While we won't pretend that Mitt Romney's health care law in Massachusetts is a conservative's dream come true, we will contend that there are clear differences between Obamacare and Romneycare. The biggest differences are probably circumstances. Romney's bill actually reflected the make-up and values of the state he governed. But there are also differences in leadership. Romney worked with everyone, including leading conservative organizations who backed the bill at the time. Let's take a look at the true differences between the Romney and Obama health care laws, and why those differences matter in 2012.