The concept of an individual mandate was first proposed by the Heritage Foundation in 1989 in “ “Assuring Affordable Health Care for All Americans”. It was a market solution to the single-payer proposal. It was championed in the arly nineties by Milton Freidman and appeared in the Republican legaslative counter point to Bill Clinton’s healthcare plan. It reappeared in the bi-partisan supported “Wyden-Bennet” bill in the late 2000s. It was implemented in Romney’s Massachusetts health care reform in 2006 1.