This is a useful video clip, because it shows Mitt Romney explaining his approach to health care and dealing with a high pressure confrontation from a voter. Really, there is nothing he can say that will fully satisfy the woman, but he uses the occasion to display himself as a rational problem-solver. He does not, however, try to connect with the woman on an emotional level, and after the exchange she is close to tears. "That's money off my table," she complains. His hour-long presence in the restaurant has cost her tips.
I think Romney ought to have walked up to the woman and asked her a few questions about the three sick children she mentioned and expressed some sympathy about how hard it is for her. He could have hugged her or taken her hand. Instead, he tried to win the debate on the substantive merits, something he's pretty good at. Yet he missed the chance to do something he could easily have done. And, once again, he looks a little cold and robotic. It's so unnecessary!
Picture how Bill Clinton -- or even George Bush -- would have handled this situation. That woman was emotionally fragile, not a heckler. Someone needs to teach Romney a few tricks.