Neither Dan nor Tammy had a college degree, but that didn't set them apart from the vast majority of their neighbors: Only 1 in 6 people in town had graduated from college. (Nationwide, the figure is 1 in 4.) In that environment, they were prospering.
So Mr. Romney is to blame because of decisions he didn't make at a business he didn't run that may or may not have set in train a series of random unconnected events many years apart that included Ilyona Soptic's illness.