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Doug Kendall

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The ACA Ruling and the Tea Party's Demise

Posted: 06/29/2012 11:44 am

The dispute among the Justices that played out in the 192 pages of opinions yesterday boils down to a simple but profoundly important question: does the Constitution establish a federal government with the power necessary to solve truly national problems like the health care crisis? Justice Ginsburg's opinion on behalf of the Court's four liberals declared the answer to be an emphatic "Yes." The Court's four dissenting conservatives, led by the Court's usual swing Justice, Anthony Kennedy, said "Hell no." In a surprise to most observers, Chief Justice Roberts agreed, more or less, with the Court's liberal wing, and cast the deciding vote upholding the Affordable Care Act and letting it take effect.

Justice Ginsburg's opinion begins with a history lesson about what brought the Framers of the Constitution to Philadelphia in the first place. Citing letters by James Madison and George Washington written in the run up to the Constitutional Convention, and Resolution VI, adopted by the Convention itself to guide the delegates drafting the Constitution's specific list of powers, Justice Ginsburg argued that the Constitution provides the national government the power to pass legislation "in all Cases for the general Interests of the Union, and also in those Cases to which the States are separately incompetent." Armed with a plethora of facts that established both the national interest in solving the health care crisis, and the inability of the states to solve the health care crisis on their own, Justice Ginsburg opined that the Affordable Care Act (ACA) was easily constitutional.

The Court's four dissenting conservatives departed sharply from Justice Ginsburg's analysis, emphasizing what they called the "structural limits" on the powers of the federal government, "notably, the restraints imposed by federalism and separation of powers." Finding those structural limits "central to liberty," and violated by the Act's individual mandate and expansion of Medicaid, this bloc of Justices would have invalidated the ACA in its entirety. Taking a Shermanesque march through the Act's 900 pages, the dissenters first opined that all of the Act's "major provisions" were so related to the mandate and the expansion of Medicaid that none could be saved or "severed" from the constitutionally infirm parts. Then the dissenters opined that the Act's "minor provisions" were like Christmas tree ornaments, and that"when the tree no longer exists the ornaments are superfluous."

Chief Justice Roberts' lone opinion in the middle of the Court sounds a fair amount like the dissent -- emphasizing the limits on federal power as much as the broad scope of those powers -- but it acts nearly identically to the opinion by Justice Ginsburg. Specifically, while the dissenters struck out aggressively to prevent any part of the ACA from going into effect, Chief Justice Roberts started with a "general reticence to invalidate the acts of the Nation's elected leaders." Building from this presumption of validity, Roberts then decided that (1) while the individual mandate exceeded Congress' power under the Commerce Clause, it was a valid tax and thus constitutional under Congress' power to tax and spend for the general welfare, and (2) the expansion of Medicaid was also constitutional as long as states that choose not to participate in this expansion do not lose their entire Medicaid funding as a consequence.

The technical and legal details of these two rulings are fairly complex -- explaining why so much ink was spilled yesterday -- and commentators are certainly right to warn that certain language in Roberts' lone opinion could ultimately be used by the conservative-dominated Court to work a more significant reduction in the scope of federal powers in future cases. But that potential risk should not overshadow the reality of yesterday's ruling, which let stand what most observers agree is the most significant expansion of the social safety net since the creation of Medicaid in 1965.

For the tea party, which was built on the proposition that the Affordable Care Act is the quintessential example of an unconstitutional federal overreach, the Court's ruling is thus an exceedingly bitter pill. Coming, as it does, from the nation's very conservative Chief Justice, yesterday's opinion leaves the tea party's constitutional vision in shambles.

 

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HUFFPOST SUPER USER
Pastori Balele
Graduate degree
05:29 AM on 07/01/2012
The reason for the 4 Justices opposed the ACA is that they are so angry with poor Americans they want them dead. Limiting access to medical services for the poor is not liberty or freedom deprivation of the richest. The richest need healthy people to work for them. The 4 justices are just greedy, immoral, brain-washed and racists. They therefore interpret laws with a biased mind. We have seen such federal judges at district and appellate courts. Good examples are those at the Federal Court of Appeals for 7th Circuit. The judges there think are super conservatives and therefore hate people who appeal civil right cases there. In fact they never see the use of Civil Rights laws. These judges think employers and government supervisors can never discriminate against people based on race, sex etc. You appeal a case there you're sure to lose. As a matter of fact I think their decisions encourage corruption and discrimination. That's why I am surprised the Illinois governor, now in prison, did not appeal his case. This federal 7th Circuit court would have dismissed the case against him. These judges are lucky nobody can remove them from office. They have life-time appointments. They therefore act so to retaliate or discriminate against people they don’t like: Blacks, women and other racial minorities. God will punish them.
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HUFFPOST SUPER USER
CSDofNM
I speak lolcat
12:04 AM on 07/01/2012
Mr. Kendall, you are profoundly naive and extremely uninformed about the Tea Party.
http://www.youtube.com/watch?v=0W8BbJXjda8
http://videocafe.crooksandliars.com/heather/rachel-maddow-recaps-her-coverage-astrotur

The Tea party is an astroturf movement, funded by the Koch brothers and other "movement" conservatives.

It is run by Dick Armey. http://thinkprogress.org/politics/2009/04/14/37536/lobbying-clients-teaparties/

It sole purpose is to oppose and defeat Barrack Obama and the Democrats. It has nothing to do with ideological purity, Constitutional roots, or making anyone (besides the Koch Brothers) lives better.

You have not seen ANYTHING yet compared to what they will do this summer and fall. They have billions. You don't. You don't understand your opponent, much less how to defeat them.

Prepare to lose, and to lose badly. Not my favorite outcome, BTW.
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HUFFPOST SUPER USER
AMACHA
Getting it Straight
11:24 PM on 06/30/2012
Let me get this straight. The dissent said that a person does not have to consume healthcare and is therefore not engaging in commerce. As I see it a person would have to be completely isolated, never see another person, live and die alone so no healthcare, nor taxes, nor mandate .. no problem. But if a person in society in America wanted to opt out of the health care system he would have to be able to refuse care even if unconscious .. Maybe have a tattoo across the face, “NO HEALTHCARE UNDER ANY CIRCUMSTANCES.” Yeah, that would work. Roberts, try as he might, could not stomach that in spite of all the inducement.
10:58 PM on 06/30/2012
Not one person defending this massive piece of legislation could possibly understand what is in it. What motivates its support are those who believe they will get a free ride. Stop being so selfish and demanding and listen to those who are concerned with this law.
12:44 AM on 07/01/2012
Actually, this law stops people who were already getting a free ride, the uninsured. People who don't exercise personal responsibility by getting health care insurance are the ones getting a free ride when they show up at the emergency room and get care that they can't pay for.
10:58 PM on 07/01/2012
The prices are rising on coverage and usage so there must be other things in this new law that are causing this. People are paying more for less, check it out.
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TheBluesGuy
I'm too old to be governed by fear of dumb people.
01:37 AM on 07/01/2012
Have you read the Affordable Care Act, BillChatlain? Unless you have, by your own definition you're not qualified to comment.
10:55 PM on 07/01/2012
I believe it is 27,000 pages and is legal speak. I do not need your permission to comment. This is too much and too fast. I am against many of the things I have heard about this new law as are a majority.
10:50 PM on 06/30/2012
I still think that forcing people to buy private insurance with no cost controls is not going to solve the problem, whether or not it is constitutional, and I suspect that, other than for Roberts, the idea of supporting or opposing the administration determined their decisions. With Roberts it was the cynicism of forcing people into the corporate system via the "tax."
10:44 PM on 06/30/2012
We are rushing into a very big, one size fits all Health Care plan which we really know little about and I say we don't need to run, we need to slow down and walk carefully. I think the massive paper involved in regulating this plan shows how it should not be attempted. Thousands of regulations and thousands of papers written by politicians those farthest from the problem and most responsible for the many problems we have is a recipe for disaster.
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HUFFPOST SUPER USER
Douglas Ryan
12:05 AM on 07/03/2012
How much more carefully do we need walk, Bill? Universal coverage has been successful in every other advanced country in the world for decades. In fact, the ACA is similar to the French healthcare system, often called the best in the world. While the ACA doesn't absolutely provide universal coverage, it's a step in the right direction.
06:28 AM on 07/04/2012
That really depends on your opinion of success. Did you watch Milton Friedman on utube discuss Socialized Medicine? The news media are all very liberal and the liberals want this because they want to regulate the way we live our lives. The news you get about Socialized Medicine is propaganda and they are only telling you what they want you to hear. To understand this you must understand how economics works, Milton Friedman was a Nobel Prize winning economist and he has great video on utube. Adam Smith is on his tie and he has great books on economics and how it really works.
10:38 PM on 06/30/2012
Some among us want this plan because they think it will be free, nothing in life is free. We need to stop whining about how we should get more out of the system than we are putting in. We should all pay taxes and 47% are not and those people should have no say at all if they are contributing little or nothing. We need to be honest and listen to the most important people in this debate, the doctors. We will have varied opinions from the doctors but what we should focus on is their complaints and try to help them solve their problems. We have 50 states so we can try 50 different plans if we wish and from those plans we should copy what works the best.
10:31 PM on 06/30/2012
Another problem I see is how Insurance Companies can not work across state lines and mandating they cover birth control or boob jobs. We need to define what we want as a start and I say we can all agree we want people to be able to access health care for injury or diseases to make this traumatic time as easy on those who suffer as possible. And the cost of bringing drugs to market cost too much and takes too long. We all know every drug can have side effects and every person is different so we need to stop acting like babies and understand those who deliver drugs to the market while not perfect are doing their best and " We The People" need to suck it up and not turn to lawyers at every grievance because the practice of medicine is an ongoing, always changing and yes, learning from mistakes to progress.
10:22 PM on 06/30/2012
What I see in this ongoing debate on Health Care is a lack of leadership and I believe mischievous motives on behalf of the elected in the Democratic Party who do not want better health care but another issue. The liberals who make up "We The People" see the expense of health care and want to make the cost more affordable for everyone. I say this is common among all Americans and what we have a disagreement with is how to deliver better health care at a better price. Embedded in the cost of health care are the lawsuits doctors face so the very powerful Trial Lawyers Lobbyist in Washington who alien with the Democrats are a very important hurdle. They also sue the drug companies and anyone who has money.
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BluePhantom2
The Blacksmith & the Artist reflected in their art
10:21 PM on 06/30/2012
This is the typical underestimation of the Tea Party! And the comments are just as vile as usual. That the Supreme's didn't strike down O-care is a sign of the Roberts court not being activists as they should not be. Congress passed it, O signed it and the court reviewed it. That the court defined tha mandate as a tax cleared up much regarding the law. This is mobalizing the Tea Party to take the Senate and redouble their efforts to get O out of office. That the Tea Paty's dislike of O's progressive ideals are defined by the left as racist is proof positive of how shallow or even hollow their arguements really are.
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HUFFPOST SUPER USER
SmileAndActNice
Utilitarianism, the -ism that works.
10:19 PM on 06/30/2012
The first time I heard about the tea party it was because some coworkers were laughing at an online video.

There were a bunch of people on screen in silly hats chanting "No Taxation without Representation"

I frowned at my coworkers and pointed out that it stinks that people in Washington D.C. don't get a voice in the legistlative branches. taxes are levied against them that they have no voice in. They have a legitimate beef.

My chortling co-worker turned to me ans said,

"Smile .. they aren't from DC. They're from ***north Carolina*** ... and they are complaining that their candidate didn't win the election"

Oh.

Um.

OK.
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09:59 PM on 06/30/2012
The tea party was formed in protest of a federal government that controls way too much of the economy and continually works to expand its reach. Healthcare reform is a great example of why the tea party is needed. But there are plenty of abuses by our federal government that justififies the existance of the tea party. Therefore the tea party will continue to grow because this ruling just encouraged more huge expansions of power by the federal govenment.
12:53 AM on 07/01/2012
It is a joke that tea partiers are protesting our government ensuring that all Americans have access to health care, which everyone needs at some time in their lives. Our Constitution gives our government power to provide for the general welfare of the citizens and health care definitely qualifies.
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TheBluesGuy
I'm too old to be governed by fear of dumb people.
01:39 AM on 07/01/2012
The Tea Party was an outgrowth of the righteous indignation felt by every bigot in the U.S. when a black man was elected to the White House, by a landslide.
08:10 PM on 06/30/2012
The reason the right is so rabid and are out in full force telling lie after lie about the health Care act, fear mongering at an unbelievably frantic pace....is they know that once the provisions are enacted, that almost everything they are predicting will not come true. Then people will like it and will not want to give it up. Educate yourself folks. for most of us, this is not going to have a negative financial impact. ( there are some taxes for people who make over 200,000 or families with 250,000, or for people who do not choose to have insurance. But for most everybody else, little will change except for good things. Now your kids can stay on your policy til they are 26, you can not be cut loose because you get sick, you can not be denied because you were sick, or charged outrageous premiums because you were sick before. Also, and i am convinced this is what the insurance industry CEO's are maddest about...now 80 percent of the premium must go towards patient care, not administration costs or that little thing called million dollar CEO bonuses. It is not a perfect plan, but it beats doing nothing or going back to where we were.
07:40 PM on 06/30/2012
The Tea Party came into being over white racist resentment of a black as President.

All the other stuff simply was fed to them by Repubican Party activists who wound up taking over their little protest.
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TheBluesGuy
I'm too old to be governed by fear of dumb people.
01:40 AM on 07/01/2012
factsalive, had I read your post, I could have saved posting mine. Fanned and faved.
07:07 PM on 06/30/2012
Republicans did contribute: they named it Obama Care, and that's the way that history will remember it!.............as we will all remember that in order to get it "we the people" had to endure and then wipe the Republican spittle off of our faces.
10:51 PM on 06/30/2012
Trouble is, Obamacare is recycled Romneycare. The only question appears to be whether your side sponsored it. The fact is, it does little to solve the problem, and makes more serious efforts to solve it far more difficult.