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Health Care Law After Supreme Court Ruling: Experts Sound Off (VIDEO)

Posted: 03/22/2012 7:54 am Updated: 03/22/2012 10:38 am

Health Care

Supporters and opponents of the Affordable Care Act have spent more than two years battling in federal courts and for public opinion over the constitutionality of the individual health insurance mandate. But what's to happen come late June after the Supreme Court justices make their final ruling, then skip town for their summer recess, leaving the combatants to push forward or pick up the pieces?

In truth, things do not look good for either side. Should the federal government lose, national efforts toward universal health care will be set back to square one. The challengers will have it only slightly better. If they lose, they can still turn their attention to the ballot box in November, where they can try to elect a president and a congressional majority devoted to repealing President Barack Obama's signature health reform measure. But a repeal would not erase the fact that the most conservative Supreme Court in three-quarters of a century found no constitutional infirmity with Congress' most ambitious economic regulation in as many years.

In the final installment of a four-part video series, former Acting Solicitor General Neal Katyal and libertarian legal scholar Randy Barnett, both Georgetown law professors, take stock of the consequences of a loss for their respective sides. Katyal defended the Affordable Care Act in three federal appeals courts before entering private practice and returning to academia. Barnett was one of the architects of the constitutional challenge to the mandate and is now on the legal team for the private plaintiffs in the case.

Barnett himself has plenty at stake. In 2005, he challenged the federal government's power to prohibit a woman from cultivating marijuana for her personal, state-legalized medicinal use. The court ruled against him, Gonzales v. Raich, and used its decision to reaffirm Congress' very broad powers to regulate interstate commerce. The health care challenge, then, could be the last, best hope for Barnett and his cohort of libertarians now rising within the conservative legal world to deal a blow for a sharply limited federal government. He is so invested in winning that he told HuffPost that he has not even contemplated losing.

"People may say they haven't thought about things, I really haven't thought about that at all," Barnett said. " I think it would be very bad for the country if we don't prevail and very bad for the Constitution, and that's why I'm really only thinking about prevailing at this point."

Katyal, too, considered a loss in stark terms. "I do think that it would be a grave step for the court to strike down this act and remove health care and this solution from the national discourse in terms of what legislatures are able to do constitutionally," he said.

For Katyal, the issue comes down to the democratic benefits of judicial restraint. "Look if you don't like Obamacare, there's a very easy solution, which is to vote the president out of office," said Katyal.

"This isn't as Chief Justice Marshall said in a great opinion called McCulloch v. Maryland ... some sort of law that passed 'unsuspecting' in the night," noted Katyal, referring to the widely revered third chief justice who molded constitutional law in favor of strong federal power during his tenure from 1801 to 1835.

"This is something that all the eyes of the country were upon ... and in the end of the day the Congress voted for this act. For the court to come in now and undo that I do think would be a grave step," said Katyal.

Video produced by Sara Kenigsberg.

CORRECTION: An earlier version of this article misspelled the name of the 1819 Supreme Court decision McCulloch v. Maryland.

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COMMUNITY PUNDITS
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outlandish 02:34 PM on 03/22/2012
"Words matter. The most powerful words have helped launch social movements and cultural revolutions. The most effective words have instigated great change in public policy. The right words at the right time can literally change history." - Frank Luntz, The Huffington Post, March 1, 2011
When you first read that quote from Republican propagandist Frank Luntz, it sounds high-minded - great  Read More...
11:38 AM on 03/23/2012
The Health care Law did NOT pass congress. Congress was bypassed I don't think anybody in Congress has read it yet.
12:58 AM on 03/24/2012
It passed the congress and the senate, before the congress we have now. Then Obama signed it. The house and the senate was majority Democrats when it passed.
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05:17 AM on 03/24/2012
Thats a lie.
HUFFPOST SUPER USER
vicla1942
06:26 AM on 03/23/2012
Obama tried to get an efficient health care bill based on the Romney model
in Mass. The republicans managed to weaken the bill by eliminating the public option
and buying prescription drugs cheaper in bulk worldwide. We are 37 Th in healthcare
worldwide and ist in spending.The reason for this is our corrupt lobbyist controlled
congress and the media elite that misinforms the public , led by fox news.
11:58 AM on 03/23/2012
I was with ya' till you shot down Fox. Not that I'm a fox nut or anything. I just think we need another opinion to keep it honest. All the network we have is the same news. That means we have one news channel. We should call it "Pravda". I believe freedom of press and speech are a sacred right, and should never be put out there for elimination.
HUFFPOST SUPER USER
vicla1942
03:34 PM on 03/23/2012
Fox is a right wing republican channel. The problem with fox is they
misrepresent facts constantly and propagandize the issues.If they
did not lie about the facts they would be better off, that is what got them
barred from Canada. msnbc is the democratic channel, they over exxagerate
many positions. cnn is just not very good.I read the globe and mail , it is gainst the law
to tell blatant lies in Canada.
HUFFPOST SUPER USER
MUDPUPPY
05:26 AM on 03/23/2012
Obama Care just might work if you could actually borrow your way out of debt.
11:27 AM on 03/23/2012
Saint Ronnie showed us 'deficits don't matter' (Copyright Cheney). We have been following this advice and think that 'we can borrow our way out of debt' since then except for a brief time under Clinton.
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mothra666
sdrawkcab si oib-orcim yM
02:20 AM on 03/23/2012
What's sad is that it's only an issue for conservatives because it is related to Obama. Republicans were all for it for years. The fact that some of these same people don't think healthcare needs reform is laughable. We're 37th in care and 1rst in cost.
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Hooponopono
From Maine to Hawaii
02:37 AM on 03/23/2012
There is one exception, the nation's one and only fully developed version of the ACA, the one Hawaii implimented in 1974. It took 10 years for us to fully bend the cost curve and realize its full cost savings potential. But, by 1984 we had. And, ever since we've enjoyed the nation's lowest cost health care by far. It cost half yours for both the individual and for the state. Furthermore, it has improved our overall health so much that it has increased our life expectancy from 1 year less to 5 years more than yours. We have thoroughly proven the worth of the ACA. This is what conservatives all over America are fighting to prevent. We, in Hawaii, think that they should be committed.
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mothra666
sdrawkcab si oib-orcim yM
03:00 AM on 03/23/2012
yes, I know about Hawaii! I am told the radio there isn't so great though, true?
useyourbrain
Once I heard nothing
01:51 AM on 03/23/2012
Repubs are against mandates unless it's a trans vaginal probe mandate for women seeking an abortion.

Interesting historical note -- one of the early acts of Congress when the USA was formed was a mandated health insurance for the Merchant Marines AND with government hospitals and doctors. Sailors had to have some of their pay withheld by their employers and paid into a fund to treat them when they became ill or hurt in accidents. The merchant marines were seen as a necessary part of the new countries economy. Why can't the people and business people see the savings that will happen with ObamaCare - a flawed but great beginning to the public option or better yet, Medicare for all. It's the most cost efficient insurance plan around and it has nothing to do with health care service, just the insurance part of it. There aren't government doctors to force you to have trans probes of any kind. Use your brains people.
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knotsofast
How much did our nation's debt increase today?
10:53 PM on 03/22/2012
A wasted presidency.
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mothra666
sdrawkcab si oib-orcim yM
02:10 AM on 03/23/2012
mr ficticious micro-bio speaks again
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Hooponopono
From Maine to Hawaii
02:38 AM on 03/23/2012
He saved your sorry a$$ from the second great depression we were plunging towards the day he was sworn in. I suppose saving you and your loved wons maybe was a waste.
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knotsofast
How much did our nation's debt increase today?
04:42 PM on 03/23/2012
Not me. I am doing fine, and always have. No one in my family has been unemployed or lost a home. I sold inlate 2008 my stocks, rebouth at the low and just cashed out. Home piad fr, and have bouth two others as prices and rates plunged. Gold silver investments. I can play the liberal FED and Obama policies like fiddle!
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HUFFPOST SUPER USER
MelanieMatthias
I am President Obama's biggest fan!
09:59 PM on 03/22/2012
Anyone who can read the Constitution knows this law will be upheld.
This comment has been removed due to violations of our [Guidelines]
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HUFFPOST SUPER USER
sallybutt45
To thine own self be true.
09:24 PM on 03/22/2012
As far as I am concerned, they can start from scratch, and don't allow the Insurance companies draft the new one. Public Option was not acceptable, because the savings would have benefited the public and it's against their grain ( congress ) to do the people's bidding. The rats got paid to make it more profitable for everyone except the we the people. They so demonized the Public Option, that Obama settled for what Rahm and his pals told him was the best that could be done. Also, the option to purchase a good deal on prescription drugs was nixed because the pharmacuetical companies lobbied against it. A Medicare type program for everyone is very doable, if the insurance companies are allowed to sell only medigap coverage. I guess it is just too simple a problem for the congress to understand, that all of us would love to have the kind of coverage they have at the cute rate prices they pay. Full insurance could still be sold for those making mega-bucks and not interested in the public auction, like they have in those civilized countries we hear about.
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HUFFPOST SUPER USER
Salty too
Give me Liberty or give me death.
08:53 PM on 03/22/2012
For those of you who have never traveled to the west, or southwest,
cattle guards are horizontal steel rails placed at fence openings,
in dug-out places in the roads adjacent to highways (sometimes across highways), to prevent cattle from crossing over that area. For some reason the cattle will not step on the "guards," probably because they fear getting their feet caught between the rails.

A few months ago, President Obama received and was reading a report that there were over 100,000 cattle guards in Colorado . The Colorado ranchers had protested his proposed changes in grazing policies, so he ordered the Secretary of the Interior to fire half of the "cattle" guards immediately!
Before the Secretary of the Interior could respond and presumably try to straighten President Obama out on the matter, Vice-President Joe Biden, intervened with a request that...before any "cattle" guards were fired, they be given six months of retraining.

'Times are hard,' said Joe Biden, 'it's only fair to the cattle guards and their families be given six months of retraining! '

And these two guys are running our country,
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HUFFPOST SUPER USER
sallybutt45
To thine own self be true.
09:04 PM on 03/22/2012
That's an old joke and it comes from a story til by Laura Bush about her "cowboy" husband when he was first running for congress in Texas. Find a better joke to tell, that one is stale!
09:09 PM on 03/22/2012
Maybe he should've bought a fake, photo-op ranch where he could clear brush and pretend that he wasn't terrified of horses altogether.
09:18 PM on 03/22/2012
Or stood on a beach and looked deeply at a small cross in the sand. Yeah, like Dems don't play the same game
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buckydumpster
owns "They Live" sunglasses
08:10 PM on 03/22/2012
If this isn't upheld we will still have millions of uninsured using the ER as their primary care physician, INCREASING PREMIUMS FOR ALL OF US. Except of course those who are so wealthy they don't need insurance.

Why do we have millions of uninsured? because healthcare premiums are to high. Why are they so high? Because risk is only spread to those who can afford it.
09:25 PM on 03/22/2012
emergency romm care is paid for by MEDICARE and MEDICAID...that's a tax burden to every tax paying American and especially burdensome to the elderly who cannot survive without those two programs...the elderly are tax payers who worked all,of their lives and got too old to work and their employers failed to provide relief for them after all they did to make a successful company so the CEO could have billion dollar bonus' handed to him...but emergency room care is mostly used by illegals in this country and paid for by medicare and medicaid in some states ...
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knotsofast
How much did our nation's debt increase today?
10:55 PM on 03/22/2012
Deny care in ERs except for emergencies. People all over carry $500 per month car notes, have flat screens but don't have insurance. People will get the message. Simple.
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buckydumpster
owns "They Live" sunglasses
08:37 AM on 03/26/2012
What constitutes an emergency? Who decides? And yet, we ALL pay for those who can't. So, again if more have healthcare, the risk is spread. What is the big scare? Insurance companies will have to compete.
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07:49 PM on 03/22/2012
Whether or not Obamacare gets a 'smackdown', there needs to be immediate action toward vastly improving "health" EDUCATION for children beginning at the youngest age with a great deal of focus on all the negative consequences of behavior that damages their health, specifically including but not limited to financial as well as the quality of life with regard to the limitations of options that bad health brings with it..

Reinvigorate the PE programs, even using hallways if need be because no gym is available.

Tough love very early and every year.
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King Arthur
Center Right
08:02 PM on 03/22/2012
You wish to teach that to children of the youngest age? You can propagandist your own children, you leave mine alone. You can teach with hate and fear about all the negatives in life, I am going to focus on the positives. Is there a problem that needs addressed? Yes. Can the benevolent left provide us with all the answers? They would like you to think so, but no...
09:28 PM on 03/22/2012
if you are focusing on the positives by believeing republican rubbish ..and it sounds like you are doing just that.....you ain't heard or seen anything yet from them which is positive... your simply another non thinker!!
10:52 PM on 03/22/2012
Teaching a young person about the negative effects of things on their health is not propaganda, and it usually isn't done with "fear and hate." A loving parent or parent would find a positive way to teach this. I don't think the "benevolent left" is trying to provide all the answers for you, you probably wouldn't listen anyway. So, do it your way.
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HUFFPOST PUNDIT
redsongia
is not Chicago
07:31 PM on 03/22/2012
Starting over wouldn't be the worst thing. Public option sounds pretty good.
HUFFPOST SUPER USER
Wizer
No more tiny coffins
12:10 AM on 03/23/2012
I agree but do you honestly think republicans are going to move on a bill that the hc insurance lobby doesn't want?
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HUFFPOST SUPER USER
DenverRight
Hic Sunt Dracones
07:09 PM on 03/22/2012
So Obama the candidate told Hillary he was against an individual mandate in 2008. Now, Obama supports the mandate.

Republicans were FOR a mandate 20 years ago . But even with THOSE Republicans gone, the Republicans today are criticized for having a different view, 20 years later.

I think I get it now...
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King Arthur
Center Right
08:04 PM on 03/22/2012
Its not a Trojan horse, its right there for anyone with eyes that see.
08:15 PM on 03/22/2012
"But even with THOSE Republicans gone..."

Republicans in the Senate in March 2010, who were also in the Senate in 1993... Republicans who supported their own mandate then, but voted against it in this bill:

Richard Shelby (AL)

John McCain (AZ)

Richard Lugar (IN)

Dan Coats (IN)

Chuck Grassley (IA)

Mitch McConnell (KY)

Thad Cochran (MS)

Kit Bond (MO)

Judd Gregg (NH)

James Inhofe (OK)

Kay Bailey Hutchison (TX)

Orrin Hatch (UT)

Bob Bennett (UT)
09:30 PM on 03/22/2012
Thanks for remonding all of us of the facts!!
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HUFFPOST SUPER USER
Ktbu Lfu
Tired of people making fun of my micro-bio
07:34 AM on 03/23/2012
There needs to be term limits.
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HUFFPOST SUPER USER
Larry Waters
Bio your micro edit!
06:32 PM on 03/22/2012
If we have universal health coverage our citizen's health will improve as will personal and institutional . financial stability.

Its patriotic to have health insurance.
This comment has been removed due to violations of our [Guidelines]
HUFFPOST SUPER USER
Jack Lantern
The Orange One
06:29 PM on 03/22/2012
If the court votes to reverse the health care legislation, it will set a dangerous precedent for other laws now enacted under the commerce law. It will open them up to challenge. In fact, it would undermine a very important aspect to the law of our land that assists (and protects) us, rather than destroys us.

Gee, Gnewt would get his way when it comes to eliminating the judicial branch of the government, because ignoring the power of the Interstate Commerce law essentially neuters our constitution, makes a mockery of the judicial branch and, ironically, blocks the legal power of the executive branch. The GOP and conservatives will to ANYTHING to block that black man in power at the White House. And I mean ANYTHING>

Disgusting.