Affordable Care Act (ACA) - Obamacare

Re: The Constitutionality of the Individual Mandate for Health Insurance

Analyzing A Crucial Battle In The Legal War Over Health Reform
Analyzing A Crucial Battle In The Legal War Over Health Reform – Health Affairs Blog

For a lawyer, the argument of Florida v. the Department of Health and Human Services before a three judge panel of the Eleventh Circuit Federal Court of Appeals on Wednesday, June 8, was a beauty to behold. (For a non-lawyer it was probably tedious, repetitive, and much too long). Three active and very well-prepared judges spent two and a half hours grilling three very talented lawyers about intricacies of health policy and constitutional law, rarely allowing the lawyers time to finish a thought before interrupting with yet another question.

This is arguably the most important of the many Affordable Care Act (ACA) challenges currently pending in the courts. The plaintiffs include over half of the states, as well as the National Federation of Independent Businesses (NFIB) and two individual plaintiffs. It is one of only two cases in which a part of the ACA has been held unconstitutional (out of over thirty cases that have been filed), and it is the only case in which the lower court struck down the entire statute as unconstitutional. Thirty-six amicus briefs were submitted to the appellate court, including briefs filed by professional and provider organizations, members of Congress, states and state legislators (on both sides), Nobel Prize winning economists, law professors, disease and consumer organizations, and just about every conservative advocacy group in the country.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

Goddam I'm having a good time over at The Thinking Atheist. This video is apropos here:
[ame=http://www.youtube.com/watch?v=pkKPtUywY-8&feature=player_embedded]YouTube - ?If Jesus was a Conservative?‏[/ame]

P.S. I'm a 30 year voting-life long registered Republican who is becoming very disillusioned about the direction my party is tacking towards of late.
 
Last edited:
Re: The Constitutionality of the Individual Mandate for Health Insurance

Goddam I'm having a good time over at The Thinking Atheist. This video is apropos here:
YouTube - ?If Jesus was a Conservative?‏

P.S. I'm a 30 year voting-life long registered Republican who is becoming very disillusioned about the direction my party is tacking towards of late.


Well I`m very glad that you are starting to see the light. :)
I dont see how you could make all the intelligent comments you have made in diverse areas and think that Palin, Trump, Romney or the like would well serve the people as president.

Yes, they have some excellent videos dont they? Keep em coming!
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

Goddam I'm having a good time over at The Thinking Atheist. This video is apropos here:
YouTube - ?If Jesus was a Conservative?‏

P.S. I'm a 30 year voting-life long registered Republican who is becoming very disillusioned about the direction my party is tacking towards of late.

You are not alone. Read my blog Wolves of Liberty | Tearing Apart Liberty\\\'s Barriers To Get To Juicy Meat of Freedom. However, there are a lot more disillusioned Dems. They did not anticipate socialism was the end all get all for Obambi. You like socialism, move to Canada. My relatives just love it there (sarcasm).
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

You are not alone. Read my blog Wolves of Liberty | Tearing Apart Liberty\\\'s Barriers To Get To Juicy Meat of Freedom. However, there are a lot more disillusioned Dems. They did not anticipate socialism was the end all get all for Obambi. You like socialism, move to Canada. My relatives just love it there (sarcasm).

I am with you guy's.....we are in trouble in the 'good ole' USA.I am embarassed at some of the things the repubs are doing.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

This pretty much says it all and is the best synopsis of the unconstitutionality of the ObamaCare law yet and an excellent pulse of the 11th circuit and ultimately the SCOTUS. Insider contacts agree that there is now a much better than even chance the law will go down next year. Because of the lack of a severability clause in the law, if the mandate goes, the ENTIRE law goes: Rivkin and Casey: Why ObamaCare Is Losing in the Courts - WSJ.com
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

to quote Jeton:
"it's nice to see we've finally got an all-out Tea Party wingnut on deck at Meso...i love circular references to two books n a handful of position papers.

ironically, Big Money flows into the Tea Parties now, and Big Money has never been prone to financing Liberty. expect the Nullification craze to become a tool solidifying Federal power, with some irony involved. "

Rumour has it that he thinks you`re cute. :eek: Just look into those eyes :drooling:


Read more from the MESO-Rx Steroid Forum at: https://thinksteroids.com/community/threads/134284027
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

to quote Jeton:
"it's nice to see we've finally got an all-out Tea Party wingnut on deck at Meso...i love circular references to two books n a handful of position papers.

ironically, Big Money flows into the Tea Parties now, and Big Money has never been prone to financing Liberty. expect the Nullification craze to become a tool solidifying Federal power, with some irony involved. "

Rumour has it that he thinks you`re cute. :eek: Just look into those eyes :drooling:


Read more from the MESO-Rx Steroid Forum at: https://thinksteroids.com/community/threads/134284027

And to note that you and Jeton should quit drinking the bong water, I have been critical of the Tea Parties since day one. I think they are useless in the long term. Game. Set. Match. An insult only makes sense if the premise is true. An insult makes the one who delivers it look foolish if the premise is false. Lesson over.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

6th U.S. Circuit Court of Appeals Upheld Health Care Reform Constitutionality - http://www.ca6.uscourts.gov/opinions.pdf/11a0168p-06.pdf

In the first ruling by a federal appeals court on President Barack Obama’s health care overhaul, a judicial panel in Cincinnati on Wednesday affirmed an earlier ruling that Congress can require Americans to have minimum insurance coverage.

A conservative law center had challenged the provision, saying that it was unconstitutional and that Congress was overstepping its powers.

The three-judge 6th U.S. Circuit Court of Appeals panel delivered a long opinion with disagreement on some issues.

The 2-1 majority opinion was written by a Jimmy Carter appointee and agreed with by a George W. Bush appointee. The dissenting judge was appointed by Ronald Reagan.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

Health insurance mandate survives — narrowly
A federal appeals court, the first at its level to rule, upholds the new health insurance purchase mandate, but does so only by a thin margin that leaves the provision open to later challenges if the law actually goes into effect in 2014.
Health insurance mandate survives — narrowly : SCOTUSblog
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

Well we knew 4 who would vote for the mandate in SCOTUS and four who would vote against it. But what about Kennedy? Well this case may have given us a preview into his thinking and, thankfully, it does not look good for ObamaCare - not that a Constitutional Convention won't kill it anyway. Still, the man who said he would not leave until Obama was no longer President after the idiot in chief dissed the Supreme Court in a SOTU address is letting us know ObamaCare's days are numbered: Liberty Is at Stake | The Weekly Standard

Last month, a unanimous Supreme Court held that a Pennsylvania woman named Carol Bond may challenge a federal law under which she was prosecuted, on grounds that Congress had exceeded its powers and intruded upon the sovereignty and authority of the states. Until Bond v. United States, it was widely agreed that only states could advance such a claim. In fact, the federal government had taken that position in the courts below in Bond, changing course when the case reached the Supreme Court, where it agreed that Carol Bond indeed has “standing” to sue.
Supreme Court

Now, a case about standing may seem like small beer. Yet Bond is important for what it says about federalism as we await the Supreme Court’s encounter, as early as next year, with the health care overhaul’s individual mandate.

Carol Bond, finding that a close friend had become pregnant by Bond’s husband, opened a revenge campaign against the woman that involved putting caustic substances on places she would be likely to touch—such as her mailbox and car door handle. The woman suffered a minor burn on her hand. For this, Bond could have been held liable under ordinary criminal laws. Instead she was prosecuted under a law passed to implement a 1997 treaty designed to prevent the spread of chemical weapons.

Bond claimed that the law went beyond what the enumerated powers vested in Congress by the Constitution allow. Necessarily, her position rested on the Tenth Amendment, which provides that “powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved for the states respectively, or to the people.”

In rejecting the view that only states may sue to enforce federalism, the Court, with Justice Kennedy writing, said that individuals have their “own constitutional interests” in avoiding injuries from laws exceeding congressional authority. “Unconstitutional action,” Kennedy wrote, “can cause concomitant injury to persons in individual cases”—just as Bond claims happened in her case. “Her rights in this regard do not belong to a State.”

Bond will now have her case heard. Meanwhile, it is possible that other federal laws will be challenged by individuals claiming injury from “unconstitutional action”—meaning action said to exceed the powers vested in Congress.

The Court’s position on Bond’s standing reflects its understanding of federalism. After explaining the structural character of federalism and how it “serves to grant and delimit the prerogatives and responsibilities of the States and the National Government vis-à-vis one another,” Kennedy emphasized that federalism protects individual rights, that these rights are “not simply derivative of the rights of the States,” and that “some of these liberties are of a political character.” For example, federalism preserves “the initiative of [individuals] who seek a voice in shaping the destiny of their own times without having to rely solely upon the political processes that control a remote central power.”

It’s hard to read Bond without thinking about the lawsuits challenging Obamacare’s individual mandate. Here, too, the claim is that Congress went beyond its proper authority. Notably, Kennedy’s opinion makes the point that “laws enacted in excess of delegated governmental power” are problematic if they “direct or control” the actions of individuals, for then their “liberty is at stake.” One can expect this and other portions of Bond will be quoted to the Court when it reviews Obamacare.

That Justice Kennedy wrote the Court’s opinion in Bond is also worth noting. Through the years Kennedy has joined majorities vindicating federalism claims. But while much of the attention in those cases has been focused upon preserving state sovereignty, Kennedy has taken care to stress federalism’s safeguard for individual liberty. And now, in Bond, his concern is the entire Court’s.

This is not to say that nine justices will vote against the individual mandate. Four obvious ones almost surely will vote for it. The question is where Kennedy will be, since he is more often than not the justice whose vote decides the big 5-to-4 cases. While predictions as to how he might vote must be ventured nervously, Bond provides reason to think that Kennedy will see the Obamacare mandate as a law too far—one that exceeds the enumerated powers of Congress, cuts into the authority of the states, and violates individual liberty.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

[ame=http://www.youtube.com/watch?v=XlXg7CrrHfw]?Head Up Ass?‏ - YouTube[/ame]




Well we knew 4 who would vote for the mandate in SCOTUS and four who would vote against it. But what about Kennedy? Well this case may have given us a preview into his thinking and, thankfully, it does not look good for ObamaCare - not that a Constitutional Convention won't kill it anyway. Still, the man who said he would not leave until Obama was no longer President after the idiot in chief dissed the Supreme Court in a SOTU address is letting us know ObamaCare's days are numbered: Liberty Is at Stake | The Weekly Standard
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

First health care appeal filed
The first federal appeals court ruling on the constitutional challenge to the new federal health care law is tested in the Supreme Court. Others are sure to follow.
First health care appeal filed : SCOTUSblog

The first constitutional ruling by a federal appeals court on the key part of the new federal health care law has now been challenged in the Supreme Court, by a conservative legal advocacy group in Michigan — the Thomas More Law Center in Ann Arbor. The petition, filed Wednesday, is here. http://sblog.s3.amazonaws.com/wp-content/uploads/2011/07/TMLC-cert-on-ACA-7-27-11.pdf Although the appeals court did not rule finally on the validity of the mandate that every American have health insurance by 2014, the new challenge asks the Court to decide that issue in a final way.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

Health care: Defining the challenge
The first significant challenge in the Court to the new health care law raises two constitutional challenges, but they are not pressed with equal vigor.
Health care: Defining the challenge : SCOTUSblog

Analysis - The following post outlines more fully the nature of the challenges being raised in Thomas More Law Center, et al., v. Obama (docket 11-117) and clarifies the petition’s arguments.

From the day in late June that the Sixth Circuit Court issued the first appeals court ruling on the constitutionality of the key section of the new federal health care law, that ruling has been fairly widely misunderstood. Even the Justice Department, in its initial reaction, claimed that the Circuit Court had upheld that provision — the mandate that virtually every American must have health insurance by the year 2014. Many news organizations and even some legal analysts, too, drew that conclusion.

But there is a difference between upholding a law’s constitutionality (a ruling declaring that the law isvalid) and rejecting a claim that the law is unconstitutional (a ruling that the challenger fell short of proving it invalid). The latter does not mean the law is valid; it in fact means that the issue is still open, and that the law may yet be struck down. That is the kind of ruling the Circuit Court issued — and no more than that. And this difference may be a factor in how willing the Supreme Court may be to hear the first significant health care case to reach it, in a case from Michigan.

In a manner of speaking, the Circuit Court chose the path of judicial restraint — it, in effect, concluded that it would leave for another day the core question of whether Congress had the authority, in late 2009, to impose on most Americans the legal duty to obtain health insurance within three years, or pay a financial penalty. Under this Circuit Court ruling, the law would remain on the books, but new challenges could be brought just as soon as the government actually enforced it, in a real-world setting involving a particular individual unwilling to get health coverage.

What this boils down to, for lawyers and judges, is that the insurance mandate has survived a “facial challenge” even though it has not been upheld constitutionally, but that it may yet prove vulnerable constitutionally to an “as-applied” challenge. So what? Actually, the present Supreme Court is not friendly to facial challenges; it believes they are not the best use of judicial time, and that they may in fact draw the Court into premature rulings on constitutionality. Better to wait, or so the Court seems to feel, until someone has a genuine, practical grievance that a law is actually harming him in a way that violates his rights.

Strategically, then, an appellate lawyer will be well advised in taking a case to the Supreme Court to frame it — if possible to do so — as an “as-applied” challenge. Thus, the argument: this law is invalid because my client suffers some real harm from its application. But there is a social cost, or at least a cultural loss, for a lawyer who is pursuing the case as a kind of “cause” — if the lawyer wins the case, the law may only be invalid for that attorney’s particular client, and people exactly like that client. A victory is not as big a deal as a sweeping nullification of the law, essentially wiping it off the statute books.

In going after the new health care provision mandating health insurance, the Thomas More Law Center, it is fair to say, would like to get that section of the law wiped off the books. Its petition for review in the Supreme Court, filed on Wednesday, raises, as its first question, a broad “facial” challenge: the law, as it emerged from Congress, was far beyond the lawmakers’ authority, and thus could never be enforced, against anyone.

That is the way the advocacy group pursued its challenge in U.S. District Court in Michigan, and the federal District judge rejected that sweeping challenge. He found, in fact, that the insurance mandate was within Congress’s powers under the Commerce Clause, and thus could be enforced. People actually would have to have health insurance by 2014, or pay a penalty to the IRS when they filed their tax returns.

Before the Circuit Court held argument on the Law Center’s appeal, it asked the lawyers to answer a few questions posed on behalf of the three judges on the Circuit panel. Among them was an inquiry into whether the Law Center was making a “facial” challenge, and, if so, what it had to prove. In a brief filed by the Law Center, it said it was making both kinds of challenge, “facial” and “as-applied,” although it argued that this distinction was “of little moment.” (That brief can be found here; the discussion of the nature of the challenge starts at the bottom of page 8.)

Because Congress was attempting to force its individual clients to obtain health insurance, when they do not want it, the brief said, “this case could properly be viewed as an ‘as-applied’ challenge.” But, in keeping with its point that the distinction did not matter much, it went on to put most of its argument on the “facial” complaint. “If Congress lacked the authority to enact certain legislation, such as the Individual Mandate, that legislation adversely affects everyone in every application,” the brief went on. This case, it said in conclusion, “presents a purely legal question.”

And that same broad argument is made in the Law Center’s petition to the Supreme Court, in support of its first question presented to the Court — the “facial” challenge. That is all, technically, that is before the Justices, because that is the only challenge the Circuit Court rejected — a point that the Law Center acknowledges. (It has to be understood that the finding that the “facial” challenge had failed can be found only in the concurring opinion of Circuit Judge Jeffrey S. Sutton, but that position straddles the position of the two other judges on the panel, so it is controlling. Judge Sutton found that the Law Center had not proven that there were no circumstances under which the law could be validly enforced, so the “facial” challenge was found to be wanting.)

Even so, the Law Center has added the second question, to preserve its option of asking the Court to strike down the law as it would apply to the Law Center’s clients. The petition buttresses its point mainly by relying upon its pre-argument brief in the Circuit Court, spelling out why its clients were among Congress’s targeted audience. That part of its argument, it might be noted, takes up only a little more than three pages in a 28-page petition. The Law Center’s legal heart, of course, is in the broader challenge; but it has left itself a lesser argument — though that is one that might have a better chance before the Justices.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

The health care mandate
Charles Fried, the Beneficial Professor of Law at Harvard Law School, discusses the constitutionality of the Affordable Care Act for our on-line symposium.
The health care mandate : SCOTUSblog

The following is an essay by Professor Charles Fried. Educated at Princeton, Oxford and Columbia Law School, Professor Fried is the Beneficial Professor of Law at Harvard Law School, where he has taught since 1961. He was Solicitor General of the United States, 1985-89, and an Associate Justice of the Supreme Judicial Court of Massachusetts, 1995-99. His scholarly and teaching interests have been moved by the connection between normative theory and the concrete institutions of public and private law. As a private lawyer he has argued appeals in many courts, including the Daubert case in the Supreme Court and the case deciding whether the attack on the Twin Towers was one occurrence or two.


The attack on the health care mandate in the Affordable Care Act (ACA) is pure politics. In large part I think the political attack is quite justified. But the situation created by the decisions of two district courts and the drumbeat of arguments about the activity/inactivity distinction, capped by the hyperbolic claim that if the government can make us buy health insurance then “we are no longer citizens; we are subjects,” frightens me. The constitutional arguments against the mandate are utterly without merit. If they succeed – indeed, if they succeed in gaining more than one vote in the Supreme Court (Justice Thomas’s vote against the Act would accord quite well with his long held and often stated views on the reach of the Commerce Clause) – it would be a depressing triumph of naked partisan politics over established legal principles.

The energy behind the attack – to the extent that it is not simply the chosen symbol of an attack on President Obama’s supposed push to turn the United States into a Western European style social democratic state – lies in a supposed insult to our liberties. But that is pure hysteria. The mandate is no more that than is the much more thoroughgoing governmentalization of medicine by Medicare. Indeed, if accomplished as a tax the arguments would have no traction at all. If enacted at the state level the impingement on liberty would be the same, but the attack would again fail. And then there is the irony that a single-payer or government option, which also would be beyond constitutional attack, was rejected in favor of the mandate as a way to keep the whole scheme so far as possible within the private insurance market – a choice not made either in respect to Medicare or Social Security.

As to the “merits” of this specious attack, little more can be added to Judge Sutton’s devastating opinion, demonstrating among other things that the failure to buy insurance (on the private market) is hardly an instance of inactivity, but rather a choice to self-insure. But I would add another argument, that for some reason the United States has been shy about making. The activity/inactivity distinction, even if applicable, has no foundation in constitutional text, doctrine or precedent. Chief Justice Marshall at the beginning of the Republic made clear that the commerce power is the power to regulate interstate commerce – not persons, but the commerce. It is beyond doubt – -except in the consistent but radical jurisprudence of Justice Thomas – that health insurance is commerce. And even the egregiously political opinion of the district court in Florida made clear that the mandate is an essential part of the ACA. Thus the mandate is a necessary part of a regulation of commerce, and that should be the end of it. That this particular aspect of the regulatory scheme might captiously be described as a regulation of inaction is entirely irrelevant. To put a cap on it, Justice Jackson’s opinion in Wickard in a mysteriously ignored passage states that “the stimulation of commerce” is also a regulation of commerce.

Finally, there is the “where are the limits” argument. As Marshall also said, if the subject (n.b., not the person) is within the power of Congress that power is plenary, unless some specific constitutional limit is passed. But the attack has assiduously failed to invoke some such external limit (as for instance the liberty clauses). Where is the limit? The limit is what it was in Lopez and Morrison: is the subject fairly to be seen as within interstate commerce? This is; beating up your girlfriend is not. End of story.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

PPACA’s mandate: Not commerce, Not interstate, not necessary, not proper
PPACA’s mandate: Not commerce, Not interstate, not necessary, not proper : SCOTUSblog

Robert A. Levy, Chairman, Cato Institute, discusses the constitutionality of the Affordable Care Act for our on-line symposium.

The following essay is by Bob Levy, chairman of the board at the Cato Institute and board member at the Institute for Justice, Federalist Society, and George Mason law school. Bob received his PhD from American University and JD from George Mason. His latest book is The Dirty Dozen: How 12 Supreme Court Cases Radically Expanded Government and Eroded Freedom.”


Multiple challenges to President Obama’s health care reform are percolating through the federal courts. A circuit split is likely, thus triggering a Supreme Court opinion on this crucial question: Are there any remaining limits on federal power?

The administration posits three constitutional sources – the Taxing Power, Commerce Clause, and Necessary and Proper Clause – as authority for PPACA’s mandate that individuals either purchase a government-prescribed health insurance policy or pay a penalty.

The Taxing Power rationale hasn’t garnered support from any court – principally because the penalty was neither intended nor structured as a tax. The Commerce Clause covers economic activities only; and Congress may not compel such activities in order to regulate them. The mandate is not “Necessary”; indeed, PPACA itself has created the problem that the mandate addresses. Nor is the mandate “Proper”; it cannot be reconciled with the Framers’ design for a federal government of limited and enumerated powers.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

Five questions that matter
Five questions that matter : SCOTUSblog

Bradley Joondeph, of Santa Clara University School of Law, discusses the constitutionality of the Affordable Care Act for our on-line symposium.

The following is an essay for our symposium on the Constitutionality of the Affordable Care Act by Bradley Joondeph, Professor of Law at Santa Clara University. Professor Joondeph maintains the ACA Litigation Blog and has published several articles on federalism, judicial behavior, and American constitutional development.


Roughly twenty lawsuits challenging the constitutionality of the Patient Protection and Affordable Care Act (or ACA) are currently pending in the lower federal courts. These suits raise a host of issues – from whether the ACA infringes on the constitutional right to privacy, to whether it interferes with the free exercise of religion, to whether it violates the Thirteenth Amendment.

From this huge pool of legal arguments, two claims have emerged as the most plausible, and thus the most likely to reach the Supreme Court. The first is whether the ACA’s minimum essential coverage provision – which requires most Americans to acquire health insurance by January 2014 – exceeds Congress’s enumerated powers. The second (raised only in Florida v. HHS) is whether the ACA’s amendments to Medicaid – which, most notably, require participating states to extend coverage to all adults with incomes up to 138 percent of the federal poverty level – are “so coercive as to pass the point at which pressure turns into compulsion,” and thus constitute a commandeering of the states.
 
Re: The Constitutionality of the Individual Mandate for Health Insurance

Granting certiorari to an ACA challenge
Granting certiorari to an ACA challenge : SCOTUSblog

David Kopel, of the Independence Institute, discusses the constitutionality of the Affordable Care Act for our on-line symposium.

The following essay is by David Kopel, Research Director of the Independence Institute, in Golden, Colorado, and an adjunct professor of Advanced Constitutional Law at Denver University. He is also an Associate Policy Analyst at the Cato Institute. He filed amicus briefs in the Obamacare litigation in the Eleventh Circuit and the D.C. Circuit. His recent articles on the constitutionality of Obamacare have addressed the commerce power (Michigan Law Review online), the Necessary and Proper Clause (Yale Law Journal online), and Chief Justice Marshall (Engage).


While there is little doubt that the Supreme Court will eventually decide the constitutionality of the “Patient Protection and Affordable Care Act,” generally known as “Obamacare,” the Supreme Court in granting certiorari will make several important decisions.
 
Back
Top