spending on emergency care for the uninsured and, ideally, lead to a healthier population in general...Touting the plan to reporters, Romney called the individual mandate "the ultimate conservative idea" because it promoted personal responsibility."