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President Obama is applauded after signing the health care overhaul during a ceremony in the White House on March 23, 2010. Then-Gov. Mitt Romney signs a Massachusetts health care overhaul at Faneuil Hall in Boston on April 12, 2006.

President Obama is applauded after signing the health care overhaul during a ceremony in the White House on March 23, 2010. Then-Gov. Mitt Romney signs a Massachusetts health care overhaul at Faneuil Hall in Boston on April 12, 2006.

From now until November, President Obama and GOP presidential candidate Mitt Romney will emphasize their differences. But the two men's lives actually coincide in a striking number of ways. In this installment of NPR's "Parallel Lives" series, a look at one of those similarities: They both signed health care overhaul laws based on an individual mandate.

Health care has become one of the starkest contrasts between President Obama and Republican rival Mitt Romney in the 2012 campaign. And that's surprising, given that once upon a time they both came up with similar plans to fix the system.

Stuart Altman, a professor of health policy at Brandeis University, says the two men once occupied the same political space on health care.

"I would define Obama as a moderate liberal and Romney as a moderate conservative. ... Both of them came to the same conclusion," he says. They decided what was needed was a system "built as much as possible on the existing health insurance system."

Both men embraced what was considered to be mainstream health care policy thinking: maintain the employer-provided system but get everyone covered through an individual mandate a requirement to buy insurance.

From Victory To Problem

Romney went first. In 2006, as Massachusetts' governor, he talked about the state's mandate in decidedly nonideological terms: "We're going to say, folks, if you can afford health care, then gosh, you'd better go get it; otherwise, you're just passing on your expenses to someone else. That's not Republican; that's not Democratic; that's not libertarian; that's just wrong."

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Obama, Romney On Health Care: So Close, Yet So Far