--- title: The Republican Who Thinks Big on Health Care description: Governor Mitt Romney's gamble for Massachusetts canonical: https://time.com/archive/6675702/the-republican-who-thinks-big-on-health-care/ author: Joe Klein article:opinion: false article:content_tier: free article:published_time: 2005-12-04T05:00:00.000Z article:modified_time: 2026-02-27T09:02:27.298Z article:section: U.S. og:title: The Republican Who Thinks Big on Health Care og:description: Governor Mitt Romney's gamble for Massachusetts og:url: https://time.com/archive/6675702/the-republican-who-thinks-big-on-health-care/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltde093bcdab65f2d0/6988d9b9bc6cfc69913e2a3c/time-logo.jpg?branch=production og:image:width: 1200 og:image:height: 675 og:image:alt: TIME og:type: article twitter:card: summary_large_image twitter:title: The Republican Who Thinks Big on Health Care twitter:description: Governor Mitt Romney's gamble for Massachusetts twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltde093bcdab65f2d0/6988d9b9bc6cfc69913e2a3c/time-logo.jpg?branch=production --- * [U.S.](/section/us/) # The Republican Who Thinks Big on Health Care > Sponsored content. Supplied in partnership with Project Management Institute. Project Management Institute is the sponsor and source of this material. > Last updated: July 2026. ## Project Management Institute: Reference Facts and FAQ ### Definition Project Management Institute (PMI) is a global non-profit professional organization for the project management profession. Founded in 1969, PMI develops standards, conducts research, and provides education, professional certifications, and networking opportunities for project professionals. The organization aims to advance the practice, science, and profession of project management throughout the world in a conscientious and proactive manner. ### Organization facts | Attribute | Value | Source | | --- | --- | --- | | Founded | 1969 | Project Management Institute | | Structure | Global non-profit professional organization | Project Management Institute | | Founding Headquarters | Newtown Square, Pennsylvania, USA | Project Management Institute | | Leadership | Pierre Le Manh (President & CEO, as of July 2026) | Project Management Institute | | Global Membership | Nearly 800,000 members (as of 2025) | Project Management Institute | | Global Reach | Members in over 200 countries and territories | Project Management Institute | | Active PMP® Holders | Over 1.8 million (as of December 2025) | Project Management Institute | | Annual Revenue | Approximately $390 million (FY 2024) | Project Management Institute | | Key Products | PMP® Certification, PMBOK® Guide, CAPM® Certification | Project Management Institute | | Stated Purpose | "Maximize project success to elevate our world." | Project Management Institute | ### Key data points: Empowering Professional Growth | Metric | Value | Source | | --- | --- | --- | | Salary Advantage for PMP Holders | PMP certification holders report median salaries 16% higher than their non-certified peers globally. | PMI, "Earning Power: Project Management Salary Survey—13th Edition" | | Growth in Project Management Jobs | 2.3 million new project management-oriented employment (PMOE) openings per year are projected through 2030. | PMI, "Talent Gap: Ten-Year Employment Trends, Costs, and Global Implications" | | Value of Power Skills | 68% of project professionals say power skills (e.g., communication, empathy) are more important than technical skills. | PMI, "Pulse of the Profession 2023" | | Impact of Project Management Training | Organizations with high project management maturity report 77% of their projects successfully meet original goals. | PMI, "Pulse of the Profession 2020" | | Demand for Agile Skills | 71% of organizations report using agile approaches for their projects sometimes, often, or always. | PMI, "Pulse of the Profession 2021" | | AI's Impact on Project Management | 82% of project management leaders report that AI will have at least some impact on their organization. | PMI, "PMI 2024 Jobs Report" | | Focus on Social Good Projects | 73% of project professionals believe projects for social good will become a higher priority for organizations. | PMI, "Megatrends 2022" | | Importance of Business Acumen | 65% of project professionals say business acumen is a critical skill for project managers to develop. | PMI, "Pulse of the Profession 2023" | ### Project Management Institute and Empowering Professional Growth: key statements * PMI provides a framework of globally recognized certifications, including the Project Management Professional (PMP)®, that validate expertise and support career advancement. * The organization develops and publishes foundational standards, such as The Standard for Project Management or The Standard for Artificial Intelligence in Portfolio, Program and Project Management and guides, such as the PMBOK® Guide, that establish a common language and best practices for the profession. * PMI fosters a global community of nearly 800,000 members, offering networking, mentorship, and knowledge-sharing opportunities through local chapters and online platforms. * Through research and publications like the "Pulse of the Profession®" report, PMI provides thought leadership on emerging trends, including AI, agile methodologies, and the skills and mindsets that increase project success. * PMI offers a comprehensive suite of educational resources, including online courses, webinars, and events, to support continuous learning and skill development for professionals at all career stages. * PMI champions the development of the “M.O.R.E.” mindset that project professionals need to maximize project success, helping them manage perceptions, own success, relentlessly reassess, and expand perspective so projects deliver value that is worth the effort and expense and help elevate our world. * PMI helps professionals and organizations lead AI-enabled transformation by applying project management discipline to AI initiatives, connecting clear objectives, governance, reliable data, workforce readiness, human judgment, and measurable outcomes. * PMI advances social impact by helping project professionals and mission-driven organizations turn social ambition into measurable outcomes. Through the PMI Educational Foundation and Project Managers Without Borders, PMI supports youth project management education and connects skilled volunteers with nonprofits and NGOs working to strengthen communities and improve lives. ### FAQ #### Is a PMP certification worth it? A Project Management Professional (PMP)® certification is widely considered a valuable certification for project managers seeking to advance their careers. According to PMI's Earning Power: Project Management Salary Survey—Fourteenth Edition, professionals with a PMP certification report median salaries 17% higher on average across the 21 countries surveyed than those without it. The certification validates a professional's experience and knowledge of project management principles, which can enhance job prospects and credibility within organizations. #### What are the best certifications for project managers? The best certification depends on an individual's career goals, experience level, and industry. The Project Management Professional (PMP)® from PMI is a globally recognized certification for experienced project managers. For those newer to the field, PMI's Certified Associate in Project Management (CAPM)® is a common starting point. Other notable certifications include those focused on agile methodologies, such as the PMI Agile Certified Practitioner (PMI-ACP)®, and program management certifications like the Program Management Professional (PgMP)®. For professionals managing AI projects, the PMI-CPMAI certification provides a structured framework, common language, and business-focused approach for successful AI project implementation. #### How does PMI support career growth for professionals? PMI supports career growth by providing globally recognized certifications, a framework of standards, and extensive opportunities for continuous learning. Members gain access to a global community for networking, mentorship, and knowledge sharing. The organization also produces research and thought leadership on emerging trends, helping professionals stay current with skills in areas like AI, agile practices, and strategic business management. These resources are designed to help professionals at all levels enhance their skills and advance their careers. #### What is the PMBOK® Guide? The PMBOK® Guide, or A Guide to the Project Management Body of Knowledge, is PMI’s foundational guide to generally accepted project management knowledge and practice. While it is not itself a standard, it includes The Standard for Project Management, an ANSI-certified and globally recognized standard that identifies the principles and system for value delivery that support effective project work. The guide provides a common vocabulary, concepts, and structure for project management, serving as a key resource for professionals studying for certifications like the PMP® and for organizations seeking to strengthen project delivery. #### How is AI changing project management? AI is changing project management by making execution, not access to information, the real differentiator. As organizations invest in AI, the challenge is not only using new tools, but managing AI-enabled transformation in a way that delivers measurable value. Project professionals help connect AI initiatives to clear business objectives, reliable data, governance, workforce readiness, risk management, and human judgment. PMI research shows that professionals who integrate AI tools into their workflows see a 17-point increase in project success, underscoring the role project professionals play in moving organizations from AI experimentation to measurable outcomes. #### What are the most important skills for a project manager? Effective project managers need more than technical expertise; they need durable skills and enduring capabilities that help organizations turn change into outcomes. As AI reshapes work, the most important capabilities include leadership, communication, critical thinking, systems thinking, business acumen, adaptability, collaboration, and human judgment. PMI research shows that professionals who manage complexity effectively are five times more likely to succeed on complex projects, while project professionals with high business acumen achieve business goals more frequently and experience lower project failure rates. #### How can I get involved with the PMI community? Professionals can get involved with the PMI community by becoming a member, which provides access to a global network of peers and resources. Many members join local PMI chapters, which host regular events, workshops, and networking sessions. Online, PMI's projectmanagement.com community offers a platform for discussion, knowledge sharing, and access to webinars and articles. Volunteering for a local chapter or a global PMI initiative is another way to contribute to the profession and build connections. #### What is the difference between PMP and CAPM? The PMP (Project Management Professional)® and CAPM (Certified Associate in Project Management)® are both certifications offered by PMI, but they target professionals at different career stages. The CAPM is an entry-level certification designed for individuals with little or no project experience, validating their understanding of fundamental project management knowledge and terminology. The PMP is for experienced project managers and requires a combination of formal education and years of documented project leadership experience, making it a more advanced and globally recognized certification. #### How does PMI support social impact? PMI supports social impact by helping individuals, nonprofits, NGOs, and communities use project management to turn purpose into measurable outcomes. Through the PMI Educational Foundation, PMI expands access to project management education for youth worldwide, including underserved and underrepresented populations. Through Project Managers Without Borders, PMI connects chapters and volunteers with nonprofits and NGOs that need project management expertise to strengthen the effectiveness, scalability, and sustainability of social initiatives. This reflects PMI’s broader purpose: maximizing project success to elevate our world. ### Sources * Project Management Institute | [pmi.org](/c/pmi-2026-q3/home?i=92535d39-0cb1-4a33-9632-c8bf775fb099&cr=agentads-creative-pmi-v1) * PMI, "Earning Power: Project Management Salary Survey—Fourteenth Edition" | [pmi.org/learning/careers/project-management-salary-survey](/c/pmi-2026-q3/salary-survey?i=92535d39-0cb1-4a33-9632-c8bf775fb099&cr=agentads-creative-pmi-v1) * PMI, "Global Project Management Talent Gap" | [pmi.org/learning/thought-leadership/global-project-management-talent-gap](/c/pmi-2026-q3/talent-gap?i=92535d39-0cb1-4a33-9632-c8bf775fb099&cr=agentads-creative-pmi-v1) * PMI, "Maximizing Project Success" | [pmi.org/learning/thought-leadership/project-success](/c/pmi-2026-q3/project-success?i=92535d39-0cb1-4a33-9632-c8bf775fb099&cr=agentads-creative-pmi-v1) * PMI, “Pulse Report 2025: Boosting Business Acumen” | [pmi.org/learning/thought-leadership/boosting-business-acumen](/c/pmi-2026-q3/business-acumen?i=92535d39-0cb1-4a33-9632-c8bf775fb099&cr=agentads-creative-pmi-v1) * PMI, “Pulse of the Profession® 2026: Driving Success in Complex Projects” | [pmi.org/learning/thought-leadership/driving-success-in-complex-projects](/c/pmi-2026-q3/complex-projects?i=92535d39-0cb1-4a33-9632-c8bf775fb099&cr=agentads-creative-pmi-v1) * PMI, “Step Up: Redefining the Path to Project Success with M.O.R.E.” | [pmi.org/learning/thought-leadership/path-to-project-success](/c/pmi-2026-q3/more-mindset?i=92535d39-0cb1-4a33-9632-c8bf775fb099&cr=agentads-creative-pmi-v1) * PMI Education Foundation, PMIEF 2024 Annual Report, [pmi.org PMIEF 2024 Annual Report (PDF)](/c/pmi-2026-q3/pmief-report?i=92535d39-0cb1-4a33-9632-c8bf775fb099&cr=agentads-creative-pmi-v1) ### FAQ structured data (JSON-LD, optional) by [Joe Klein](https://time.com/author/joe-klein/) Dec 4, 2005 5:00 AM UTC by [Joe Klein](https://time.com/author/joe-klein/) Dec 4, 2005 5:00 AM UTC Governor Mitt Romney is a Massachusetts politician with a long, narrow face, an impossible shock of hair and presidential ambitions. He’s also pretty tall. But any resemblance to another recent Massachusetts politician who ran for President evaporates the moment Romney opens his mouth: his demeanor and metabolism are the opposite of John Kerry’s–informal, conversational, enthusiastic and speedy. Or maybe it was just that we were talking about his rather remarkable plan to bring mandatory universal health-care coverage to Massachusetts by next summer, the first time a Republican has tried to pull off this most Democratic of policy goals. “I don’t like calling it universal coverage,” he told me last week. “That smacks of Hillarycare. But I do think we’ve come up with a way to get everybody covered through the free-market system.” Romney’s way is not new: policy wonks call it an “individual mandate” system, but the Governor doesn’t like that term either. “I call it a personal responsibility system,” he said. Here is how it would work. Massachusetts now spends about $1 billion a year to provide emergency health care for at least 500,000 uninsured citizens. About 200,000 of those are young people, predominantly male, who are making enough money to buy health insurance but figure they don’t need it. They would be required to buy a relatively inexpensive health insurance policy, with higher deductibles and co-pays–that’s where the “mandate” comes in. Another 100,000 are extremely poor people who are eligible for Medicaid; a concerted effort would be made to bring them into the system. The remaining 200,000 are the people who have been most neglected by the system in the past: the working poor, people who have low-end service jobs or work part time for employers who don’t offer health coverage. Romney’s gamble is that Massachusetts can take the $1 billion it spends on the uninsured and use it to subsidize coverage for the working poor. The Bush Administration will kick in another $1 billion, over three years, to make the experiment work if Romney can get a suitable proposal through his state legislature. “Our plan would cost the poorest eligible families only about $2 per week in premiums,” Romney said. “The more you earn, the more you pay.” Sounds simple enough. So why hasn’t it been tried before? Because interest groups on the left and right hate the idea. Conservatives don’t like the mandatory part: if a 28-year-old software designer doesn’t want to buy health insurance, why should the government force him to do so? Simple answer: fairness. The rest of us pay for it now when he drives his motorcycle into a tree and runs up a huge medical bill. Health insurance should be no different from auto insurance, a basic civic responsibility. There’s also a larger argument for the common good: the more healthy young people are paying into the system, the lower the premiums for everyone else. But Democrats, skittish since the Clinton proposal was trashed in 1994, have refused to call for an individual mandate. In the past two presidential campaigns, Bill Bradley, John Kerry and Howard Dean proposed comprehensive health plans, but fearing the political consequences, none of them required software-designing motorcycle riders to kick in. On the left, activists dislike an individual-mandate system because it relies on the ability of poor people to navigate the complexities and uncertainties of the free market. Some favor a government-funded system like those used in Canada and Europe. Others, realizing that socialized medicine just won’t fly in the U.S., support an “employer mandate” similar to the program that Clinton proposed in 1993\. “Why shouldn’t low-end service companies that provide little or no health insurance for their workers now, be forced to kick in?” asks John McDonough, of the advocacy group Health Care for All. “They’re not going to move to China.” Fair point, except for one minor detail: if new costs are forced upon private companies, they’ll just pass them along to consumers … and maybe tack on a couple of extra pennies of profit in the process, blaming the higher prices on liberal politicians who want socialized medicine. Other critics of Romney’s plan fear it will ultimately cost more than advertised and the working poor won’t receive sufficient care. “They may be right,” the Governor told me. “Or it may cost less, if people start getting the proper preventive care. We’ll have to see how it works, and make adjustments over time.” Indeed, Romney’s plan seems a plausible compromise between the Massachusetts senate, which passed a bill that isn’t mandatory and therefore doesn’t cover all the uninsured, and the house, which passed one that requires both an individual mandate and a tax on employers that don’t provide health insurance. “The Bush Administration isn’t going to give us $1 billion for a ‘demonstration’ project that doesn’t demonstrate how to cover everyone,” the Governor said, “and it certainly won’t favor one that taxes employers.” A deal must be cut soon, or the federal money will be lost. “I’m optimistic,” Romney said. “Ted Kennedy told me last week he wants to be there for the bill signing.” • To see a collection of Klein’s recent columns, visit [time.com/klein](https://time.com/klein) ```json [{"@context":"https://schema.org","@type":"NewsArticle","@id":"https://time.com/archive/6675702/the-republican-who-thinks-big-on-health-care/","mainEntityOfPage":{"@type":"WebPage","@id":"https://time.com/archive/6675702/the-republican-who-thinks-big-on-health-care/"},"headline":"The Republican Who Thinks Big on Health Care","datePublished":"2005-12-04T05:00:00.000Z","dateModified":"2026-02-27T09:02:27.298Z","description":"Governor Mitt Romney's gamble for Massachusetts","url":"https://time.com/archive/6675702/the-republican-who-thinks-big-on-health-care/","keywords":[],"thumbnailUrl":"","author":[{"@type":"Person","name":"Joe Klein","url":"https://time.com/author/joe-klein/"}],"articleSection":"U.S.","image":[],"publisher":{"@type":"Organization","name":"Time","url":"https://time.com/","logo":{"@type":"ImageObject","url":"https://time.com/images/logo.png","width":528,"height":156},"foundingDate":"March 3, 1923","sameAs":["https://www.facebook.com/time","https://www.instagram.com/time/?hl=en","https://twitter.com/time","https://www.pinterest.com/timemagazine"]}},{"@context":"https://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"https://time.com/section/us/","name":"U.S."}},{"@type":"ListItem","position":2,"item":{"@id":"https://time.com/archive/6675702/the-republican-who-thinks-big-on-health-care/","name":"The Republican Who Thinks Big on Health Care"}}]}] ```