One of the state attorneys general who has signed onto a nationally-watched lawsuit to overturn health reform is Republican Greg Abbott of Texas. The lawsuit alleges that the new law is unconstitutional because it imposes a mandate requiring citizens to buy insurance.
Turns out, however, that Abbott strongly supported a law in Texas last year that requires divorced parents to purchase insurance for their kids, even if they prefer to pay for their medical expenses out of pocket.
Yesterday’s lawsuit, which is signed by Abbott and 11 other state attorneys general, argues that the health reform law “represents an unprecedented encroachment on the liberty” of Americans by “mandating that all citizens and legal residents” of the U.S. have coverage. The lawsuit argues that this violates the Tenth Amendment.
But last year, Abbott backed an initiative in Texas that, in effect, required divorced parents to insure their children rather than pay for their medical costs out of pocket.
Here’s the deal: The Federal government requires parents to provide medical coverage for their kids. They can pay for this out of pocket they choose. But Abbot supported the creation of something called ChildLINK, an insurance pool that divorced Texas parents of uninsured kids are required to use to insure them.
In an approving Op ed supporting the initiative, Abbott wrote that the measure shifts parents’ duty “from an obligation to pay cash medical support to an obligation to pay health insurance premiums.” The idea was that this would bring down costs.
-- Edited by Sanders on Wednesday 24th of March 2010 04:21:34 P ======================================================
At least from theEmployer perspective, the "Employer mandate" is technically not a mandate because there is an out. They can pay the fine. This is the perspective of some of the Employment law experts that I have read.
But the coverage purchase is another deal altogether. I wonder if Article I is sufficient protection for the Federal government in terms of 'overall welfare' of the people.
It will all depend upon who will be in the SCOTUS when this comes up and how much Pres.Obama has irked them, I suppose. Watch out Mr.President, no more public admonishment of the judges! That is if you have not blown it already. They do have a way of making snappy decisions on you! LOL (tongue in cheek)
Yes, if it is a very activist court on the conservative side, it can strike down the HCR. But otherwise, it is likely to stand.
-- Edited by Sanders on Thursday 25th of March 2010 09:24:50 AM
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Democracy needs defending - SOS Hillary Clinton, Sept 8, 2010 Democracy is more than just elections - SOS Hillary Clinton, Oct 28, 2010
WASHINGTON -- Virginia Attorney General Ken Cuccinelli seems determined to use an attack on health care reform to bring us back to the 1830s.
Cuccinelli, to cheers from the Tea Party crowd, went to court this week to overturn the new law, which he says conflicts with a Virginia statute "protecting its citizens from a government-imposed mandate to buy health insurance."
"Normally, such conflicts are decided in favor of the federal government," he said, "but because we believe the federal law is unconstitutional, Virginia's law should prevail."
The Republican attorney general's move reveals how far into the past America's New Nullifiers want to push the nation. They don't just want to abandon a more than seven-decade-long understanding of the Constitution's interstate commerce clause that has allowed the federal government to regulate a modern, national economy. They also want to resurrect states' rights doctrines discredited by President Andrew Jackson during the nullification crisis of the 1830s and buried by the Civil War.
There are two issues here. One is whether the federal government can require individuals to buy health insurance. The other is the states' rights question. In a suit separate from Cuccinelli's, 13 state attorneys general -- 12 Republicans and a conservative Democrat from Louisiana -- also challenged the mandate. But their main argument is that the federal government cannot force states to pay for an expanded Medicaid program and take other steps the law requires.
It would take a rashly activist court to find the individual mandate unconstitutional because it is structured as a tax. No one will go to jail for not buying insurance. Starting in 2014, people who refuse will have to pay a penalty to the federal government, administered by the IRS. There are subsidies for those who cannot afford coverage on their own, as well as hardship exemptions.
The idea is simple: Most people without insurance currently receive at least some medical help, and the mandate is designed to get everyone paying into the system. One of the best defenses of a health insurance mandate came in a Wall Street Journal op-ed piece published in April 2006.
"By law, emergency care cannot be withheld," this commentator wrote. "Why pay for something you can get free? Of course, while it may be free for them, everyone else ends up paying the bill, either in higher insurance premiums or taxes."
He concluded: "Some of my libertarian friends balk at what looks like an individual mandate. But remember, someone has to pay for the health care that must, by law, be provided: Either the individual pays or the taxpayers pay. A free ride on government is not libertarian."
That would be Mitt Romney. The former Massachusetts governor is now trying to insist that the health plan with a mandate that he championed in his state -- with the support of a legislator named Scott Brown -- is oh-so-different from the bill President Obama signed this week. But Romney can't take back his own words.
President Obama’s signature is barely dry on the health-care bill, but already the legal challenges have begun. Most of them strike me as pretty implausible, with one exception: the complaint that Congress lacks the authority to impose an individual mandate to buy health insurance. To be sure, this claim, too, is a long shot, for reasons that Orin Kerr has articulated pretty well. But let me explain why I don’t think it’s a total laugher.
Congress can regulate activity pursuant to its constitutional power over commerce “among the several states.” The Supreme Court has struck down relatively few statutes as exceeding this authority. Not only that: The court has upheld such sweeping laws as federal limits on subsistence wheat farming and a federal ban on marijuana possession in states that allow “medical marijuana.” Basically, the court has found that even apparently localized activities have repercussions for national markets.
In recent years, however, the court has also struck down federal laws banning handguns within 1,000 feet of a school and permitting women to sue rapists in federal court. In those cases, the court attempted to set an outer limit on Congress’s Commerce Clause authority, warning that Congress cannot touch non-economic activities, or claim economic impacts that require “inference upon inference in a manner that would bid fair to convert congressional authority under the Commerce Clause to a general police power of the sort retained by the States.”
Given that recent history, will the Supreme Court will simply duck this question out of deference to Congress -- as a number of pundits are predicting? True, federal statutes enjoy a presumption of constitutionality and, under normal circumstances, there has to be some disagreement among lower courts before the Supremes intervene. But we're talking about a court whose conservative majority just overturned a bipartisan campaign finance law, conferring free-speech rights on corporations for the first time. And, not too long before that, a different, liberal-led, majority of the same court struck down military tribunals that a broad bipartisan majority of Congress had created.
By contrast, health care passed with a narrow, partisan majority, and its popularity at the moment is at best unclear -- not that such considerations would ever penetrate the justices’ ivory tower, of course! During the election dispute of 2000, the legal professoriate chorused in near-perfect unison that the Supreme Court would never hear Bush v. Gore, and wouldn’t rule in favor of Bush if it did. We all know what happened to those predictions.
On the merits of the issue, I agree with health reform’s supporters that one’s decision not to buy health insurance has economic ripple effects. Basically, it turns you into a free-rider and that imposes costs on everyone else in the risk pool. As Prof. Erwin Chemerinsky recently put it: “There is no constitutionally protected freedom to be able to refuse to be insured or to avoid paying for the benefits provided.”
I’m less convinced, however, that eschewing insurance amounts to economic “activity.” The opponents have a point when they ask, “If Washington can require you to buy this product, what can’t it require you to buy/do?” (This was not an issue for Massachusetts’s individual mandate, by the way, because that was a state program and there has never been a question about an individual state’s authority to set such requirements.) Yes, being a free-rider may affect everyone else’s costs, but even if you shun insurance, you still have to pay for the services you use, at least if you’re non-indigent.
For many people, non-participation in the health-care risk pool is economically rational, and participation is not. For others, refusing health insurance might be a “statement” of sorts. There are a few Americans who want as little contact as possible with authority or the wider society. They prefer to live “off the grid.”
In other contexts, we applaud the exercise of the “right to be left alone.” Indeed, radical individualism, or, to be more precise, the possibility of radical individualism, is part of what’s always been different and, to many people, kinda special about America. As a practical matter, the scope for this kind of life has been diminishing for some time. The individual mandate limits it even more, in favor of social solidarity.
This may be a necessary change -- the price of living in a modern, urbanized society in which medical care has become both pervasive and expensive, far more pervasive and expensive than the framers of the Constitution, or the original Medicare statute, for that matter, ever imagined. The individual mandate may well be constitutional; the arguments in favor are indeed powerful. But it raises non-trivial issues of federal authority over the individual.
I would not be surprised if the Supreme Court wants to weigh in before it takes effect in 2014.
"
Great blog post by Rick Lane. Hat tips!
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Democracy needs defending - SOS Hillary Clinton, Sept 8, 2010 Democracy is more than just elections - SOS Hillary Clinton, Oct 28, 2010
The landmark health care legislation passed Sunday has serious issues, but the legality of its personal mandate isn't one of them.
By The Denver Post
Excerpt:
" Of all the problematic areas we see in the health care bill and the political process that gave birth to it, the individual mandate is not one of them. We hope the legal challenge will be dispensed with expeditiously. "
(Reuters) - New battles are erupting over recently passed U.S. healthcare reforms, this time within the states, where leaders from both parties are clashing on whether to sue the U.S. government.
Only hours after President Barack Obama signed the healthcare plan into law this week, more than a dozen Republican attorneys general of U.S. states -- and one Democrat -- filed lawsuits saying it violated state and individual rights. Others began investigating possible lawsuits.
The reforms, which mandate that each citizen has health insurance, were pushed through by Democrats in the U.S. Congress after months of rancorous partisan fighting.
Wisconsin's Democratic Governor Jim Doyle in a letter on Thursday rebuked the attorney general of his state, J. B. Van Hollen, for threatening to sue, calling a suit "a frivolous and political attempt to thwart the actions of Congress and the law of the country."
Wisconsin requires the state's governor or legislature to approve legal actions.
In a request for approval Van Hollen sent on Thursday, he said that the healthcare plan "upsets the proper balance of power between the federal government and the states."
While some legal scholars think the suits will reach the Supreme Court, many agree that the supremacy clause of the Constitution, which puts the powers of the U.S. government above those of the states, will trump the states' arguments.
John Roberts is an acutely image-conscious chief justice, as watchful and protective of the Supreme Court’s image as he is of his own. I find it almost impossible to believe that this careful student of history would place his court in the same position as the court that has been rewarded with history’s negative judgment for thwarting the early New Deal.
Midweek polls showed the public already rallying around the new health care law. That trend is likely to accelerate as people realize that the law’s benefits belie the scare stories — just around that time that the state challenges are likely to reach the Supreme Court. It won’t require a summa cum laude in history from Harvard to be able to tell history’s wrong side from its right.
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Good added perspective with some case law historic calls by the SCOTUS judges.
-- Edited by Sanders on Friday 26th of March 2010 06:37:27 PM
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Democracy needs defending - SOS Hillary Clinton, Sept 8, 2010 Democracy is more than just elections - SOS Hillary Clinton, Oct 28, 2010