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Is Broccoli Next?

Posted: 11/17/11 12:21 PM ET

Thanksgiving dinner 2015. The parents explain the feast. As per federal regulations, the menu includes low-fat unsalted turkey breast, low-sugar fruit drinks, and, of course, broccoli.

The Supreme Court will decide this term whether Congress can require us to have health insurance as part of health reform. If the answer is yes, could the food police be next? Would we be powerless to stop it?

Health care is an issue near and dear to all Americans, and the outcome of the case challenging the individual mandate will make a big difference in how -- and even whether -- we receive it. The case pits three branches of government against one another -- the president, who shepherded through the law; Congress, which enacted the individual mandate; and the courts, which will decide whether Congress has the power to make us have health insurance. Many people see themselves as passive bystanders in this battle of the titans, with our health care, and perhaps someday our diets, hanging in the balance.

But we are not powerless, and the battle is not between forces beyond our control. What we are seeing is our constitutional democracy in action.

When the Supreme Court agreed to hear the challenge to the individual mandate, it did more than say it would sift through piles of legal briefs and listen to an unusually long six hours of argument. It sent a message to the American public, telling them, in essence, that our system of constitutional democracy is alive and well. It told them that it would act, and quickly, to examine the constitutionality of laws that directly affect them. By accepting the case, the Supreme Court once again showed the people that its issues are their issues, that it is not an Oracle tucked away in a lofty temple on a hill but an accessible institution engaged in work that matters to everyday Americans.

Equally as important, in agreeing to review the constitutionality of the health reform law, the Supreme Court brought home another important lesson in American government, the question of how much power each branch of government -- and ordinary citizens -- have to determine our laws.

The Court's job is to enforce broad parameters on the kinds of laws that Congress can enact. For the health reform law, that parameter is that the law must affect interstate commerce. If the law does, then the Court's job is not to decide whether Congress was wise to pass it or whether President Obama was right to work to get it passed.

That call is up to us -- the voters. Were members of Congress to pass a law requiring Americans to have health insurance, or even to eat broccoli, we would not be left without a remedy. We could vote them out. Think back to seventh-grade social studies -- this kind of inter-branch give and take is the very essence of checks and balances. And it is the epitome of participatory democracy.

It is rare that an exercise of federal power, one involving all three branches, captures the American imagination as this one has. When the Supreme Court hears arguments in the challenge to the health care mandate this March, it will, above all, serve as the steward of the rule of law and the Constitution. The take-away message for Americans everywhere should be that our system of government is at work.

The system is anything but simple. There are layers of law, complex policy judgments, and a continual contest between branches of government. That is democracy in action. We can make our voices heard in many ways, either for or against any law. We are not powerless. And regardless of anything the Court decides, this means that broccoli haters will be safe for a long time to come.

Robert I. Field, M.P.H., J.D., Ph.D., is a Professor of Law at the Drexel University Earle Mack School of Law and a Professor of Health Management and Policy at the Drexel University School of Public Health. Lisa T. McElroy, J.D., M.P.H., is an Associate Professor of Law at the Drexel University Earle Mack School of Law.

 
 
 
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01:58 PM on 12/19/2011
Nothing like a dishonest argument to make a point is there. It does give a person pause though, if the authors felt the need to provide us with this example of their integrity what are we to make of the point that they are trying these means to convince us? Or is this just another example of the old joke :how do you spell lawyer? L i a r e r!
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noaxe397
04:58 PM on 11/17/2011
Congress has the power to pass ANY law in furtherence of its constitutional authority......................Congress has the authority to regulate interstate commerce.....................Insurance is commerce that operates across state lines.........................Conservatives say Congress is trying to regulate commercial INactivity by forcing people to buy HC insurance...............But that is not the case................Without the mandate healthy people will wait until the ambulance is turning the corner before they buy insurance...................That will leave only sick people to buy insurance and that would lead to catastrophically high premiums and lousy benefits...............Congress regulates that interstate commercial problem of unaffordable premiums and poor benefits by creating a mandate that healthy individuals must also buy HC insurance, thereby regulate across state lines premiums and benefits......................................And, the same way government can pass a mandate that you buy broccoli, the government cannot force you to EAT broccoli.......................And neither can they force you to USE your HC insurance if you chose not to.............................But government can require you buy it as part of regulating interstate commerce.
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LadyXoc
08:04 PM on 11/17/2011
The broccoli thing is stupid, okay? However, suppose you have high cholesterol. Guidelines say you must take statins, despite the risk of side effects. You don't want to, but to continue your health insurance, your blood will be tested monthly to make sure you take them....
Coming to a horrorshow near you, since the insurance companies are now running the asylum.
thebigbike
ran away to be a cowboy
04:37 PM on 11/17/2011
Yep the corporations can vote' em out or in or out or in.... After all the corps are people too, as the messycomplicated system says. Next thing they'll actually have actual votes. say 1 per $1,000 of market valuation per share - votes to be determined by the board of directors and , if they so choose delegated to the President of the Corp or CEO? Closely held companies, or sole proprietorships or partnerships able to show a value of $5 million or more shall be treated in a like manner. After all, if they are people, you can't prohibit them from voting.
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HST
Conservatism = selfishness
04:13 PM on 11/17/2011
"The Supreme Court will decide this term whether Congress can require us to have health insurance as part of health reform. If the answer is yes, could the food police be next? Would we be powerless to stop it?"

This argument is akin to the conservative foolishness that gay marriage will lead to humans marrying animals.

Authors' argument is an epic fail.

Try again.
wsdave
Abusive or Insulting? I won't be responding.
08:01 PM on 11/17/2011
Except that the government has already basically admitted that it's true.
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HST
Conservatism = selfishness
02:04 PM on 11/18/2011
So I'm sure you have the links/proof to back that assertion?

Looking forward to seeing it/them.
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Leadsled
Love-child of the ghosts of FDR and Napoleon
04:10 PM on 11/17/2011
No, the "food police" could not be next. Your lies, misrepresentations and fraudulent comments not withstanding. Where did you get your degree the University of B.S.? Seriously, where do you get your attitudes from other than sheer unpatriotic amoral self interest?
wsdave
Abusive or Insulting? I won't be responding.
08:00 PM on 11/17/2011
Um, yeah, actually they can. And the government has as much as said so.
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Leadsled
Love-child of the ghosts of FDR and Napoleon
12:35 PM on 11/18/2011
Unless you have a direct citation from an official document from the appropriate government agency I don't believe you. Moreover just because something can be done, doesnt mean it will.
01:37 PM on 11/17/2011
Actually, given the actions of Justices Scalia and Thomas, the Supreme Court's review of the health care reform act shows our seriously compromised democracy in action. Unless these 2 tainted Justices recuse themselves, democracy is lost to crony capitalism.
wsdave
Abusive or Insulting? I won't be responding.
08:00 PM on 11/17/2011
If Obamacare passes the SCOTUS test (and it will), THEN democracy is lost to crony capitalism. Who did you think the mandate forces us to buy insurance from, if not private companies?
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Ethan0137
Often wrong; never in doubt.
11:36 AM on 11/22/2011
So you're in favor of a public option?