Among the growing number of stories speculating on the potential outcomes of the Supreme Court’s decision on the constitutionality of the Affordable Care Act’s mandates and coverage expansion, we’re also seeing articles like this — Supporters Slow to Grasp Health Law’s Legal Risks — by Peter Baker of the New York Times. Baker suggests that the ACA’s defenders, and particularly the Obama Administration’s lawyers, were too slow in realizing the legal risks facing the ACA. That may be true, but not for the reasons often suggested.
The unspoken premise of this line of argument has two parts. One is that when properly framed, the ACA is ultimately constitutional, so the ACA would be easier to defend if we just explained it clearly and use the better theory. Argue the tax angle, we’re told, and you win. I’m sympathetic to making a better argument, though I think it’s not that simple to explain the role of revenues in a privatized insurance scheme in the context of seeking universal coverage. And it’s not an argument conservatives like.
But I also suspect that if that premise — just make the better argument — were true, it wouldn’t matter, because the second part of the argument is that once we’ve framed and explained the ACA “correctly,” the Supreme Court justices will logically apply established precedents and conclude the Act is constitutional, because logic and precedent demand it. It’s this second part I find doubtful.
It’s not news that judges, and particularly appellate and Supreme Court Justices, tend to reflect the ideological tendencies of those who appoint them, and later, of the ideology they identify with. That’s a main reason for voting for one candidate/party over another, given our system. We’ve had more “liberal” courts in the past that could be expected to expand individual liberties and equal protection of the law; and they were more likely to approve government efforts to regulate the economy in furtherance of some broader public interest. But those days are gone.
For the last decade or more, we’ve had a Court focused on limiting individual rights against corporate and government abuse and much less willing to allow government to act for the common good if it violates the current ideological support for corporate or the accepted government interests. It is not, as George Will opined on This Week today, that this Court is simply applying the inherent constitutional concept of “limited government.” That’s a pretty selective interpretation, because this Court has shown appalling indifference to a powerful federal government mistreating people, especially those called “terrorists.” They’ve allowed a massive security state to operate in secret and the Executive’s power to expand with few limits. They’re okay with a government spying on everyone, and preventing individuals from seeking relief through the courts. Corporations are shielded from shareholders and class actions and then given the rights of citizens, but now allowed to undermine democracy through unlimited spending. This Court majority is lots of things, but a defender of “limited government” is not one of them.
These kinds of decisions have repeatedly come without the slightest regard for long established precedent or legal reasoning. It’s just whatever the current dominant ideology demands. They’re more selective about when to express concerns about “liberty” and “individual rights,” so the decision turns on whatever the current extreme devolution of conservatism demands at the moment, and that’s not as predictable as it might seem. Very few foresaw how radical and vindictive they were, or how quickly the current GOP would move to reverse the last 80 years of governance, though historians of the 1930s might have told us.
If we have a court dominated by four strong and openly conservative ideologues who are intent on both shackling and harnessing government to further whatever agenda they have, and a fifth who seems malleable, we should expect cases with strong ideological implications to be decided consistent with their ideological bent. I supposed there’s something ultimately “democratic” about that in the long run — when “we’re all dead” — even if it undermines the image Americans would like to have of how the Supreme Court decides cases.
So what might the Supreme Court do next week? Better to ask, what’s the current agenda? If Mitt Romney had somehow been elected President in 2008, I doubt there would be any stories this week about whether the Supreme Court would declare the newly enacted national RomneyCare unconstitutional. A few disgruntled progressives would be arguing that it was wrong to require individuals to purchase private insurance and inexcusable to force them to funnel trillions in health care dollars through private insurers, allowing them to manipulate coverage and take their cut, just to pay for health care. But these “liberal” arguments would, I suspect, have had no appeal to the same conservative majority that may strike down the same system when proposed by Obama and Democrats.
What next? The Republican nominee claims he supports Paul Ryan’s “premium support” mechanism for transforming Medicare from a government-sponsored health insurance program to one in which retirees choose private insurance. The ultimate goal is to transform all of Medicare to a system that functions through private insurers and retains the government only to provide whatever subsidies to private insurers the GOP is forced to fund to get reelected. So I anticipate a decision on the ACA that, even if it strikes down the individual mandate and related provisions, still leaves open the door to declare that whatever the GOP decides to do, it will be just fine constitutionally. And right now, they claim to want a system that funnels trillions through private insurers, but without any government obligation to make sure that actually translates to universal coverage or acceptable health care.





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Requiring people to buy private insurance, no matter what elaborate prevarications are used to claim otherwise, is pure evil. Obama wouldn’t expand medicare to cover all, a simple one paragraph amendment to the Medicare bill that would have been uncontroversially Constitutional, because the greedy parasites who donate so generously to Democrats didn’t want to be cut out of the trough.
Now somehow the “left” is supposed to get behind the idea that letting greedy parasites, by government mandate, stand between you and health care is for the greater good? Christopher Hedges is right about the death of the liberal class. God damned corporatists. You’ve all sold out one too many times. Now there’s nothing left but to let your creepy Fascist Democratic Party go down in flames.
this is a true constitutional crisis, where a group of justices, who can only be removed by death, dictate who gets elected and, within the next 12 years, alter laws that try to limit money in politics as well as provide health care for most Americans.
There is a story in the New Yorker this week that ably lays out how a very few decisions at the district court level validated the idea that ACA is a commerce-clause overreach.
Clearly, when Scalia can scorn his own precedents in Gonzalez v Raich 2005 on an expansive Commerce Clause, there is nothing but politics to govern what the court decides.
http://www.nytimes.com/2010/12/29/health/policy/29legal.html
agreed.
The mandate in the act is repugnant in that you have to buy “health insurance” from Blue Crime and its predator colleagues.
that could have been fixed with a public option. but we were forced to abandon that to avoid a fight with Karen Ignani and her criminal conspirators at Blue Crime Wave Inc.
the tax thing
Just thinking about Kelo.
Nice promises, how’d it work out?
A neighborhood became a dump.
One dissenting justice said:
He “also issued a separate originalist dissent, in which he argued that the precedents the court’s decision relied upon were flawed. He accuses the majority of replacing the Fifth Amendment’s ‘Public Use’ clause with a very different ‘public purpose’ test:”
My hero! = Clarence Thomas. I’ll be damned. The five justices who voted for Kelo were Anthony Kennedy, David Souter, Ruth Bader Ginsburg and Stephen Breyer.
Is this ballpark? When the government and corporations are interchangeable and basically a rico laundry cycle? I watched Yves Smith on Bill Moyers, and she said it used to be that Wall Street did “long-term greed,” meaning basically don’t kill the golden goose. But no more.
All of the hindsight is helpful analysis, but what folks should be preparing are large Medicare for All demonstrations to be called for noon local time the day after the Supreme Court announces.
Agreed. These points need to said again and again.
I agree. It boggles the mind that many on the left are defending the mandate, despite the fact that it’s a Republican idea hatched by the Heritage Foundation.
I know the feeling that you have, the drop inside the pit of your stomach when some weird wake up call makes us realize our political world is upsy-downsy.
When Rand Paul is one of the only people in the Senate to get up and denounce the NDAA. When you look at Supreme Court Decisions and realize that the Republicans Justices look better for the average citizen in such decisions as “eminent domain” and medical marijuana.
It’s at the point that if someone asks me who I will vote for in November, I am inclined to just reply, “Shoot me now!” and then hand them the gun.
I wonder whether there is a knife edge between the financial benefit of the mandate to the insurance corporations and the hospitals and likely ruling against it?
In the last few months, numerous of my acquaintances who work in the hospital industry have been fired after years of exemplary service. What they have all said (from different hospitals and clinics) is that new supervisors have arrived and begun to dismantle the operation by firing people.
It appears to me, a random outsider who knows a handful of hospital workers most of whom have now been fired, that this is not a random but a coordinated attack by the hospitals against workers.
I would be interested to hear whether this is going on in other areas of the country.
The hospitals are in their last gasp, and their coordinated conspiracies with the insurance industry to scrape out the last dollars from a collapsing scheme of “health care” should not go without notice.
I am with you, THD, demonstrations across the country on the day following the next corporate ruling.
I am against the individual mandate. It forces people to buy a crappy product from a rapacious industry, and perpetuates a system that delivers the least amount of care for the highest price.
And I find it mind-boggling that the White House and Capitol Hill Democrats came up with a Rube Goldberg contraption of a law that, with the exception of the hated mandate, Americans don’t understand.
Cap and trade was also a Republican idea that is now being denounced as socialism by the right-wing ideologues who have seized control of the GOP.
If you talk to a “progressive” who still strongly supports the president, you quickly realize they really aren’t progressives anymore–they’re cult members. They post pictures of the Obama family and or the President and First Lady and talk about how “beautiful” they are, like that fucking matters. Some opine about how the President’s wisdom is only matched by his kindness–I’ve literally seen this kind of post posted by a former OFA staffer on social media. They’ll use the health care plights of other cultists to make emotional appeals for the ACA. They no longer have ideals, values, principles, or even independent thought. They have a religion-like devotion to Barack Obama and an alarming psychological dependency on the man’s electoral success.
In the event the SC strikes down the ACA, does that impact Gov. Romney’s MA insurance plan, on which the ACA was based?
I don’t see how.
They will word it so that in the case of MA, it is a “state’s rights” issue.
“Once they lost one, two, three rulings, they had to take it more seriously,” said Michael Carvin, who represented the National Federation of Independent Business in challenging the law.
Ha ha, that reminds me…
JUSTICE SOTOMAYOR: So the — I — I want to understand the choices you’re saying Congress has. Congress can tax everybody and set up a public healthcare system.
MR. CARVIN: Yes.
JUSTICE SOTOMAYOR: That would be okay.
MR. CARVIN: Yes. Tax power is -
JUSTICE SOTOMAYOR: Okay.
MR. CARVIN: I would accept that.
It seems that some of those “progressives” are more concerned on what the SCOTUS ruling will have on Obama’s peronsal political fortunes, like they were rooting for a team.
Personally, I don’t care about the politcal fallout of this for him. He ran as a progressive in 2008, and has ruled as a DLC lackey, center-right sycophant for the last 3 1/2 years. His obsession with bipartisanship brought us to this sorry pass.
He still doesn’t realize that the Rs detest him. But then, so do I.
A clause addressing severability would not have been wildly anticipatory or fear based. It would have been prudent and necessary. Clearly, legal risks were not dealt with, maybe they were considered.
Great idea! Whatever the decision. That was the choice the public wanted on the table the whole time and it was the one that wasn’t allowed there.
When reagan nominated scalia, he sailed thru thanks to the democrats and republicans. The vote was unanimous.
98-0 was the final vote.
Sometimes I wonder if he relishes detest, that it fuels him somehow, that’s how he climbs the pole. The only people he tries to reach are those above him, those who put him up there are now below him. The higher he climbs, the more people he detests. Use them, shit them, advance.
Re rooting for teams and sorry passes — perris had a good comment about Obama recently:
That’s so perfect. It just doesn’t say why Obama throws for the other team.
Amen.
I love it when the very first commenter sums up the entire fascist situation in their opening sentence. Need for further comments is eliminated.
The left is not defending the mandate, only corporatist Democrats are. They, and Obama, are definitely NOT the left. I include all Democrats like Dennis Kucinich and Sherrod Brown who caved and voted for it. It’s why I won’t vote for Sherrod Brown in November.
I’m sure there’s a Socialist or Green running.
In the midst of The Great Recession of (2008-2018) could it be possible that moving to Single Payer would have caused the layoff of millions, perhaps as many as 4, and added to the chance of even more turmoil at just the wrong time. With 1 in 7 Americans working in some aspect of healthcare; even paper shuffling of medical documents has to be paid for, could the Obama Adm. and the Democratic Congress ” punted ” for fear of political reprisals for decades? Like Pres. Johnson’s lament of losing the South for a generation, were they even more cowardly than one could imagine? Or just so effin’ paid off that this is what we got? Either way, this ACA will not accomplish anything meaningful. Bankruptcies will bloom like alpine flowers and the middle class will recede like the glaciers of The Rockies. As my cynical barber friend says, ” our gov’t wants us to die the day before we collect our first SS check and they are going about it the best way they know how. Vaya con Dios, suckers. “
Well said. We’re through the looking glass here.
Tomorrow, or Not.
If they’re going to DO anything, my hunch is it would be the second to the last day. Otherwise, all we’ll hear on Thurs/Fri will be “‘Bye, Now!”
Agreed. And also agree and pray that the Medicare-Single Payer-Universal Health Care people are ready to take tactical advantage of the Supreme Court decision.
Book Salon up with Joseph Costello’s Of, By, For: The New Politics of Money, Debt, and Democracy hosted by Jerome Armstrong
The only thing the original post said was that the poster would rather the justices have his tendencies and viewpoints to rule from. They don’t object to justices using their tendencies and political background to rule, just as long
Ng as those views tend to be like theirs.
Never any objection to the other 4 justices voting in lockstep.
Here is the real scene of what will happen. 1. The court, 6-3, will rule the mandate unconstitutional. Then, 5-4, that the entire law goes down because Dems intentionally eliminated the sever ability clause. 3. Obama will then issue an executive order requiring the law to be implemented anyway.
H.R. 676 – the Medicare for All bill provides for workforce transition (priority for jobs in the new system, transition benefits for up to 2 years). Link (contains another link to a PDF of the bill – workforce provisions in Section 303).
I’ll be amazed if the corporate loving SCOTUS overturns the mandate, since it’s nothing more than a gift to the corporate Health Insurance Industry. Why would SCOTUS overturn the mandate that benefits the 1% at the expense of the 99%? That doesn’t compute.
Progressives have had a loaded gun pointed at their heads continuously, at least since Ronnie Reagan was (s)elected.
wynota, the layoff question is a fair one. As a man who would love to see obamacare struck down and replaced with medicare for all, it’s something I’ve pondered. Perhaps scarecrow has some info on this. When this was all being implemented a few years back, FDL had a lot of info on the entire debate and perhaps unemployment issues were discussed.
In my mind, I rationalized that folks working for insurance companies would be hired by the government to administer the now expanded medicare program. Just speculation on my part based on 0 research.
thanks marym. Just saw your post after I posted mine.
late to this thread, don’t know if this point has been made yet
not really a statement at all, for when properly framed against it’s constitutionality, the aca as it stands is ultimately unconstitutional
we can all play the game they are playing
in the end, I believe “ultimately” there are portions constitutional and portions not
it’s not speculation at all, the government hires MORE people at HIRE wages then private industry, AND it cost less to administer better coverage
win
win
win
the only loser would be the ceo’s who reap the reward of hire bills, lower labor costs, less coverage
Crazy? Again, this is the Health care system that Obama fought so hard to further entrench and embolden:
Apart from the merits of a private model, I think we can assume that the more money the Feds pour into subsidizing health care, the more health care related jobs you create. It’s not necessarily efficient. And it would change depending on macro conditions. In a severe recession, it’s clearly expansionary. Under full employment, it’s could be much less so, displacing spending o n other things that could be more, or less, expansioary. I havent seen numbers on this lately.
But I’m more concerned about how many do or don’t get health care after the decision. We have 50 million uninsured. The studies say this contributes to thousands of unnecessary deaths. The Medicaid expansion plus the subsidies are supposed to cover 20-30 million, when they kick in. What happens to them under these court scenarios? There’s a lot more than consititutional issues at stake.
The sorriest thing is that polls indicate the public has already lost confidence in the Supreme Court as an institution. The partisanship is too obvious.
So,IMPERATIVE OBLIGATION to buy insurance for profit of corporations is constitutional?Only rich people and lambs agree with mandate,this is about freedom,no about broccoli and other BS.
President Obama = Corporations = Scotus = Congress = Senate = money = mandate ,therefore by transitive property President Obama = mandate.
there are no merits to a private model that can’t withstand benficial competition against the government, there is nothing wrong with a hybrid plan, you can have a public health plan or private, take your pick, WATCH private health care FINALLY become efficient
I do not think that’s a fair assumption at all, there is only waste when you use trickle down economic strategy, giving to the top in the hopes you create jobs is what got us into this trouble
you have to compare donuts to donuts scarecrow
pour a fraction of that same money you are talking about into government jobs and you reap FAR more economic gain
what you do when you pour economic assets into the top is waste economic assets and in the end create far less economic strategy
see all on another thread
There is more than one silver lining to SCOTUS throwing Obamacare under the bus. One has been discussed heavily which is it REALLY opens the door to Medicare for all which should be sold to the stupid illiterate public (you know the FOX news worshippers) as a way to stop those freeloaders from using emergency room health care services. We pop the SS/Medicare numbers to 10% for employee and 10% employer and take cap off contributions (now capped at $108 grand on SS portion) and count ALL income as taxable for FICA including cap gains and dividends (vital) and viola we have Medicare for all and SS both paid for in perpetuity. Actually if dividends and cap. gains treated as ordinary income for FICA purposes we could lower FULL retirement to 62 (like France) and give jobs to those college grads and returning vets who need them. And since corporations are people too they should pay FICA on all their MULTI BILLIONS in income.
But the 2nd and sublime result of SCOTUS doing their right wing thing is that the corporate Health Insurance Industry will take a huge bath in thes stock market right after its announced. Why? Well, they won’t have that extra 40 million pool of health insurance buyers available to them to financially rape anymore.
WIN/WIN as far as I can see. Go right wingers–fuck yourselves in the ass.
Hey perris! I quoted you @24, hope you saw
Citizens United, they can’t tell a corporation from a person, they look like idiots.
I don’t think there is the slightest chance the next Congress will adopt Medicare for all.
You’ve managed to quote me out of context, ignore all the qualifications, then miss the point. If the government spends money on digging ditches, the number of ditch digging jobs goes up. I never said that produces more jobs than other ways to spend money, nor is it an argument that we should have more ditch digging public or private.
I don’t mind people telling me I’m mistaken, but they should at least make an effort to understand what I’m saying.
Spot on -
time to put a call into the Occupy Folks
“Apart from the merits of a private model, I think we can assume that the more money the Feds pour into subsidizing health care, the more health care related jobs you create. It’s not necessarily efficient. And it would change depending on macro conditions. In a severe recession, it’s clearly expansionary. Under full employment, it’s could be much less so, displacing spending o n other things that could be more, or less, expansioary. I havent seen numbers on this lately.”
Perhaps there are few examples of the private model you can mention?
What sort of inefficiecy are you referencing when the Feds inject more money into healthcare?
“But I’m more concerned about how many do or don’t get health care after the decision. We have 50 million uninsured. The studies say this contributes to thousands of unnecessary deaths. The Medicaid expansion plus the subsidies are supposed to cover 20-30 million, when they kick in. What happens to them under these court scenarios? There’s a lot more than consititutional issues at stake.”
As you clearly implied, there would still be 20 to 30 million still uninsured when obamacare fully kicks in. The obamacare approach on that alone is mediocre in addressing the numbers of remaining uninsured.
The obvious solution again is medicare for all.
The constitutional issues are very large and significant. Once the precedent is established for government mandating simply because you are alive, any rational can be used to mandate citizens purchase private sector products. This is not trivial.
No, it doesn’t impact it at all. State law/state constitution governs in that instance.
I wouldn’t care if the idea was hatched by The Heritage Foundation is it was a good idea. Who comes up with an idea doesn’t matter to me. Unfortunately, this one wasn’t a good idea, and it stretches the commerce clause to the point of breaking.
The USSC may overturn the mandate and leave the rest of the ACA in place. Maybe. Obama and the Dems actually made that harder by actively choosing to leave out standard severability clause. Either way, as far as I am concerned the mandate which requires citizens to do business with/support for-profit corporations (that get to skim 20+ percent off the top) simply by virtue of being alive has to go. The government couldn’t even articulate a limiting principle on mandates in oral arguments, and that alone says a mouthful.
There’s a lot more than consititutional issues at stake.
The constitutional issue is the fundamental issue. Good intentions don’t trump the Constitution.
Is there not a substantial part of ACA that expands Medicare coverage to new millions of people? So, there is an element of single payer here, no?
Medical coverage for all will take many iterations over time, but this is the first step, which is why the repugs hate it: they know that if left standing, eventually we will get to single payer.