Category Archives: Healthcare

UPDATED: Screwed By The SCROTUM & Its Chief Politico (Obama On Top)

Constitution, Founding Fathers, Healthcare, Justice, Law, The Courts, The State

“Anticipating A Turn of The Health-Care Screw,” last night’s Barely-a-Blog post title, was apt.

The SCROTUM would fail to dissolve “the hulking bill,” Orwellianly titled “The Affordable Care Act.” The Supermen Court, after all, doesn’t follow natural law; individual rights, or even the founders’ federalism.

Why, the Constitution itself, in all its amendments, has long since veered from the just law. All the more so the jurisprudence that “interprets” this already flawed, dead-letter scroll. (“Sometimes the law of the state coincides with the natural law.“ More often than not, natural justice has been buried under the rubble of legislation and statute.”)

“As affable as he is,” said a September 15, 2005 blog post titled “Judge Roberts: Smooth Operator?”, during Roberts’ confirmation hearings, “Roberts, regrettably, is no Janice Rogers Brown.”

Their devotion (and dotage) prevents President Bush’s lickspittles from realizing that he too considers Rogers Brown ‘outside the mainstream,’ to use the Democrats’ demotic line. Let’s hope, at the very least, that Roberts is a Rehnquist.” AND, “here’s the thing that unsettles: Roberts seems to be all about the moves.”

Lyle Denniston, of the SCOTUS Blog, speaks to the technicalities of today’s decision, in “Don’t call it a mandate — it’s a tax”:

Salvaging the idea that Congress did have the power to try to expand health care to virtually all Americans, the Supreme Court on Thursday upheld the constitutionality of the crucial – and most controversial — feature of the Affordable Care Act. By a vote of 5-4, however, the Court did not sustain it as a command for Americans to buy insurance, but as a tax if they don’t. That is the way Chief Justice John G. Roberts, Jr., was willing to vote for it, and his view prevailed. The other Justices split 4-4, with four wanting to uphold it as a mandate, and four opposed to it in any form.

“The Roberts Court is Born”:

Today’s Supreme Court is often referred to as Anthony Kennedy’s Court. Although Kennedy is the swing justice who usually casts the deciding vote in close cases, the landmark ruling this week in the healthcare cases clearly mark the maturation of the “Roberts Court.”
Chief Justice John Roberts was the surprising swing vote in today’s Obamacare decision. Although he agreed with the four conservative justices, including Kennedy, that the individual mandate was not a regulation of interstate commerce, he voted with the Court’s moderates to hold that it was justified as a tax. Because people who don’t obtain insurance pay a tax to the IRS, the mandate was within Congress’s power to raise taxes for the general welfare. As a result, the Affordable Care Act was upheld.
With this deft ruling, Roberts avoided what was certain to be a cascade of criticism of the high court. No Supreme Court has struck down a president’s signature piece of legislation in over 75 years. Had Obamacare been voided, it would have inevitably led to charges of aggressive judicial activism. Roberts peered over the abyss and decided he didn’t want to go there.

UPDATE: Absolutely right is the New York Time: “The decision was a victory for President Obama and Congressional Democrats, affirming the central legislative pillar of Mr. Obama’s presidency.”

AND, so was “SUPREME COURT OF THE UNITED STATES: ARIZONA ET AL. v. UNITED STATES.”

So, for heaven’s sake. Quit the denial. Liberty was not sundered with Obama. It’s long gone.

Anticipating A Turn of The Health-Care Screw

Federalism, Healthcare, Individual Rights, Law, The Courts

Nothing short of a total repeal of Obama care will do, because such a repeal will amount to nothing more than a “do no more harm” injunction. However, even in the unlikely event that the SCOTUS deals a set back to Obama’s politburo of proctologists in the waiting, and repeals the hulking bill–we are still screwed, as we currently labor under a costly, unwieldy “patchwork of indemnity insurance arrangements, managed care, private payment, and charity.” Free market incentives are not exactly robust in the current Third-Party system.

Until tomorrow, Amy Howe anticipates the health-care decision, “In Plain English,” at the SCOTUS Blog:

Once the Court does turn to health care, there are four questions before it. Three of those questions revolve around the “minimum coverage” provision, popularly known as the “individual mandate.” Of course, the question keeping the White House, Congress, and everyone else in the country on pins and needles is whether the mandate – which would require virtually all Americans to buy health insurance by 2014 or pay a penalty – is constitutional: can Congress, using its power under the Constitution to regulate commerce between the states, make people buy health insurance? (More detailed Plain English discussions of the substantive issues in the case, including the individual mandate, are available at this link.)

But before the Court can decide whether the mandate is constitutional, it must first decide whether it can even rule on this question at all. The potential obstacle to the Court’s review of the mandate is the Anti-Injunction Act (AIA), an 1867 law that prohibits lawsuits to challenge a tax until the tax has actually gone into effect and needs to be paid. At least one lower court has concluded (and the federal government once even argued) that the “penalty” which would be imposed on someone who doesn’t buy health insurance under the mandate is a “tax”; therefore, this line of reasoning goes, someone who believes that the mandate is unconstitutional cannot bring a lawsuit making that argument until after the mandate actually goes into effect in 2014.

If the AIA applies to the lawsuit over the mandate, then the Court cannot consider the challenge to the mandate even if both the federal government and the states challenging the law want the Supreme Court to decide the case. So if at least five of the nine members of the Court were to conclude that the AIA does apply to the mandate, that would be the end of the matter. The Court would not discuss, much less rule on, whether the mandate is constitutional, nor would there be any reason for the Court to weigh in on what parts of the law, if any, can survive if the law is unconstitutional – the “severability” question. Instead, the Court would skip straight to the fourth and final question, dealing with the constitutionality of a provision that expands eligibility for Medicaid, the state-federal partnership that provides health care to the poor.

What the Court will in fact decide about the AIA obviously remains to be seen tomorrow. After the oral argument in March, most Court watchers believed that the Court would not regard the AIA as a bar to reviewing the mandate. But if that issue went the other way, that decision would postpone a decision on the mandate until well after the presidential election – which might be an appealing option both for political reasons and if the Court is having a hard time coming up with a majority to resolve the mandate issue.

At least for tomorrow, all that anyone will really be interested in with regard to the AIA is the Court’s bottom line: can it review the mandate issue or not? If it agrees with both sides that it can, all eyes will then turn to that constitutional question. Most Americans care about the bottom line: is the mandate constitutional? Even if the Justices disagree on the reasoning, the mandate would still survive.

If the mandate does survive, then the Court’s work is almost done; all that would be left would be the Medicaid issue, which we will discuss in a moment. But if at least five Justices vote to strike down the mandate, then the Court will have to decide what other parts of the law, if any, fall with it. On this “severability” question, the Court will again have several options. It could allow all of the rest of the ACA to stay in place; it could conclude that the rest of the law must go too (as the states have argued); or it could settle on a middle ground – for example, as the federal government argued, by striking down the provisions that are inextricably linked to the mandate but allowing the others to go into effect.

Finally, as long as the Court doesn’t conclude that the entire ACA must fall, it will have to resolve one more issue: does another provision of the Act violate the Constitution because it effectively coerces the states, requiring them to comply with the ACA’s expanded Medicaid eligibility requirements or risk losing all of the money that they receive for Medicaid from the federal government? The lower court agreed with the federal government that it does not, and the Justices seemed to be leaning that way at oral argument. But as we saw on Monday when the Court announced its decision in the Arizona case, the oral argument is not always a foolproof predictor of how the opinion will turn out.

So check back tomorrow; we’ll have our first reporting on the decision as soon as it is announced, and then we’ll break it down into Plain English as soon as possible after that.

Smacked By A Liberal Girl

Barack Obama, Constitution, Federalism, Healthcare, Justice, Law, The Courts

The Ass had his formidable ears smacked about by Former Supreme Court Justice Sandra Day O’Connor. O’Connor, who is not exactly a conservative, “effectively rebutted President Obama’s warning that a ruling against Obamacare would be ‘judicial activism.'” (Washington Examiner)

Recall, President Obama had used the term “judicial activism” “when he described a possible ruling against Obamacare as “an unprecedented, extraordinary step of overturning a law that was passed by a strong majority of a democratically elected Congress.” (Washington Examiner)

O’Connor derided such reasoning today, without mentioning the president. “It seemed to me that it was primarily a lack of understanding by many people about the role of the judicial branch [that motivates charges of judicial activism],” O’Connor said today. “I really thought that we needed to enhance the education of young people about how our government works.”

Since federalism is a chimera—it no longer exists in any meaningful way—the level of decision-making is immaterial to me. In this context, what matters is the decision to strike down ObamaCare. Who cares which branch of the hydra-headed monster makes it, so long as it is made, and, once made, it holds.

Growing Testy With the Twit

Barack Obama, Constitution, Federalism, Glenn Beck, Healthcare, Law

The 5th Circuit Court of Appeals is growing testy with Obama, giving the Department of Justice “until Thursday to explain whether the Obama administration believes the courts have the right to strike down a federal law.” Via Glenn Beck’s The Blaze:

A federal appeals court has ordered the Justice Department to clarify comments made by the president when he said yesterday that it would be “unprecedented” for the Supreme Court to overturn his signature health care law (“Obamacare”).
“I am confident that this will be upheld because it should be upheld,” President Obama said.
“Ultimately I am confident that the Supreme Court will not take what would be an unprecedented, extraordinary step of overturning a law that was passed by a strong majority of a democratically elected Congress.”
He continued:
And I‘d just remind conservative commentators that for years what we’ve heard is the biggest problem on the bench was judicial activism or a lack of judicial restraint, that an unelected group of people would somehow overturn a duly constituted and passed law. Well, this is a good example. And I’m pretty confident that this court will recognize that and not take that step.

It is a good day when activist legislation is struck down. The less legislation on the obese books, the better—unless it is legislation to strike down other overreaching, unconstitutional laws of which we have tens of thousands.

Federalism is forever being “discovered” belatedly and opportunistically by the Demopublicans. Since federalism is a chimera—it no longer exists in any meaningful way—the level of decision-making is immaterial to me. In this context, what matters is the decision to strike down ObamaCare. Who cares which branch of the hydra-headed monster makes it, so long as it is made, and, once made, it holds.