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David Paul

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Cry the Beloved Country: Why the Supreme Court Should Leave Obamacare Alone

Posted: 03/29/2012 11:23 am

I believe that the Supreme Court will uphold the individual mandate that is at the core of Obamacare by a vote of 6-3. Based on no legal theory whatsoever, I expect Chief Justice Roberts and perennial swing vote Justice Kennedy to vote with the liberal wing to uphold the act of Congress.

OK, maybe expect is a strong word. Hope would be better. But it's not about the law, it's about the Court itself.

Spending last week in our nation's capital, I listened to the astonishing vitriol of members of Congress and other publicly spirited Americans expressing their outrage at a law that would, to summarize their argument, bring the full weight of tyranny to our shores and mark the end of freedom in America. In the view of the assembled masses, should the Supreme Court fail to act -- or the people in some other form fail to rise up -- ours will be the generation who will have to explain to our grandchildren why we let freedom and liberty, our most hallowed values, die on our watch.

Lost in the arguments of conservatives and right-wing activists was the fact that the individual mandate -- the essential element that would bring tyranny to our homes -- was initially raised as the preferred strategy for health care reform by the right. Dating back to 1989, the Heritage Foundation articulated the view that an individual mandate to purchase health insurance -- rather than government provided health care or an employer mandate proposed by Democrats -- should be a central element of health care reform:

Society does feel a moral obligation to insure that its citizens do not suffer from the unavailability of health care. But on the other hand, each household has the obligation, to the extent it is able, to avoid placing demands on society by protecting itself... A mandate on households certainly would force those with adequate means to obtain insurance protection.

Three years later, the Heritage Consumer Choice Health Plan went further:

Require all households to purchase at least a basic package of insurance, unless they are covered by Medicaid, Medicare, or other government health programs.

All Heads of households would be required by law to obtain at least a basic health plan specified by Congress...

The private insurance market would be reformed to make a standard basic package available to all at an acceptable price.

The moral rationale for the individual mandate was stated succinctly at the time by Heritage Foundation Senior Fellow Robert E. Moffitt:

Absent a specific mandate for at least catastrophic health insurance coverage, some persons, even with the availability of tax credits to offset their costs, will deliberately take advantage of their fellow citizens by not protecting themselves or their families, with the full knowledge that if they do incur a catastrophic illness that financially devastates them, we will, after all is said and done, take care of them and pay all of the bills. They will be correct in this assessment...

An individual mandate for insurance, then, is not simply to assure other people protection from the ravages of a serious illness, however socially desirable that may be; it is also to protect ourselves. Such self-protection is justified within the context of individual freedom; the precedent for this view can be traced to none other than John Stuart Mill.

What has changed, of course, is not the logic of the Heritage Foundation's argument, but the politics. The individual mandate -- a public policy that was central to Republican health care reform alternatives to Hillarycare -- became anathema to the right by the time it was finally embraced by Democrats as an alternative to the left's preferred single-payer or employer mandate approaches. A Cato Institute attack in 1994 on the Republican embrace of the individual mandate foreshadowed the current attacks on Obamacare, and illustrates the drift to the right in Republican policymaking in the Tea Party era:

The most troubling aspect of the Nickles-Stearns [Republican health care reform] legislation, as introduced on November 20 [1993], is the mandate that it imposes on all Americans to purchase a standard package of health insurance benefits. By endorsing the concept of compulsory universal insurance coverage, Nickles-Stearns undermines the traditional principles of personal liberty and individual responsibility that provide essential bulwarks against allintrusive governmental control of health care.

This month, conservative jurist J. Harvie Wilkinson published Cosmic Constitutional Theory. Wilkinson, a federal appeals court judge often mentioned as a Republican Supreme Court nominee, mirrored Kennedy and the crits in his March 11, 2012 op-ed arguing in his opening paragraph that liberals and conservatives alike have conspired to undermine the role of law and the courts in our society.

Both liberals and conservatives have the American Constitution in the cross hairs. They assault the Constitution in their different ways, each with damaging effects on our nation. Conservatives attack the courts on one hand and seek to have them advance their activist agenda on the other. Liberals, when it suits them, embrace rights that have not been enumerated in the Constitution and cry for restraint only when their pet bills come under fire. The result is a national jurisprudence whetted by political appetite, with our democratic values as the victims.

Wilkinson essentially argues for leaving political decisions to those elected to make political decisions, and suggests that the grand legal theories -- from the jurisprudence of original intent on the right to living constitutionalism on the left -- are simply covers for justifying the use of the judicial branch as a tool to achieve political goals.

For many, the swift and party-line action of the Supreme Court in Bush v. Gore deeply damaged faith in the Court as a reasoned arbiter of our political system. But that was a unique circumstance. This week's argument, as Judge Wilkinson makes clear, is specifically about whether a politically motivated majority on the court will act to directly overturn an act of Congress simply because they want to, and because they can.

During the second day of arguments, Justice Antonin Scalia suggested to Solicitor General Donald Verrilli that allowing the individual mandate would lead to a world where Congress could compel Americans to buy broccoli. Scalia's question would have been more insightful had it not simply mimicked conservative talking points circulating the prior the weekend making the argument that to let the individual mandate stand would lead to a world where the government would make us buy broccoli and GM cars. Hearing Justice Scalia use an argument from conservative talking points illustrated Wilkinson's argument that the high court may have reduced itself to just another player in our ongoing political wars, and placed at risk its cherished role as the last refuge of integrity.

The history of the individual mandate is what makes this circumstance so defining. The individual mandate began as a conservative doctrine, embraced early on by conservative Senators who today attack the same policy with no sense of shame or irony. Far from being the hallmark of tyranny, the individual mandate under Obamacare marks the success of the Republican Party in pushing Democrats to the right, to the embrace of market solutions over the employer mandates or single payer options.

This case is not about tyranny. It is not about broccoli. In a sense it is not even about the Commerce Clause. At the end of the day, it is about whether those on the Court are prepared to step back from the abyss that Wilkinson describes, and leave the making of laws -- and our political debates -- to Congress and the president. By the third day, the arguments went beyond the constitutionality of the individual mandate to overturning the entire act of Congress, as specifically argued by former Solicitor General Paul Clement, representing the 26 states challenging the law.

There were no cries of tyranny from the right when the Heritage Foundation first proposed the individual mandate, and those cries today are nothing more than one more manifestation of our political wars -- wars in which those on the Supreme Court engage at their -- and our -- peril. Paul Clement's argument that they entire law should be shunted aside by the Court demonstrated how far the Court has drifted toward becoming just one more tool of the political combattants.

Chief Justice Roberts and Justice Kennedy -- the most likely swing votes -- hold in their hands the question of public faith and confidence in the Supreme Court. I believe that they will each ultimately choose to validate that faith. And I hope they will validate that faith, because even more than health care, our society needs a Supreme Court that we can all have faith in.

 
I believe that the Supreme Court will uphold the individual mandate that is at the core of Obamacare by a vote of 6-3. Based on no legal theory whatsoever, I expect Chief Justice Roberts and perennial...
I believe that the Supreme Court will uphold the individual mandate that is at the core of Obamacare by a vote of 6-3. Based on no legal theory whatsoever, I expect Chief Justice Roberts and perennial...
 
 
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xpt2wndj
socialism sucks
10:13 AM on 03/30/2012
Obama Scare fails the smell test and everyone knows it. If it passes the country once great is ruined.
If it is struck down then there is opportunity to bring this country back to its greatness.
And if Obama is re-elected(God forbid) to a second term the middle class will vanish and the rich will move.
In a free country, you the individual gets to decide what you do with yourself and how you take care of yourself.
In a government run country, they(government) tell you what you can and can't buy and how much gas your car can burn.
Save America, Defeat Obama, Nov. 2012
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Penelope Pitstop
Glamour Gal of the Gas Pedal
01:02 PM on 03/30/2012
f & f
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rebeccadh
Fight for America
02:14 PM on 03/30/2012
F&F xpt2wndj
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marymeade2
I prefer liberty over tyranny
09:31 AM on 03/30/2012
I don't think the Justices will pay any attention to the fact Republicans or the Heritage Foundation once considered mandating health insurance. They don't now. Both have realized that mandating the entire country is far different than state mandates, which is where it belongs. It's far cheaper for states to decided what is best for their inhabitants than the federal government forcing their will on an entire country. I'm personally against state mandates, but, would have to accept it if my state enacted a law mandating insurance, just as I have to accept most all the stupid laws CA enacts. Furthermore, each case brings to the court something unique and different and even though some rulings are not met with pure acceptance from the public, doesn't make an impact on subsequent rulings. This writer is trying to say that the Court will consider people's feelings in their decision and that is absurd and I'm not buying it. If our Justices rule on their feelings and/or perceptions of the public, why have a Judiciary Branch of Government? I realize Liberals would love the bench be stacked with liberal Judges, but, it isn't.
07:50 PM on 03/29/2012
I voted for President Obama because of his debate with Mrs Clinton about the healthcare mandate. He was definitely not for it. Even though the law has some good points, I believe the president let others persuade him on the option. If you remember there was a rush to get something done so congress could go home and that's what they did, they got some "THING" done. Most people here believes in life, liberty and the pursuit of happiness. We especially love our liberty; so to impose a penaly for not having insurance, to me, goes to that core principle. So as for the bill, give me liberty and death to the bill, Even though I have insurance, I would rather not have any at all if forced to have it.
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05:01 PM on 03/29/2012
The electorate believed the bumper stickers and elected, or so they thought, "change."

They got: a bumper sticker. From the Republicans and from the Democrats alike.

But what was their problem? The problem was that they could not obtain or afford health care. The only suppliers of both health services, and the money to pay for them are ... $$corporations.$$

An insurer wants to sell your a policy (profit) but does not want to pay your claim (loss). And right now it doesn't have to. Or, it can override your doctors and only allow you access to a cheaper drug -- knowing full well that the least expensive outcome of all, for them, is that you die.

I recently experienced this first-hand when a close relative of mine caught a C Diff. infection which could be cured by Vancomicin. Oops... $650 a dose. The insurance company decided a cheaper drug at $200 a dose would do as well. The man was dying fast. Our family walked into the finance office of the hospital in question and handed them a certified check and demanded that they (the financiers!) call the doctor and tell him to administer the treatment. They did. He lived.

That same ostensibly "non-profit" corporation, occupying its glass palace overlooking Chattanooga, Tennessee, continues to $$lobby$$ for the ultimate prize: a Government edict to buy what they $$sell$$ but with no obligation (read it closely!) to do what is medically best for the PATIENT.
04:59 PM on 03/29/2012
I think your partisanship is preventing you from understanding a simple fact: Republicans often come up with unconstitutional ideas, just like Democrats do. That's part of the reason the Tea Party beat so many Republicans in primaries, and not just Democrats in the general.

If you dig into the history of the individual mandate, you'll find the early conservative support was from policy groups at think tanks and overzealous politicians that have a long track record for not properly researching ideas before supporting them. Those policy guys at the think tanks didn't bother running the ideas by the legal groups at think tanks, but those legal groups had immediate concerns that an individual mandate, at the federal level, would be unconstitutional. That was way back when Democrats thought the idea was terrible, and even before Mitt Romney pushed the idea into effect in MA (which was also before Mitt Romney suggested it was a great idea for the national stage as well, which is but one of the many examples he's not very good at researching issues thoroughly before providing his support).
wsdave
Abusive or Insulting? I won't be responding.
04:26 PM on 03/29/2012
"Lost in the arguments of conservatives and right-wing activists was the fact that the individual mandate -- the essential element that would bring tyranny to our homes -- was initially raised as the preferred strategy for health care reform by the right."

Actually, what's lost is that the mandate in unconstitutional, REGARDLESS of who thought of it or who champions it.

I know the left is eager to embrace the right's policies (war, Patriot Act, drug war, bailouts, etc.), but not all of them are good.
02:39 PM on 03/29/2012
Very nice article. I agree, after Bush v. Gore and Citizens United the court needs to restore faith in it as an occasional mediator, not a policymaking committee, and a 6-3 decision upholding the individual mandate would do that
02:51 PM on 03/29/2012
A 6-3 vote against the mandate would also show it was not partisan. I can't see any of the liberal judges doing the right thing though.
03:33 PM on 03/30/2012
If they called the "penalty" a "tax" it would be completely constitutional, the case wouldn't have even been heard by a court. I cannot see how the "right thing" is to shoot down a 2,700 page bill based on ONE word.
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RUKidding0
Freedom is Fundamental
04:39 PM on 03/29/2012
A 6-3 decision declaring the entirety of ObamaCare would better do that.
02:08 AM on 03/31/2012
Declaring the entirety of the Affordable Care Act ("ObamaCare") what? Constitutional or unconstitutional? There are parts of the bill, like the section that requires insurance companies to cover people with pre-existing conditions that have never had their constitutionality called into question. The ONLY possible unconstitutional aspect of the entire 2,700 page bill is that they use the word "penalty" instead of the word "tax" when describing what will happen to nonexempt people who do not comply with the individual mandate.
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vaf112675
Read my comments. You'll know me by them.
02:22 PM on 03/29/2012
"Chief Justice Roberts and Justice Kennedy -- the most likely swing votes -- hold in their hands the question of public faith and confidence in the Supreme Court. I believe that they will each ultimately choose to validate that faith. And I hope they will validate that faith, because even more than health care, our society needs a Supreme Court that we can all have faith in"

I'm sorry, I lost all faith in said court when they took it upon themselves to decide who would be President. And we all know what that got us!
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marymeade2
I prefer liberty over tyranny
09:42 AM on 03/30/2012
The thing is, Al Gore wouldn't have won anyway, even if the Court hadn't intervened. Secondly, I can't even imagine what this country would be if Al Gore had become President. All I know, is that I am greatful he wasn't.
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Luman Walter
Once arrested for juggling.
01:45 PM on 03/29/2012
I believe that the Supreme Court will uphold the individual mandate that is at the core of Obamacare by a vote of 6-3? Yeah, OK. Wanna bet? I'd even give you odds.
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05:02 PM on 03/29/2012
The vote will be 5 to 4. It always is. "A narrow majority." It always is.
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Luman Walter
Once arrested for juggling.
05:13 PM on 03/29/2012
I'm beginning to think they might throw the whole thing out 7-3 (as they should) "promoting the general welfare" in by book shouldn't require a citizen to be forced to enrich a private corporation.
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Peter Combs
Amused by the illogical..no, NOT a Republican
01:33 PM on 03/29/2012
Its not about the court making laws , its about the court determining whether or not its Consitutional...

If this is upheld, the Congress could for example pass a law telling unemployed people to accept a certain job from a private corporation if their was an opening. The Commerce Clause could be twisted around for this angle just as easily as the law has ben to support the Health Bill...

Single Payer IS the one and only solution...like it or not...
alunsulen
Digging the liberal hatred!
01:23 PM on 03/29/2012
Support of the individual mandate by right wing activists doesn't make it constitutional.
01:22 PM on 03/29/2012
It is not the individual mandate that is unconstitutional. It is the fact that they chose a "penalty" rather than a "tax as the means of enforcing the mandate. Congress has the right to levy a tax...it has no right to penalize me for not purchasing something I don't want. Now WHY did the democratic controlled congress do that? Because president Obama had PROMISED not to raise taxes on anyone who made under $250,000.00. So they thought they could "trick" the American people by using different terminology and look what it got them! Then they had in the original version a "sever ability clause" but they left it out of the final bill. One can only determine from that that congress intended that if one part was throw out all of it would go. Again the democratically controlled congress has no one to blame but themselves. Oh, don't worry they will put the blame every place else but the facts are the facts!!!!
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OCerInTN
Hoplophobics worst nightmare.
01:21 PM on 03/29/2012
It was wrong in 1989 and it is still wrong.
01:17 PM on 03/29/2012
Pray would be a better word.

Both Roberts and Kennedy had incredibly strong negative reactions in the three day hearings. Good luck with that, even the most liberal analysts are saying that the mandate at least looks dead.
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12:56 PM on 03/29/2012
The mandate (at the Federal level, surely) ought not be Constitutional.

It matters not a whit whom first proposed it--it is wrong, for now and forever.

IF Obama wanted a truly successful and historic revamp of the Nation's Health-insurance modality, he need have only provided a perfectly LEGAL tax as the revenue source.

By attempting to dodge the LEGAL method of funding this new entitlement, he created the problem.
wsdave
Abusive or Insulting? I won't be responding.
04:27 PM on 03/29/2012
^^^THIS!!!^^^
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06:27 PM on 03/29/2012
^^^^????^^^^