Joey Bear.

Downplaying the need for the government to ensure that every person has health insurance, Mitt Romney on Sunday suggested that emergency room care suffices as a substitute for the uninsured.

“Well, we do provide care for people who don’t have insurance,” he said in an interview with Scott Pelley of CBS’s “60 Minutes” that aired Sunday night. “If someone has a heart attack, they don’t sit in their apartment and die. We pick them up in an ambulance, and take them to the hospital, and give them care. And different states have different ways of providing for that care.”

This constitutes a dramatic reversal in position for Romney, who passed a universal health care law in Massachusetts, in part, to eliminate the costs incurred when the uninsured show up in emergency rooms for care. Indeed, in both his book and in high-profile interviews during the campaign, Romney has touted his achievement in stamping out these inefficiencies while arguing that the same thing should be done at the national level.

And while Romney refused to agree on Sunday that the government’s role is to ensure that every American has health care, he has endorsed such an idea in the past.

When asked in a March 2010 interview on MSNBC’s “Morning Joe” whether he believes in universal coverage, Romney said, “Oh, sure.”

“Look, it doesn’t make a lot of sense for us to have millions and millions of people who have no health insurance and yet who can go to the emergency room and get entirely free care for which they have no responsibility, particularly if they are people who have sufficient means to pay their own way,” he said.

This is how voter intimidation worked in 1966: White teenagers in Americus, Ga., harassed black citizens in line to vote, and the police refused to intervene. Black plantation workers in Mississippi had to vote in plantation stores, overseen by their bosses. Black voters in Choctaw County, Ala., had to hand their ballots directly to white election officials for inspection.

This is how it works today: In an ostensible hunt for voter fraud, a Tea Party group, True the Vote, descends on a largely minority precinct and combs the registration records for the slightest misspelling or address error. It uses this information to challenge voters at the polls, and though almost every challenge is baseless, the arguments and delays frustrate those in line and reduce turnout.

The thing that’s different from the days of overt discrimination is the phony pretext of combating voter fraud. Voter identity fraud is all but nonexistent, but the assertion that it might exist is used as an excuse to reduce the political rights of minorities, the poor, students, older Americans and other groups that tend to vote Democratic.

… On the day of the recall election of Gov. Scott Walker of Wisconsin, the group used inaccurate lists to slow down student voting at Lawrence University in Appleton with intrusive identity checks. Three election “observers,” including one from True the Vote, were so disruptive that a clerk gave them two warnings, but the ploy was effective: many students gave up waiting in line and didn’t vote.

True the Vote, now active in 30 states, hopes to train hundreds of thousands of poll watchers to make the experience of voting like “driving and seeing the police following you,” as one of the group’s leaders put it. (Not surprisingly, the group is also active in the voter ID movement, with similar goals.) These activities “present a real danger to the fair administration of elections and to the fundamental freedom to vote,” as a recent report by Common Cause and Demos put it.

The Voting Rights Act of 1965 prohibits intimidation or interference in the act of voting, but the penalties are fairly light. Many states have tougher laws, but they won’t work unless law enforcement officials use them to crack down on the illegal activities — handed down from Jim Crow days — of True the Vote and similar groups.