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Paul Abrams

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Final Word to Justice Kennedy: Actually, There Is No Individual Mandate

Posted: 06/11/2012 7:41 pm

Although there are solid arguments and precedents that an individual mandate in the Patient Protection and Affordable Health Care Act (PPCA) is well within the four corners of the Constitution, it is also worth noting that the supposed demonic imperative that a person must actually purchase an insurance plan from a private company does not even exist.

If a person prefers not to purchase health insurance, he pays a fine. The choice is purely voluntary. That fine does not require any purchase of any private product. In no case is anyone compelled to have any medical care at all.

All it does is provide a pool of money to pay for uninsured peoples' medical care, rather than the mandate that currently exists in law and in fact that the rest of us who pay premiums or pay directly for our health care pick up their tab in the form of higher prices. It does what a tax does, but it differs because it offers people the alternative of purchasing health insurance.

In 1986 Congress passed the Federal Emergency Medical Treatment and Labor Act (EMTALA), which guarantees people who need emergency care or are in labor the medical care they need before they can be transferred or discharged. Cases under the act have gone to the Supreme Court, which has interpreted its provisions (e.g., what is the minimum care required?), but never suggested that it was unconstitutional. That law in effect imposes a mandate on emergency rooms that is passed along to others in the form of higher premiums or higher direct costs.

Thus, what the PPCA actually does is eliminate the current mandate that the insured assume those costs in favor of a choice between a fine and purchasing insurance.

Conceptually, under the PPCA everyone pays for our health-care system in the form of a fine. They can avoid paying that fine by purchasing insurance, which also pays for our health-care system. Each person can choose for himself.

It is two sides of the same coin, but it looks at the fine-side first.

 

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This user has chosen to opt out of the Badges program
02:45 AM on 06/13/2012
And if you don't pay the fine you can go to jail
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HUFFPOST BLOGGER
Paul Abrams
09:40 AM on 06/13/2012
No. There is no such provision. And, it is unconstitutional to make anything a felony where the law has not been spelled out. Thus, there is no such provision, and no such risk.

But, your confusion raises a good point. Strictly speaking, kuntil the law is actually in force, it is difficult to know how it will be administered. Thus, the Supreme Court should really decide that the case is not ripe for review, and put it off until the law goes into effect. "Ripeness" is a Supreme Court consideration that is applied to make sure the issues are clear and sharply drawn.

I think there is about a 20% chance that the Court will decide that the case isn't ripe for review. The 2 Justices that might do that are Kennedy and Roberts. If they go there, then I suspect all the Justices except Thomas, Scalia and Alito--who really are politicians appointed to the bench, and not jurists--would likely join them. But, as indicated, I suspect it is only a one-in-five chance that that will occur.
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HUFFPOST COMMUNITY MODERATOR
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SouthernBlueRising
04:58 PM on 06/12/2012
Solve the problem. One payer insurance or if you like Medicare for all. Why pay a fine when that money can go to an insurance purchase. With the fine you are throwing away your money. The commerce clause gives the government the right to do this.
Making a big deal of this is all political and SCOTUS should not be involved in politics. What a great job they did with George Bush in 2000...NOT!
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Paul Abrams
09:44 AM on 06/13/2012
I agree with you.
But, I also am cognizant that healthcare for all has been attempted for a century, and never passed. Johnson got medicare passed in the wake of JFK's assassination, and two-thirds majorities in both Houses.

I'm willing to give this a chance, it is better than the current system.
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12:39 PM on 06/12/2012
Mr. Abrams is either joking or (more likely) CLUELESS when he says:

"Conceptually, under the PPCA everyone pays for our health-care system in the form of a fine. They can avoid paying that fine by purchasing insurance, which also pays for our health-care system.... It is two sides of the same coin, but it looks at the fine-side first."

Noooo...
In REALITY, the ACA defines the REQUIREMENT (INDIVIDUAL Health Insurance) ... and THEN defines the PENALTY (the FINE, i.e. CONSEQUENCE) which is imposed AFTER an individual has failed to comply with the REQUIREMENT.

Straight from the PPACA:

SEC. 5000A. REQUIREMENT TO MAINTAIN MINIMUM ESSENTIAL COVERAGE.

`(a) Requirement To Maintain Minimum Essential Coverage-
An applicable individual shall for each month beginning after 2013 ensure that the individual, and any dependent of the individual who is an applicable individual, is covered under minimum essential coverage for such month..
`(b) Shared Responsibility Payment-

`(1) IN GENERAL- If an applicable individual fails to meet the requirement of subsection (a) for 1 or more months during any calendar year beginning after 2013, then, except as provided in subsection (d), there is hereby imposed a PENALTY with respect to the individual in the amount determined under subsection (c).
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Paul Abrams
03:30 PM on 06/14/2012
so what?
The constitutional question raised by the plaintiffs is whether a person can be compelled to purchase a product, or service, from a private company. I think he can, and there is very good precedent for it.
This article, however, shows that the PPCA does not even do what plaintiffs allege. That is, it does NOT compel someone to purchase insurance. It says that you either purchase insurance from a private company OR pay a fine. If one elects the fine, there is no compulsion, but rather a choice.
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03:04 PM on 06/20/2012
LOL... right. It's sooo much more Constitutional for the Government to compel us to make a choice between paying for a particular government-approved product or paying for NOTHING.
SeriesSeven
Progressivism is a disease.
12:25 PM on 06/12/2012
By that logic,I suppose that the federal government does not mandate that you pay any taxes whatsoever. You can choose not to pay taxes and the government will imprison you. It's not required. You can choose to pay your taxes or go to jail. There are numerous other choices. Don't commit murder or go to prison. Don't extort your neighbor or go to prison. Don't commit acts of terrorism or get a hellfire missile shoved up your.... None of those are actually mandates either I suppose.
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HUFFPOST BLOGGER
Paul Abrams
01:00 PM on 06/12/2012
There is a difference between prison and a fine (or a tax). If the penalty for not buying health insurance were jail, then it would be a mandate because one's physical freedom would have been lost.

The complaint about the individual mandate was not the mandate part of it, it was that the law told people they had to purchase a product from a private company. The law provides an alternative--pay a fine. The point of the article is not that there is no compulsion at all, but that there is an alternative to purchasing a product from a private company, if that is what one is hung up about.

The law mandates things and behaviors all the time. That is nothing new.
SeriesSeven
Progressivism is a disease.
01:06 PM on 06/13/2012
No there is not a difference between prison and a fine. Both are considered "taking" whether in the form of restriction of liberty or the confiscation of resources. Being that "mandate" derives from "mandatory", it means compulsory as required by law. The mandate is the lawful implementation of a compulsory activity. THATS THE DEFINITION!!!! You are simply splitting hairs in the enforcement mechanism.

The point of your article was to make a ridiculous statement in an effort to rouse the rabble on this site. Don't pretend it was anything more than that.
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TORAHTID
01:10 PM on 06/12/2012
Youre right. Theyre not mandates.
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Equinator
Shovels manure daily
11:21 AM on 06/12/2012
So when you cross a state line and get in a car wreck, you want them to transport you back before you can receive treatment? It is a preposterous statement but so is saying healthcare is not a part of the general welfare.
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01:19 PM on 06/12/2012
Nooo, the law requiring Hospitals to triage and stabilize anyone who walks in the door is still in effect.

As to the "general welfare"...

Thomas Jefferson said:
"Our tenet ever was…that Congress had not unlimited powers to provide for the general welfare, but were restrained to those specifically enumerated, and that, as it was never meant that they should provide for that welfare but by the exercise of the enumerated powers, so it could not have been meant they should raise money for purposes which the enumeration did not place under their action; consequently, that the specification of powers is a limitation of the purposes for which they may raise money."

(Letter to Albert Gallatin, 1817)
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Equinator
Shovels manure daily
11:18 AM on 06/12/2012
So?
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Equinator
Shovels manure daily
11:18 AM on 06/12/2012
There is no such thing as free health care and I am tired of paying for yours.
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Paul Abrams
09:47 AM on 06/13/2012
If I don't have insurance, and you do, you ARE paying for mine prior to the PPCA. So, thanks until 2014. After that, I'll be paying for my own either by paying the fine or getting insurance.
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Equinator
Shovels manure daily
11:16 AM on 06/12/2012
Excellent point!
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Equinator
Shovels manure daily
11:15 AM on 06/12/2012
I have been alive 60 years and government intrusion in my life is no more now than it had ever been. Wake up, you do not live in this world alone.
11:07 AM on 06/12/2012
Yes but I'll bet the "being fined" part of the equation is the slippery slope. 40% of USA doesn't pay taxes at present. How will they pay a fine? They won't. So the remaining 60% will pay not only their health insurance, but also their fines (in some form). Like taxes, this "cheap" insurance will go up and up. But the real deal breaker is in the fact that federal employees will be exempt, to not mention all of Congress, and when the public sector is rising faster than the private...ouch. Here comes Greece.
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Mikdow
Curse you, Mansquito.
11:55 AM on 06/12/2012
All people living in the United States of America pay taxes.

What you mean to say is that 40% don't pay income tax.

Some of these people who don't pay income tax still have a percentage of their paycheck withheld every week until it is refunded after every April 15th. In these cases the government is using their money interest free for up to a year.
SeriesSeven
Progressivism is a disease.
12:28 PM on 06/12/2012
And for the rest of us actually contributing to the tax rolls, the government is also using our money for up to a year and creating opportunity loss. If I didn't have to have taxes deducted, I could invest that money for the same year before liquidating and paying the government.

What's your point?
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Victoria Lamb
12:08 PM on 06/12/2012
Why do you say federal employees (including Congress) would be exempt? They would have insurance through their employer, so would not owe any fine.
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DoubleYellowLines
Left of the Right, and Right of the Left
12:27 PM on 06/12/2012
AND they pay premiums for that insurance, just like private-sector employees do.
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IntelligentDiscussion
I chase the truth, not ideology.
10:57 AM on 06/12/2012
I literally laughed out loud when I read the first two paragraphs of this article. "you have a choice, a choice to pay a fine". I'm sorry but the government penalizing you for not purchasing a good is a far stretch from "freedom" and "choice".
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Paul Abrams
01:04 PM on 06/12/2012
you are only half right. it is not "freedom". It is, however, "choice".

And, like it or not, we all relinquished some of our freedom when we agreed to live together in a society. The Constitution itself says that two of its purposes are: i) Establish justice; and ii) preserve the blessings of liberty. "Justice" and "liberty" are opposites--e.g., the liberty of your fist ends at the tip of my nose.
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TORAHTID
01:11 PM on 06/12/2012
Of course it is. What, you thought freedom was free? Pffffft!
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IntelligentDiscussion
I chase the truth, not ideology.
12:20 AM on 06/14/2012
Considering this would be the first time in American History from the moment you were born, for simply existing you were required to purchase a good. I could easily argue this isn't just your good old average "fine".
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Blogging Patriot
Facts instead of Faux
10:42 AM on 06/12/2012
In July of 1798, Congress passed – and President John Adams signed - “An Act for the Relief of Sick and Disabled Seamen.” The law mandated that privately employed sailors be required to purchase health care insurance. Keep in mind that the 5th Congress did not really need to struggle over the intentions of the drafters of the Constitutions in creating this Act as many of its members were the drafters of the Constitution: Thomas Jefferson was the President of the Senate while Jonathan Dayton, the youngest man to sign the United States Constitution, was the Speaker of the House.

The law was not only the first time the United States created a socialized medical program but was the first to require that privately employed citizens be legally mandated to pay for health care services. Upon passage of the law, ships were no longer permitted to sail in and out of our ports if the health care payments had not been collected by the ship owners and paid over to the government.

So I think the "founding fathers" made their intentions quite apparent with regard to healthcare.
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MissTake1989
Equal means equal, hypocrites.
11:30 AM on 06/12/2012
You'd have a point...

IF that 1798 law you refer to actually required those citizens to directly engage in transactions with private companies.

It did not.

It was paid for with a tax.
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drewdawgsea
11:56 AM on 06/12/2012
Citizens aren't required to engage with private companies now either. They can purchase through a states pool.
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Earl King
I intend to live forever, or die trying
12:01 PM on 06/12/2012
It made the private companies collect funds...similar to today we employees pay a portion of our health care costs. I have no problem with the govt making all businesses pay for health care and those employees paying what ever portion the business requires...You'll get cheap catastrophic care coverage for minimum wage workers...and they pay a good portion of it....give the employees the same deduction or whatever portion they pay....Will you however want to pay for $10 dollar hamburger?
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Blogging Patriot
Facts instead of Faux
10:42 AM on 06/12/2012
The woman who was the original named plaintiff in the lawsuit filed by the National Federation of Independent Business who brought it before the Supreme Court is a shining example of why we need a mandate.

Mary Brown, a 56-year-old owner of an automobile repair shop in Panama City, Florida, volunteered to lend her name to the lawsuit. Brown was outspoken in her belief that Congress had gone beyond what the U.S. Constitution allows when it included in the reform law a requirement that, beginning in 2014, most Americans will have to obtain health insurance or pay a fine to the IRS. She said she was uninsured and was that way by choice.

Last year Brown shuttered her business and filed for personal bankruptcy. Among her debts: nearly $4,500 in medical bills. More than $2,000 of that was owed to the Bay Medical Center in Panama City. The rest was to doctors in Florida, Alabama and Mississippi.

It is people who have decided not to buy coverage -- but who nevertheless get sick or injured and seek medical care when they do, even if they don't have the money to pay for it -- that make health insurance so expensive for the rest of us.
SeriesSeven
Progressivism is a disease.
12:33 PM on 06/12/2012
So do you similarly propose that every single service that may result in debt or an accounts payable be mandated by the government to be insured against nonpayment? By your rationale, anything declared in a bankruptcy filing should be insured and guaranteed by the federal government via tax and distribution. If your concern was to eliminate the risk of bankruptcy, why are you not advocating for medical expenses to be nonseverable?
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Blogging Patriot
Facts instead of Faux
12:47 PM on 06/12/2012
I am not trying to eliminate the risk of bankruptcy. The difference between Healthcare and most other services is that EVERYONE will need healthcare eventually. And so EVERYONE should be insurable. Then if you choose not to purchase insurance - take personal responsibility.

But to rally against a system designed to insure Americans while at the same time limiting their exposure to bad debt, then default on both your own insurance and health related bad debt, is kind of hypocritical.
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wwilcox
Laws are made by people, not gods.
10:19 AM on 06/12/2012
It seems to me, and I believe this arguement has been made before, that if SCOTUS strikes down the ACA, they would also have to strike down the PPCA since that is a mandate on businesses to provide a service without compensation. And Scotus believes that corporations are people too; my friend.
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MissTake1989
Equal means equal, hypocrites.
11:31 AM on 06/12/2012
Congress has the right to regulate activity.
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wwilcox
Laws are made by people, not gods.
11:54 AM on 06/12/2012
I'm not sure what you mean. Could you please be more specific? Does Congress have the right to mandate that hospitals provide care to all comers regardless of ability to pay? Does Congress have the right to mandate that individuals who use the health care system obtain insurance to pay for it? Both? Or Neither?
SeriesSeven
Progressivism is a disease.
12:34 PM on 06/12/2012
So your entire existence is activity? If so, then what can Congress not regulate?
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Victoria Lamb
12:23 PM on 06/12/2012
The insurance companies who participate in the PPACA insurance exchanges agreed to the conditions before the legislation was written. In exchange they will have approximately 30,000,000 new potential customers.
10:07 AM on 06/12/2012
So in other words if I don't do what the government wants me to do with my money they will fine me. This reporter is out of touch, it's a mandate to do something I may not want to do or be fined. This guy must be another Barrack cheerleader. Don't listen to what they say, like this article and spin on it is ridiculous.Watch what they do. It's always a contradiction and against you. Seriously watch & see how they try and spin everything. Vote Mitt2012
11:18 AM on 06/12/2012
Ahhh.... yet another member of the "Party of Personal Responsibility" (TM) shirking personal responsibility.

Yeah.... go and vote Mutt, the very builder of the model for the ACA.
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11:41 AM on 06/12/2012
bigblue22143,

Your premise is without any logical or historical force. When you drive your car onto the public streets, you have a choice: Obey the traffic laws or pay fines (and possibly face jail time) when you break them. When you walk into a store, you have a choice: Pay for what you want or pay fines (and possibly face jail time) when you steal things. When you own a home, you have a choice: Keep your yard at least minimally maintained or pay fines when you let it go all to hell.

All all levels of US government (local, state, federal), people put into place systems of laws that have consequences for their infringement, usually fines and sometimes imprisonment. Without these consequences, the rule of law ceases. You may with some tenuous validity argue that fining people for failing to insure themselves against disease and accident ought not be a law on the books, but you can't do so with any logical force by asserting that the entire basis of law has no validity. *All* laws are mandates to make people do things that they not want to do because the consequences of not doing them (fines, imprisonment) are unpleasant.

Lune