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Health Care Ruling Shows Judicial Activism Is Alive and Well -- and Living on the Right

Posted: 01/31/11 07:02 PM ET

Monday's federal court decision striking down the landmark Affordable Care Act (ACA) shows how much the political right has embraced judicial activism. After years of denouncing liberals for seeking to overturn the will of the people through court decisions, conservatives have fully adopted that very same approach to laws they don't like. Unable to repeal the health care reform bill through the elected branches, they want the judiciary to do their bidding for them.

Unfortunately, some federal judges are going along.

Approximately a dozen federal courts have already upheld the ACA from constitutional challenges. Yet the ruling out of Florida will undoubtedly receive much more media attention than those earlier rulings. The media is always much more interested in outlandish rulings striking down legislation than thoughtful ones upholding legislation.

The ruling out of Florida is unsurprising in one respect: the judge, a conservative Republican appointee, had already signaled his hostility to the law in hearings a few months ago. So people who follow the health care litigation have been waiting for him to issue the ruling that came down Monday.

It was anticipation over this ruling -- and real concern about how the judge would likely distort longstanding case law to reach it -- that led over one hundred law professors to sign a statement last week expressing their view that the ACA is constitutional. Their statement pointedly observed that the "current challenges to the constitutionality of this legislation seek to jettison nearly two centuries of settled constitutional law."

The basis for the Florida court's ruling was that Congress did not have the power to require people to obtain health insurance. While Congress does only have limited powers, one of those powers enables Congress to regulate "commerce... among the several States." This "commerce power," as it is known, enables Congress to regulate aspects of the economy that would evade easy solution by regulation at the state level alone.

The national market for health care is in precisely the sort of crisis that mandates a federal, not state, solution. This market consumes more than 17% of the annual gross domestic product and amounts to over $2 trillion annually. Clearly, the ACA regulates interstate commerce and no state law is going to solve it's current problems.

The judge in Florida said that people refusing to buy health insurance were "passive" and thus beyond Congress's reach. Only people who affirmatively choose to undertake some sort of activity, the court said, were subject to federal lawmaking. Yet every person required to obtain health insurance will actively seek out health care services at some point. In any given year, a majority of Americans see a doctor. Over the course of a lifetime, all of us receive medical attention.

That Congress lacks the power to require people to buy a product when the national interest demands it would surprise the Founding Fathers. They required people to do just that. In the second Militia Act of 1792, they required individuals to outfit themselves with a military-style firearm and ammunition. This was the first "individual mandate" and one had to obey even if one had to go out and buy a gun. Being passive didn't put you out of Congress's reach.

After years of telling Americans to follow the original intent of the Framers, now the same people want us to ignore what the Framers actually did.

Besides, the ACA doesn't regulate "inactivity." It merely requires that, because all of us use health care services, we have the ability to pay for it. Without the requirement to have insurance, people will seek out medical help without being able to afford it -- imposing costs on all of us taxpayers and insurance policyholders who do obtain coverage.

Funny thing is, health care reforms' opponents are the same people who for years have been insisting we need more personal responsibility.

Of course, Monday's ruling doesn't matter very much. The only votes that really count are on the Supreme Court. What Monday's ruling does suggest, however, is that conservative judges are more than willing to break from longstanding precedent and their own favored policies of originalism and personal responsibility when push comes to shove. Or when faced with a law favored by Democrats.

 

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10:09 PM on 02/06/2011
Refusing is passive according to this judge. Following that logic no one ever needs to pay taxes again!
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HUFFPOST SUPER USER
Michmod
Made in Detroit.
10:09 PM on 02/06/2011
Thank you. Well said. It is funny how healthcare/health insurance causes conservatives to abandon their cry of individual accountability - yet here is where it has tremendous import. My insurance premiums have been subsidizing the uninsured...many of whom could have afforded insurance but opted to gamble....yet I am not due any protections? So the number of uninsured are going up every year yet I am supposed to continue to subsidize them? At what point does that become unsustainable? I would have to guess we were approaching that day very quickly before Health Reform passed. This is a no brainer. This country is paying TWICE what other countries pay for healthcare. TWICE. And we are in the lower pecentiles for health outcomes. That alone is enough to justify the Constitutional basis for reform. What is the alternative is all I can ask. 45,000 Americans dying each year. 900.000 declaring bankruptcy due to healthcare costs. The ranks of the uninsured growing at a rate of 10% a year.
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tnkeating
Dyslexic agnostic insomniac
04:56 PM on 02/06/2011
Yes Adam judicial activism is alive and well, and at least 100 law professors are practicing it. It's really like you pointed out though, the supreme court will determine its constitutionality. In my view the affordable healthcare act is an abortion, I'm not sure repeal is the answer but it sure needs a lot of work and corrective actions.
04:42 PM on 02/06/2011
Funny stuff.

Like this one “After years of denouncing liberals for seeking to overturn the will of the people through court decisions, conservatives have fully adopted that very same approach to laws they don't likeâ€

Have to assume that Mr Winkler doesn’t read the poles.

Also like the idea that the administration is going to “attempt†to enforce Obama care even though the courts have, and will continue to rule against it.

Two states Wisconsin, and Alaska have already said Obama care doesn’t exist. Maybe Al Jazeera will send some reporters to cover when federal troops are sent in to enforce Obama Care afer the Supreme Court strikes it down. Which it will.

Good stuff. Who needs a constitution?

This is better then Comedy Central
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HUFFPOST SUPER USER
Michmod
Made in Detroit.
10:12 PM on 02/06/2011
45,000 people dying each year due to lack of health insurance. 900,000 people declaring bankrupcy due to health costs. The ranks of the uninsured growing at 10% a year. The highest per capita costs on the GLOBE, BY FAR. Yeah. Yuck Yuck. Funny, funny. Sorry. This issue goes to the core of Constitution. If Health Reform is repealed, our healthcare system will implode.
01:52 PM on 02/06/2011
Finally Justice In Health-care.

The Judge, who ruled against this health-care law, used President Obama's own words against Hillary Clinton about "mandates".

If anything good could come out of this whole fiasco, it would be that a real "public option" or "single payer" can be done so ordinary poor people and the elderly can receive medical treatment regardless.

Before the treaty of Westphalia, (where the word "the West" comes from), there were no nation-states, just imperial governments that ruled over what is now called Europe.

That imperial system was based upon an imperial monetary system that forced peoples of all cultures and ethnicities to circulate the "currency" of the financial oligarchs that ruled over them.

George Washington led a revolution against such imperialism, which at the time was known as the British East India Co.

In fact, it was the first order-of-business when it came to a "public option" for the people of former colonies; to have their own government who could, not only 'compete' against the East India Co. but excercise SOVEREIGNTY over it.

Therefore it is against the principle of SOVEREIGNTY, that a private citizen be mandated to buy a 'derivative' (insurance), from a private, corporately owned HMO monopoly.

Both Republicans and Democrats get it wrong because they don't understand the underlying 'principle' involved that's enshrined in our Constitution.

If past administrations failed to stop a corporate monopoly from taking over in the first place then government itself must compete against that monopoly.
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HUFFPOST SUPER USER
WhereIsTheTruth
We need more chlorine in the gene pool!
04:38 PM on 02/06/2011
Republican'ts would never allow a public option of single payer system. I'm pretty sure that's how we got saddled with the individual mandate.
09:54 PM on 02/06/2011
You cannot blame anything in the PPACA on republicans. Republicans were excluded from the process from the begining. Furthermore, not a single republican voted for the rotten thing. Republicans didn't do this- democrats did.
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phread
antiFA and proud of it
01:26 PM on 02/06/2011
The many constitutional "experts" here should delve deeper on this matter. In 1995, the Rehnquist Court...held that Congress only has the power to regulate the channels of commerce, the instrumentalities of commerce, and action that substantially affects interstate commerce...while the Court is still willing to recognize a BROAD interpretation of the Commerce Clause, IF it does not find activity substantial enough to constitute interstate commerce it will not accept Congress's stated reason for federal regulation. This issue appears to be far from settled...
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antiFA and proud of it
01:01 PM on 02/06/2011
just part of the corporate Telocracy? Or perhaps something a bit sinister?

The functions of courts in authoritarian regimes. What motivates state leaders to establish judicial institutions with varying degrees of autonomy? Following Moustafa (2007) we identify five primary
functions of courts in authoritarian states.
Courts are used to:
(1) establish social control and sideline political opponents,
(2) bolster a regime’s claim to “legal†legitimacy,
(3) strengthen administrative compliance within the state’s own
bureaucratic machinery and solve coordination problems among competing factions within the regime,
(4) facilitate trade and investment,
(5) implement controversial policies so as to allow political distance from core elements of the regime.

Rule by Law: The Politics of Courts in Authoritarian Regimes
Edited by
TOM GINSBURG
University of Illinois
TAMIR MOUSTAFA
Simon Fraser University, British Columbia
02:53 PM on 02/05/2011
The professor has to go back a couple hundred years just to find one example where citizenns can be forced to purchase something and the example is not relevant because states could alter the mandate and because it dealt with defense in war and not forcing people to cover their statin drugs with insurance.The founders believed in limited govt and the commerce clause was to regulatte transactions betwwen other parties ,not to make the govt a party to contracts.
HUFFPOST SUPER USER
Azsin
i need a wife
02:10 PM on 02/06/2011
founder did not believe in limited govermnet
they had that with the articles and the country was failing

the constitution was made to keep the union of states togrther with a strong central goverment
with input from all the states big or small
HUFFPOST SUPER USER
BlairCase
03:40 PM on 02/06/2011
The Tenth Amendment makes explicit the idea that the federal government is limited only to the powers granted it in the Constitution, (The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.) The Tenth Amendment was ratified to allay fears that the new national government might seek to exercise powers not expressely granted it by the Constitution, and that the states might not be able to exercise fully their reserved powers.


that there are unenumerated powers in addition to unenumerated rights
03:57 PM on 02/06/2011
A stronger national government than we had under the Articles does not mean the *unlimited* national government the PPACA proposes.

The Militia Act of 1789 is a poor example. Obviously Congress had the power to mandate the purchase of firearms. Even Antonin Scalia would agree with that. Why? Because the Constitution *expressly authorizes Congress to so mandate*. Sayeth Article I, Section 8:

"Congress shall have Power... To provide for organizing, arming, and disciplining, the Militia, and for governing such Part of them as may be employed in the Service of the United States, reserving to the States respectively, the Appointment of the Officers, and the Authority of training the Militia according to the discipline prescribed by Congress."

If there were an expressly enumerated power enabling Congress to "provide for the general welfare" divorced from the tax-and-spend power, the PPACA would not be disputed. But then we would also have a non-federalist system of government and Congress would have a general police power. This would violate a mountain of precedent, and would require a Constitutional amendment.

It is, to a conservative, extremely regrettable when a judge must conclude that Congress has violated the plain text of the Constitution, and must therefore refuse to give that law effect within his court. It is dangerously close to judicial activism -- reading powers into and out of the Constitution based on policy preference, not law. (For example, Roe v. Wade.) Yet it is sometimes the only possible ruling.
HUFFPOST SUPER USER
BlairCase
03:27 PM on 02/06/2011
The Militia Act of 1792 did not require people to buy firearms or ammunition. It required men conscripted into militias to provide themselves with firearms or ammuniton within six months of their conscription. They had to report for drills carrying a musket and ammunition. However, conscripts who didn't have firearms could simply borrow muskets and ammunition. Militias also supplied firearms to those who didn't have them. Beside, the Constitution explicitly provides Congress the power to raise an Army. The Act of 1792 is not applicable to interstate commerce.
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HUFFPOST SUPER USER
olerealist
retired trial attorney; former member of VA abd Wa
09:35 AM on 02/09/2011
"The Act of 1792 is not applicable to interstate commerce."

Thats a total red herring and is only remotely relevant. Ths issue is CAN YOU OR CAN YOU NOT IMPLY powers which are not expressed in the consitution and that practice has been applied to about a DOZEN constitutional provisions starting with 1792.
02:03 PM on 02/04/2011
Why is it called the "affordable care act" when it will just increase our costs?
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Mag7
Smarter than the Average Dog
03:13 PM on 02/04/2011
Because it won't Jill.
http://factcheck.org/2010/11/the-truth-about-health-insurance-premiums/
01:33 PM on 02/05/2011
Our medical costs have gone up astronomically since medicare was enacted. Insuring almost 40 million people who are not insured obviously increses costs.
Almost all pharmaceuticals are usless and dangerous as are almost all operations . I would like to be able to write my own policy and exclude most things . I would excluse chemotherapy for cancer , almost all operations and pharmaceuticals and my premiums would go way down ..
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HUFFPOST SUPER USER
olerealist
retired trial attorney; former member of VA abd Wa
09:40 AM on 02/09/2011
"Why is it called the "affordabl­e care act" when it will just increase our costs? "

Dear Jill
You might have avoided this if you had asked your congressional representative to vote for the
PUBLIC OPTION.
08:19 AM on 02/02/2011
I would really like to hear Obama supporters answer one question: If nullifying the ACA does not represent a victory for LIBERTY then why are so many unions, companies and states rushing to get waivers from it?

I want MY waiver from it no differently than did all kinds of big Obama supporters like the SEIU, UFCW, hundreds of other unions and hundreds of corporations.

They all wanted waivers and they are getting them so I just want MINE too! So if I cannot get one from Obama then who else but the court can give me one?
02:37 PM on 02/02/2011
Where can I find the chirping cricket emoticon?
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Mag7
Smarter than the Average Dog
03:23 PM on 02/04/2011
Fine, you now have the liberty of paying ever-increasing premiums and declining coverage. You're also free to be dropped from your coverage once you become too expensive for your for-profit insurance company to keep. Don't believe me? Just ask the republican congressman you just voted for who he or she takes orders from -you or your insurance company. Do you think either one of them care more about the lump in your breast as opposed to the wad in their pocket? But hey, you're free, victory is yours.
01:37 PM on 02/05/2011
If you have a cancerous lump in your breast and get radiation and chemo , you have the same chance of being alive in seven years as someone who does nothing , not to mention the fact that chemo causes cancer and heart failure and a host of other catastrophies . It is amazing that proplr on the Huff Post are so septical of big business except the biggest of them all , the pharmaceutical industry .
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robadeaux
Your labels have expired....
12:49 PM on 02/06/2011
There will be ever increasing premiums and declining coverage whether the act survives or not.
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HUFFPOST SUPER USER
lasjazzman
Stress = perfectionist + lousy typist!
04:23 AM on 02/02/2011
Never mind that the "insurance mandate" was a Republican idea to start with, the massive hypocritical irony involved with this judicial activism move on behalf of the right is most likely entirely lost on the dim bulbs that inhabit the right wing in Congress!!
08:23 AM on 02/02/2011
I assume you are talking about Massachuetts? If so then you are WRONG. The republican contribution to the concept allows any person to get an automatic personal waiver for religious exclusion. All you need to do is sign an affidavit and you're FREE. Show me that in the ACA?
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HUFFPOST COMMUNITY MODERATOR
lisakaz2
Da ministero dell'interno di Snark.
12:56 PM on 02/06/2011
Nope, the reference is to Bob Dole and the 1990s.
08:44 AM on 02/02/2011
Additionally, your claim of "judicial activism" is misplaced. The practice of "legislating from the bench" is by far a liberal judge disease and identifiable by the typical result of forcing people or restricting people in some way. Forcing me to pay taxes used for abortions or restricting people from saying prayers in some particular setting are both examples liberal judicial activism; both take away my liberty.

The role of the federal court includes protecting us from egregious government legislation. Right or wrong, any decision that serves THAT purpose, defending my liberty, cannot possibly be described as 'activism'.
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robadeaux
Your labels have expired....
12:57 PM on 02/06/2011
Forcing me to pay taxes to support warmongers and corporate welfare is judicial activism by liberals?
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HUFFPOST SUPER USER
WhereIsTheTruth
We need more chlorine in the gene pool!
05:03 PM on 02/06/2011
In addition to defending your liberties, they defend mine. Why should I be required to participate in or be exposed to your prayers? You're free to spend you're entire day on your knees praying. In fact, if it makes you feel closer to your god then I encourage it. Just do it at home, at church or in your car, not in the classroom or the court room.
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HUFFPOST SUPER USER
olerealist
retired trial attorney; former member of VA abd Wa
01:22 AM on 02/02/2011
RE STATE OF FLORIDA VS US DEPT OF HEALTH & H - -

What I find remarkable about the Ruling of Judge Robert Vinson is that being that he is only a US DISTRICT Ct. Judge he used a very inappropriate judicial standard to adjudicate this matter.

Remember this is a trial court not an appellate Court. It is a universal principal that trial courts do not rule on the broadest but only upon the narrowest scope decision which is necessary to dispose of the case. If you agreed with this judge, the proper decision would have been limited to finding ONLY that the mandate to purchase was not enforceable. He had no license to pontificate on the possible diverse effects of his views of the narrow issue upon broader issues as they relate to the entire law. That is for the appellate and US Supreme Court to deal with.

I believe we shall find that even among judges who agree with him on the narrower issue will be highly critical of Judge Vinson’s application of an inappropriate standard of adjudication. The proper procedure would have been to decide the narrower issue by specific existing legal precedent not to create a new one. i expecdt that Justices Roberts and Alito will give an unbiased hearing to the Defendant as they have shown more inclination to suppoert federal legislative power than some of their associate justices.
02:09 PM on 02/04/2011
Federal district court judges rule on constitutional issues .Constitutional issues are not reserved for the fed ct app or the Sup Ct
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HUFFPOST SUPER USER
olerealist
retired trial attorney; former member of VA abd Wa
04:37 PM on 02/04/2011
quote: "Federal district court judges rule on constituti­onal issues .Constitut­ional issues are not reserved for the fed ct app or the Sup Ct "

Who in the word said that DISTRICT COURT judges do not ever rule on constitutional issues?

Of course they do when
A. It is required in order to dispose of the actual case they are presiding over; and

B. When they have directly relevant legal precent to support their a decision other than a dismissal. and

C. When it is NECESSARY in order to make a decision that he establish a new precedent in a novel case where there is no legal precent upon which to dispose of the case being tried, sometimes called a "case of first review".

Judge Vinson was acting appropriately (even if incorrect) ruling on the Constutionality of forcing the purchase of insurance. His ruling striking the ENTIRE AHC law did not pass the test. (A, B & C)

The point mad very bluntly is that when a trial judge has the minimum necessry to completely disopose of THE case being tried, he shuts up. There is no "incidentally" or "by the way - - -"

If Judge Vinson had an irresistable urge to make another remark, he should have posted it below his opinion as a mere footnote (which is no kind of legal precedent.)

The consequence of all this is that the oinion that the entire law be struck is not binding on anybody anywhere.
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HUFFPOST SUPER USER
Mara Para
05:44 PM on 02/01/2011
Apologies to all. I have posted my comments about gun control on the wrong page.
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HUFFPOST SUPER USER
Mara Para
05:30 PM on 02/01/2011
This makes me sad.

The NRA and its constituents are such a powerful lobby, sensible firearm control laws cannot be passed. The NRA tells its constituents any sensible firearm control law is the beginning of a slippery slope. The NRA says this slippery slope will lead to confiscation of every gun from everyone. Knee-jerk reactions ensue: The NRA speaks, gun-owners freak, politicians are weak.

After the horrific events in Arizona, right-wing politicians and pundits (primarily) said the problem was mental illness and not the easy availability of automatic weapons and super-sized ammunition clips. Their solution is to put the names of people with mental illness on a government list. This from the people who are continually claiming they alone protect the personal freedoms of Americans. This from the same people who DO NOT want sales of fire-arms recorded on a government list becaue it is a violation of personal freedom.

It just doesn't make sense to me.
05:19 PM on 02/01/2011
F*** the Constitution. Even if it was amended to explicitly allow forced commerce, no government (or any other entity) has such authority.
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bd7769
I may not always be right, but I am never wrong.
05:34 PM on 02/01/2011
Why there is someone else who must beleive in Inalienable Rights
F&F
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Hugebrass
Defend the Constitution from "Progressive" Change
06:46 PM on 02/02/2011
I'm not quite sure I'd phrase it that way but, OK...