text: As I have noted here before, the main contours of the health care plans on the table resemble both the moderate Republican alternative to the Clinton plan proposed by the late Sen. John Chafee (R-R.I.) and the Massachusetts plan championed by then-Gov. Mitt Romney (R), which was actually enacted into law. We know that the Massachusetts plan had issues as it was rolled out, including higher-than-expected costs and serious strains on primary care physicians as the newly insured came into the system and put new demands on them. It required major adjustments on the way.