Making people obtain and maintain health insurance is not the nanny state; it is grow-up time. The nanny state is what we have today, prior to full implementation of Obamacare, and what we have had since the 1986 passage of the Emergency Medical Treatment and Active Labor Act.
Supreme Court watchers were initially surprised when Roberts upheld the PPACA not because he found the law constitutional per se, but because he ruled it a tax. "I know that's not what the Justices on the Left think, not to mention those other jerks, but why split hairs?"
Committed, passionate people working inside a broken system find themselves trying to outrun the fire. Fortunately, though, I think we are at a unique moment in health care, with a rare opportunity for a true overhaul.
Chief Justice Roberts' last minute change of heart may not reflect his asserted view of the law as deterministic rather than ambiguous, but it does reflect a conscientious regard for the Court's position in American society.
The public, as ignorant of the specifics of the Affordable Care Act as ever, can be forgiven for believing Republicans that this decision is "the biggest tax hike in history." But that is actually an outright lie.
Jindal, Perry and other GOP governors refusing, however absurdly, to implement Obamacare will inevitably segregate health care in America between states where people can afford quality health care and those led by hysterical nimrods standing in their way.
During the victory dance over the Court's Obamacare decision, the West was on fire and record heat punished much of the rest of the country. It is hard not to draw the connection between our abject failure to address climate change and the septic politics that have infected Washington.