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Health Care Law Hits Supreme Court: Justices Press Full Steam Ahead To Big Issues (VIDEO)

Posted: 03/26/2012 7:49 am Updated: 04/11/2012 10:25 am

Health Care Law
People wait in line overnight in front of the Supreme Court for tickets on the eve of oral arguments on President Obama's health care legislation. (AP Photo/J. David Ake)

WASHINGTON -- On opening day in the health care cases, the Supreme Court justices made clear they would not let common sense get in the way of making constitutional history.

The Affordable Care Act's individual mandate, which has been challenged by 26 states and several private plaintiffs, requires virtually all Americans starting in 2014 to have health insurance or pay a penalty. But standing between the Supreme Court and a politically charged decision upholding or striking down the mandate is a Reconstruction-era law called the Anti-Injunction Act, which forbids lawsuits filed "for the purpose of restraining the assessment or collection of any tax" until that tax has been paid.

The applicability of the Anti-Injunction Act to the mandate seems straightforward enough (although it split the federal appeals courts). The penalty is a tax because it will be paid through one's tax return. And the statute's text says that before the tax is paid, "no suit ... shall be maintained in any court by any person."

Yet neither side in the Supreme Court wanted to make this simple, delaying argument, seeking instead an election-year constitutional clash over a sitting president's signature legislative achievement. So the high court appointed Washington lawyer Robert Long to lay out the case for applying the Anti-Injunction Act.

And on Monday morning, the justices lawyered the Anti-Injunction Act to death.

Their questions focused on how to wiggle out of the law's flat ban on tax-restraining lawsuits and how to avoid the conclusion that the mandate's penalty is, in fact, a tax.

Long told the justices that Congress said the "penalty shall be assessed and collected in the same manner as taxes," but Justice Antonin Scalia suggested that courts owed no deference to that determination because, he said, it was directed solely to the Treasury Department.

Justice Ruth Bader Ginsburg contrasted the Anti-Injunction Act's "no suit ... shall be maintained" language with that of a sister statute that expressly bans "courts of the United States" from delaying certain proceedings. This contrast, she contended, makes the Anti-Injunction Act "suitor-directed in contrast to court-directed." Never mind the rest of the statute, which reads, "in any court by any person."

Justice Samuel Alito, for his part, implied that several past cases set the precedent that the Supreme Court could accept a waiver of the act's applicability by the solicitor general. Justice Anthony Kennedy seemed to agree with this line of reasoning. It did not seem to matter that Long just minutes before had told Chief Justice John Roberts that such a principle "has been overruled by subsequent decisions of this Court."

Long then argued that if Congress had wanted to exempt the mandate's penalty from the Anti-Injunction Act, it could have passed a law saying so. Justice Elena Kagan turned that sensible, and usually accepted, interpretation of congressional silence on its head, suggesting that the ban should not apply unless Congress says it does.

Justices Stephen Breyer and Sonia Sotomayor, meanwhile, took seriously Congress' refusal to call the penalty a tax, however tax-like it was.

"Congress is not denominating it as a tax; it's denominating it as a penalty," Sotomayor said.

The penalty "is not attached to a tax," Breyer said. "It is attached to a health care requirement."

But Sotomayor asked, "What's the parade of horribles" that would occur if the Anti-Injunction Act were something that the government could apply at its discretion?

Long was not able to give a sufficient answer, so Scalia answered for him.

"What's going to happen is you are going to have an intelligent federal court deciding whether you are going to make an exception," Scalia said. "There will be no parade of horribles because all federal courts are intelligent," he added, forgetting for a moment the Supreme Court's repeated reversal of decisions from the U.S. Court of Appeals for the 9th Circuit.

With the high court apparently unanimously arrayed against the lawyer they had appointed to argue before them, Solicitor General Donald Verrilli and the challengers' lawyer, Gregory Katsas, were freed to tell the justices how to get past the Anti-Injunction Act.

Verrilli's main problem was getting past his own hair-splitting attempt to define "tax" to the government's benefit. The penalty is a tax for constitutional purposes, he argued, looking ahead to the intricacies of Tuesday's debate. But, he said, it is not a tax under the Internal Revenue Code, which is what matters for the Anti-Injunction Act analysis.

"General Verrilli, today you are arguing that the penalty is not a tax," Justice Alito said. "Tomorrow you are going to be back and you will be arguing that the penalty is a tax."

"Has the Court ever held that something that is a tax for purposes of the taxing power under the Constitution is not a tax under the Anti-Injunction Act?" Alito asked.

Verilli said no.

Still, if the justices bought his argument, he said, they could avoid the more complicated question of the Anti-Injunction Act's reach well beyond the health care cases.

"Don't you want to know the answer?" Kennedy said, provoking laughs.

"Justice Kennedy, I think we all want to know the answer to a lot of things in this case," Verrilli responded.

To that, Sotomayor referenced the apocalyptic predictions made by the Affordable Care Act's foes should the Supreme Court uphold the mandate's constitutionality.

"The private respondents argue that there are other collateral consequences, such as for people on probation who are disobeying the law. If they don't buy health insurance, they would be disobeying the law and could be subject to having their supervised release revoked," she said.

"That is not a correct reading of the statute, Justice Sotomayor," Verrilli answered. "The only consequence that ensues is the tax penalty."

Katsas, arms folded across his chest, rounded out the morning by arguing that the Anti-Injunction Act did not apply to the case because his clients were challenging the mandate to have insurance, not the penalty for failing to do so.

Chief Justice Roberts rejected the contention. "It seems very artificial to separate the punishment from the crime," he said.

Video produced by Sara Kenigsberg.

Read a transcript of the Supreme Court's first day of oral argument:

Supreme Court Health Care Law

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WASHINGTON -- On opening day in the health care cases, the Supreme Court justices made clear they would not let common sense get in the way of making constitutional history. The Affordable Care Act...
WASHINGTON -- On opening day in the health care cases, the Supreme Court justices made clear they would not let common sense get in the way of making constitutional history. The Affordable Care Act...
 
 
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HUFFPOST SUPER USER
johnjfoote
johnjfoote
09:03 PM on 03/27/2012
Obama his family and all Government workers should have this insurance plan.
06:55 PM on 03/27/2012
all those who do not want to be forced to buy insurance, then dont force PRIVATE hospitals to provide care to the uninsured.
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MarvinM
Where's the Ka-Boom?
01:51 AM on 03/29/2012
That's kinda what the whole problem is, but most GOP-types don't want to deal with that reality.

They will never go on tape/digital recording saying "Then let them die and decrease the surplus population".

What the mandate would do would have the majority of people be covered by some sort of health insurance, which would pay the hospitals and doctors who now jack up your rates to cover the costs of the uninsured, or the fines would go to reimburse, at least in part, doctors and hospitals and other health care facilities that took care of the uninsured.

It would see that everyone paid into the system.

I wanted single-payer myself. Or Medicare buy-in. Or a dollar-for-dollar tax deduction for purchasing health insurance as a private person whose health care is not paid for by an employer.

Wow. There's three ideas right there.

Oh wait, I think those ideas were suggested but ultimately rejected during the hashing out of the ACA.
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HUFFPOST SUPER USER
Unca Allen
Tyranny will rise when you do nothing
05:33 PM on 03/27/2012
"Supreme Court justices made clear they would not let common sense get in the way of their decisions...." "Obama's signature piece of legislation..." Personally, I'm very uncomfortable with a Supreme Court that has already ruled that General Electric is a person, and most certainly frightened by one that recuses itself from using common sense. As to Obamacare, it doesn't take effect until 2014...two years into the new president's administration. It will have long been rejected by that time, especially since it's unconstitutional. Since when does a president legislate, anyway? Isn't that Congress' explicit job?
HUFFPOST SUPER USER
jzannoni
05:03 PM on 03/27/2012
What we really need is a redistribution of the money that is spent on health care. You smoke are 100 pounds overweight and dont exercise and require a disproportionate allocation of health care services, you are penalized. You are healthy and take care of yourself you receive a benefit for less use of the system. You are sick for some other unfortunate reason, the rest of us help you. You are 89 years old and need a new heart......Sorry
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HUFFPOST SUPER USER
Unca Allen
Tyranny will rise when you do nothing
05:34 PM on 03/27/2012
Wuff! Somebody died and made you God? I agree...you're pretty sorry.
HUFFPOST SUPER USER
jzannoni
09:32 AM on 03/28/2012
So whats your solution to the mess Einstein....
HUFFPOST SUPER USER
BOOWAH
04:00 PM on 03/27/2012
Did I read it right? The Justices would not let common sense get in the way of making Constitutional History? That's exactly what's wrong with our government today! It lacks common sense! Our Government was founded on common sense! Our founding fathers used common sense on writing the Constitution of the United States! Common sense was applied to all it's amendments! And now are we to assume that the Supreme Court has vowed not to use common sense? This country is gone! Last one leaving, turn out the lights!
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HUFFPOST SUPER USER
Unca Allen
Tyranny will rise when you do nothing
05:36 PM on 03/27/2012
Fanned, but don't give up so easily. The SC could very well become confused and do the right thing.
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HUFFPOST SUPER USER
mjtaylor22
02:21 PM on 03/27/2012
This is total bull crap...Just reading their nuanced arguments that fall all over one another......the mandate is constitutional...under commerce law..And even as a tax even if not expressed as a tax due to the political climate of dumbness affecting anything the funds the govt.....
The anti healthcare lawyer will argue on day that the penalty is not a tax then the next that it is a tax....how the freak can you allow this guy to play with the courts time like this.......it is not a serious case...just a bytching session for conservatives. .and if they strike down the mandate alone...the private sector insurers and hospitals will lose their freaking minds...they agreed to concessions because of the mandate....no more free ER visits and lower Medicare payments......without the mandate...they gonna be serving people for free in the ER and taking lower Medicare payments...which will go a long way to solve the long term Medicare financial issues...any dam way.wow.. Obama is really a six dimensional chess player......
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HUFFPOST SUPER USER
Florha Jones
Worship, workout & work !!!
01:55 PM on 03/27/2012
The greater good of our country should be held above individuals personal rights.
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HUFFPOST SUPER USER
Unca Allen
Tyranny will rise when you do nothing
05:41 PM on 03/27/2012
Individual personal rights is the FOUNDATION of our country...or do you have reading comprehension problems?
06:51 PM on 03/27/2012
you have an indiviual right to be refused health care if your uninsured, in a car accident and can not pay then. why should PRIVATE hospitals be forced to provide care to people with out insurance and can not pay?
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HUFFPOST SUPER USER
Florha Jones
Worship, workout & work !!!
08:22 PM on 03/28/2012
Really? The FOUNDATION of our country was built by the hands of those our " founding fathers " deemed unfit for the freedom of personal rights and liberty. At some point YOU have to contribute too, to the greatness of our country.
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change 2010
Welcome to Ameritopia!
01:51 PM on 03/27/2012
But Tuesday’s arguments may signal trouble for the mandate, widely seen as a cornerstone of the law's program for achieving universal healthcare coverage for the first time in the nation’s history.
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change 2010
Welcome to Ameritopia!
01:46 PM on 03/27/2012
Chief Justice John G. Roberts Jr. suggested that the government might require Americans to buy cellphones to be ready for emergencies. And Justice Antonin Scalia asked if the government might require Americans to buy broccoli or automobiles.

"If the government can do this, what else can it ... do?” Scalia asked.
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HUFFPOST SUPER USER
Unca Allen
Tyranny will rise when you do nothing
05:44 PM on 03/27/2012
This is their job...to put a a halt to frivolous legislation and especially unconstitutional legislation.
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vmf211
Fighting against Liberalism every day
01:33 PM on 03/27/2012
This look like a train wreck for the Obama administration and really sounds like Obamacare will be ruled unconstitutional.
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HUFFPOST SUPER USER
Unca Allen
Tyranny will rise when you do nothing
05:44 PM on 03/27/2012
Good news for the world!
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gditty
My micro-bio is updated and pending approval
09:35 PM on 04/02/2012
In other news, Obama job approval numbers continue to rise.
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HUFFPOST SUPER USER
JackBlair69
True and Fabulous
12:46 PM on 03/27/2012
I hope someone brings up "computer insurance" (or "social media insurance"). It has been determined by some white Liberals in academia that the "digital divide" puts people "at risk for social exclusion."

If I cannot Tweet and Facebook and Skype and email and text and Gravatar, etc., I will be socially excluded, which is unacceptable in a free society.

EVERYONE needs social media insurance.
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change 2010
Welcome to Ameritopia!
01:47 PM on 03/27/2012
i need a new computer too... my tweets are tweeting fast enough..

and a OC3 line to my house... cable internet is fast enough..
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HUFFPOST SUPER USER
Unca Allen
Tyranny will rise when you do nothing
06:02 PM on 03/27/2012
Sounds like something straight out of obama's mouth. Hare-brained.
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HUFFPOST SUPER USER
sidge
11:54 AM on 03/27/2012
I agree with the thoughtful, well-reasoned and beautifully articulated comments of Justice Thomas.
11:52 AM on 03/27/2012
If the argument is that an individual mandate to purchase health insurance takes away our freedom, where do they stand on the draft? My 17 year old son will soon have to register for selective service. That doesn't sound very free to me.
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HUFFPOST SUPER USER
JackBlair69
True and Fabulous
12:43 PM on 03/27/2012
We don't have a draft, and we likely never will again. Yes, men (but not women - curiously) are required to register with selective service, but a draft is not in effect.

The military doesn't want the draft. Today's military is high tech and specialized. It's more trouble than it's worth (and quite dangerous) to train some dumb guy for eight weeks, give him a gun, and send him off.
02:34 PM on 03/27/2012
Agreed - but my point was that the draft has been held up to be constitutional. So if the government has the authority to send off our kids to fight and die, then how could forcing me to purchase health insurance be that much different?
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vmf211
Fighting against Liberalism every day
01:31 PM on 03/27/2012
We don't have a draft Einstien and i'm guessing we haven't had one since you were born?
02:41 PM on 03/27/2012
You can call me Isaac. And we do the draft procedure in place, which is why our young men have to register for selective service. All it takes, my dear Watson, is a declaration of war and the draft can be re-enacted by presedential order. So my point is how is an individual mandate to purchase health insurance any less constitutional with that?
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change 2010
Welcome to Ameritopia!
11:33 AM on 03/27/2012
i think it should be mandated I get a Cadillac SUV and a 60" Flat screen TV...

That will make me healthier so I don't need to go to the doctor..
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HUFFPOST COMMUNITY MODERATOR
Beachchick
Dignity is not negotiable
11:43 AM on 03/27/2012
Thoughtful comments contribute more to a serious discussion about this important and serious issue.
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change 2010
Welcome to Ameritopia!
11:58 AM on 03/27/2012
ok, I THINK all you DEMS should leave HEALTH CARE Alone....
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HUFFPOST SUPER USER
Unca Allen
Tyranny will rise when you do nothing
06:13 PM on 03/27/2012
Like so many others, you are sarcasm-ignorant. Change 2010 is voicing his opposition to obamacare...and I agree with him.
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HUFFPOST SUPER USER
David Hundley
Deep In The Heart of Taxes
11:19 AM on 03/27/2012
Google Trend anything. Medical Care vs. Insurance Profits
http://www.google.com/trends/?q=MedicalCare,Insurance+Profits&ctab=0&geo=all&date=all
How about How Dr. Ron Paul vs. Obama Look at the red lines.
http://www.google.com/trends/?q=Obama,+Paul&ctab=0&geo=all&date=all&sort=1
Yea, This Is What They Are Afraid of, That is why he is black-listed and ignored. Shameful.