RomneyCare was an act of conservatism, which is why the very conservative Heritage Foundation sanctioned it. RomneyCare only affected a small percentage (8%) of the population, making them buy insurance rather than continue to run up exorbitant emergency room bills on their fellow tax payers. Do not confuse RomneyCare with Mass. Health, which is a Medicare plus program that receives federal money and marching orders like all states do.