Over at the New York Magazine Jonathan Chait is arguing that if the Supreme Court strikes down the Affordable Care Act due to the individual mandate, then we can’t count on single payer fixing the situation, because the Court would probably just make up a reason to strike down Medicare for All.
But here’s the bad news. A Supreme Court activist enough to strike down Obamacare would probably be activist to strike down single-payer, too. Whatever arguments the conservative justices have concocted to nullify an individual mandate, they can discover different ones to nullify a much more intrusive big-government system. This doesn’t mean we should give up on ever passing such a law. But it does require a different strategic calculation. Instead of the presidency, a House majority and 60 senators, you probably need the House, the presidency, 50 senators and five Supreme Court justices. In the long run, there will be more times when Democrats have five members of the Supreme Court than 60 senators. The Supreme Court will function as a kind of second Senate, an additional political veto point. (Again, all this is assuming the kind of Republican activism that would be entailed be striking down the whole law.)
I think Chait is greatly exaggerating how “activist” such a Supreme Court that would actually be.
As much as some of the law’s defenders want to pretend otherwise, the individual mandate is actually a new and novel expansion of federal power. Never before has the federal government mandated every American purchase a product under the Commerce Clause. Even the Obama administration argued that the federal government doesn’t have the blanket power to mandate purchases, but does in this case because of the uniqueness of the health insurance market. It was trying to prevent this mandate from setting such a precedent that made the oral arguments for government so difficult.
One can argue that the case against the individual mandate was weak and politically motivated, but there was at least a technical new power challenge. There was a real hook to exploit.
No such technical distinction would exist if Congress simply lowered the Medicare eligibility age and raised the payroll tax. For the Supreme Court to overturn Medicare for all would require them to completely abandon settled law and overturn a century of precedents.
I find it nearly impossible to ever think this Court would ever be that activist. Not only do I think a majority of the justices have enough personal integrity to reject such a naked power grab, but more importantly I think the Justices are smart enough to properly fear the ramifications for the Court from such move.
The Supreme Court has very little inherent democratic legitimacy. It’s legitimacy comes from it acting sparely and mostly with restraint. If the Court really did try something so blatant, it would run the real risk of being told by the President in Jacksonian style, “Roberts has made his decision, now let him enforce it.” A true raw power showdown would not end well for the Court, and they should know that.




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Jon, these analytical pieces are excellent and outstanding. This one, in particular, allows your readers to understand AND frame the critical issues around health care, in a way that is useful and also powerful. Thank you.
This post deserves and needs to be front-paged.
DW
Agree. Chait didn’t think this one through.
Oh, they’d LIKE to, but that’s a whole heaping helping of settled law to nuke from low orbit. I don’t think even silver-tongued Scalia could wrangle that one.
And so it has. :-)
Chait’s still trying to sell the WellPoint-written bill as some sort of liberal triumph when in fact the individual mandate that the industry lobbyists insisted be in the bill (and their insistence that no public alternative be allowed) is corporatism pure and simple.
If the mandate goes away but the rest of the bill remains, that would be the best thing for it.
Yup. It’s a ton of settled law that has lots of other settled law — a lot of which the conservatives actually like — hanging on it. The individual mandate, on the other hand, does not.
That being said, I actually think that the SCOTUS will leave the mandate intact, for these two key reasons: 1) The conservative majority doesn’t want to offend the health care and insurance lobbies, just when they’ve gone back to their longtime GOP allies and hirelings after a brief flirtation with Obama and some Dems; and 2) the upholding of the law, mandate intact, will get the conservative base riled up and angry going into the general election.
Agree with comments above but Obama is NOT Jackson(in the populist sense) and I still have huge doubts that O really champions single payer. In other words if SC did strike down single payer what would O (let’s look forward not back) do? Can’t bet he would act like Jackson or Truman, Trump and Arpaio should be looking for O’s balls not his birth certificate.
Didn’t stop them on Citizens United.
Ironic that the Supreme Court wouldn’t strike down single payer, but the big blogs and activist groups did, calling single-payer advocacy “kabuki,” “not serious” and the like.
If we assume that the GOP picked judges are in the pocket of big business a reasonable assumption then they will let the mandate pass because it gives insurance companies a ton of new customers. Plus it gives Mitt an issue to run on in the fall an issue that motivates Tea baggers and hurts Obama. I am confident that then it will pass.
I agree Jon. It’s so ironic to see so many defend a republican plan. There emotionalism has caused them to lose logic and focus.
I would encourage some, perhaps all of you to listen to the Mark Levin link in my blog here.
http://my.firedoglake.com/psalongo/2012/03/27/aca-makes-left-right-strange-bedfellows/
I know Levin is a conservative but his knowledge of the law and constitution is strong. Add to that his group worked directly in the obamacare case at the Supreme Court, so he is not just some pundit but one of the actual players. The first 30 minutes of it is all you need really. The rest starts to get into right wing punditry.
Such a decision would also spark a democratic (small-d) uprising the the likes of which we haven’t seen in a while, if ever. Not so for the very unpopular mandate and/or unpopular health care bill, most of which hasn’t even kicked in yet. Indeed, the unpopularity of the health care bill will no doubt emboldens the conservative justices to try to strike it down. This is yet another reason, as if we needed another, that it’s preferable to pass bills that are popular with the public.
The SCOTUS wouldn’t but Zero would. Campaign cash from corporations is just to tempting.
Ding, ding, ding, ding, ding! Tell him what he’s won, Johnny! :)
Yes. They have the authority to tax, but not to compel you to buy a product.
Which is why I think the contraception mandate is just as bad as the individual mandate.
As an interesting aside, here is Ian Welsh on what happens if the Supreme Court overturns Obama’s ACA:
http://www.ianwelsh.net/is-the-individual-mandate/
Gotta run. Good piece, Jon Walker.
Could be that the “5″ judges have a real conundrum on their hands. There’s what they “want” to do, and what they’re “told” to do.
Gonna be an interesting couple of months.
Great piece Jon. Funny how Chait buried his lead–
The good news to passing single payer is that they probably would only need 50 senators. (Single-payer could be done simply by expanding Medicare, a pure fiscal change that could be accomplished through a budget bill that can pass the Senate with a majority vote.)
Not only was universal Medicare the most defensible solution in court (as I mentioned in another thread, Scalia, Ginsburg, Kennedy and Sotomayor all acknowledged Congress’s Tax power as the basis for federal social insurance) it has also had the easiest path to get through the Senate. During the HCR debate nobody in the media (present company excluded) mentioned the fact that Medicare could be expanded with a filibuster-proof reconciliation bill.
It certainly wouldn’t have meant voting to destroy the insurance industry (as Chait asserts), under the current Part C Medicare Advantage plans and even under Ted Kennedy’s Medicare for All bill, individuals and families could elect to enroll in private insurance instead of the default public plan.
I have to second your thoughts and add, even further. 0 DOES NOT support single payer. He is too beholden to the insurance companies in a way that an ‘autonomous’ second term would seem to permit, he thinks like them. I doin’t care ‘what happened to his mother’, he sure didn’t ACT like someone who cared about anyone but ‘healthy business sectors’ including insurance, and drugs.
This is a guy who could find no criminality in the behavior of bushco and the financial sector, and that’s a wide swath of crime.
This also the guy who was eager to deal away huge chunks of Social Security, medicare and Medicaid as part of a ‘grand bargain’.
0 aside I don’t think there will be the empathic votes in congress after this election to make that happen with any compelling sense of urgency, a fig leaf 0 would gladly hide his johnson with, and ‘blame’ congress for whatever republican dogma he would deem to pass if reelected.
Finally, a whole flock of pigeons are coming home to shit in January.
bush tax cuts, the idiot social security tax holiday, and the big debt ceiling deal.
We are in for a world of hurt no matter what.
I’d like to know who is pulling the strings on this as Chait is pushing a common theme seen throughout the media. I’d like to know who is writing the templates.
I’ve noticed a theme in particular in citing Fried and then claiming that mandating broccoli is legal crazy talk – which the articles all conveniently leave it that Fried testified that a broccoli purchase mandate (or even a gym membership mandate) are Constitutional. Anyway here’s one that goes on and on about Fried:
http://www.washingtonpost.com/blogs/plum-line/post/yes-there-is-a-limiting-principle/2012/03/28/gIQA8Q3VgS_blog.html
Here is Chait the same paragraph using Fried while saying that Fried’s argument rejects the broccoli mandate:
http://www.nymag.com/daily/intel/2012/03/roots-of-the-courts-obamacare-panic.html?imw=Y&f=most-emailed-24h5
Here is Krugman himself bringing up Fried while in the same article saying there’s no big difference between Ryancare and Medicare:
http://www.chron.com/opinion/outlook/article/Krugman-Reaching-for-a-reason-to-reject-health-3448335.php
Anyway, here is Fried saying mandating the purchase of broccoli – and other things – is Constitutional, yet there’s a concerted message to this:
“As for the veggies, I suppose such forced feeding would indeed be an invasion of personal liberty, but making you pay for them would not, just as making you pay for a gym membership which you can afford but do not use would not.”
http://www.forbes.com/sites/aroy/2011/02/02/harvard-laws-fried-a-broccoli-mandate-is-constitutional/
This all really has a 1984 feel to it with the Big Brother mass messaging and the trying to alter history. The history-altering attempts are pretty bad given how easy it is to see what indeed Fried said. This also is scary because of how those pushing this are trying to equate corporatecare with Medicare…and it’s the Democrats who are trying to say they are the same thing. So whatever Democrats say about being against Ryancare, I’d say they’re just shedding crocodile tears.
Like with gay rights, Obama’s position is “evolving.” Just not in a good direction.
i dont know… i just find it really odd the only people I see and hear concerned about the well being of ADA are msnbc talking heads and few “liberal” bloggers.
The die is cast, we(the democratic majority) don’t have an advocate in this government in any Branch. Things must change for a Constitutional America to survive. Elections are coming up. No votes for incumbants in the primaries and try not to vote for R’s or D’s in the generals. IMO
Not to put too fine a point on it but Chait is an Obama Apologist who passes for an intellectual inside the DC Bubble. SCOTUS would not strike down national health care. It could not do so. Chait likely knows this and his piece is some kind of Obama apologia (See? That’s why Obama didn’t go for national health care!). Anyone who thinks Obama and the Democrats want national health care or will lift a finger to enact it (even if it were politically possible) simply hasn’t been paying attention the last 3 years (or has been reading far too many articles by Jonathan Chait).
To reference my point in my prior blog, sometimes we have to get in bed with people we may not like to achieve an end.
The individual mandate is absolutely wrong. Heck Obama himself attacked Hillary on the mandate issue while campaigning against her in 2008. It absolutely establishes a bad precedent.
Because we are in a climate where so many so-called progressives and liberals are either more interested in supporting zero, or so used to settling for crumbs, you find them in the national media supporting a bad law.
A few of us have to stand up against bad law. A few of us have to look beyond settling for crumbs and keep the focus on owning the bakery itself. If this means working with conservatives even though their priorities are different, then so be it. Without any advocacy for the 99% in positions of power, we are forced to achieve our goals by any means necessary.
And it still hasn’t; under the health care reform law, someone who does not purchase health insurance isn’t jailed until he or she complies; rather a fine (which is effectively a tax to cover health care expenses) is assessed. The government has the power to tax.
I would have preferred a Medicare For All solution, or failing that, a public option, but I think that the mandate is constitutionally defensible.
So are you calling a speeding ticket a tax since you aren’t put in jail? Are polluters just paying a tax when they dump toxic waste? Fines and taxes are two different things – if Congress wants to tax, they can tax instead of “effectively” taxing supposedly.
One of the parties who sued over the individual mandate has since gone bankrupt because she couldn’t pay health care expenses, and if she had insurance there would be no such bill. The fine/tax/whatever you call it is effectively a back-door public option: everyone with ability to pay should be chipping in for health insurance (ideally with a public plan, but since we didn’t get that, private insurance), and if they won’t, they can compensate the government for completely predictable expenses.
Congress has often used different words (“user fees” and the like) for things that are effectively taxes, because the T-word is politically toxic.
And you’re probably right, BSBB, but it matters not.
IfWhen the Supremes strike down ACA, no obstacle to single-payer will remain. If Obama (or Romnay, or anybody else) does not VOW to enact at that point – which point, BTW, will be months before the general election – we know all we need to know.Similarly, if the Supremes let ACA stand in whole or in part, we know they, Obama and every other politician who voted for ACA are complicit with Big Insurance in trying to milk every last dime from dying Americans.
Solid transpartisan majorities of Americans support Medicare for All, and like Social Security, there is no mandate to purchase anything. One of the justices (Kennedy or Scalia, I can’t remember which) used this same analogy in arguments last week. So when ACA is struck down, Obama is officially – and constitutionally – out of excuses for not enacting Single Payer.
You’re forgetting an important point, Joe. The Commerce Clause was written with the intention – albeit implied, not expressed – that Congress’ power to “regulate commerce between and among the states” would be directed at the practitioners of commerce – i.e., the businesses offering products.
The requirement that individuals purchase something – anything – turns this intent on its head, and “regulates” not the practitioner of commerce but the consumer of commerce. And that is why ACA doesn’t meet the standard.
Excellent comments all. Several questions seem to NEED answering by the SCOTUS.
Should be exciting! Lots of possibilities. Supreme Court IS like a box of chocolates. You never know what you’re gonna get.
We live in the United States of Wall Street. The Wall Street Government won’t even mention the words “single payer”. Like the Catholic Church, it declares many belief systems heresy and criminal.
When people realize there is no US of America anymore and that the Elite Control has completely captured what was our government, we might start finding a way to save ourselves. But none of that will happen one minute before.
Go vote and see if anything changes. Voting is just a sick process in which people are forced to behave like they are picking this type of rule. Like making sex slaves sign lifetime contracts which is something that is done.
That ain’t grandma in that bed Little Red Riding Hood. Wake up or be eaten.
Nice try at evading the questions: So are you calling a speeding ticket a tax since you aren’t put in jail? Are polluters just paying a tax when they dump toxic waste?
Everything said and anything discussed? well now ,SCOTUS will uphold mandate,no doubt about that,unfortunately.
Obama has a pretty squirrely definition of “unprecedented” (I’ll let his use of “strong majority” slide).
“Ultimately I’m confident 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…”
As long as ago as Marbury v. Madison and as recently as Citizens United, the Supreme Court has overturned dozens of Acts of Congress (every single one of them passed by a “democratically elected congress”).
Exactly! I wouldn’t put it past this gang to overturn the entire New Deal and War on Poverty if it thought it could get away with it. If they did I think they’d have a REAL Revolution on their hands fast. Can you imagine what would happen if the Gov’t was told by this gang that SSI, Medicare , UI Insurance , labor laws etc were all Unconstitutional! Civil War on steroids.
So do you support the Blunt Amendment, which would allow employers to opt out of providing any medical service they had moral objections to or is it just the slut pills you think should get an exemption?
I double dog dare the Republicans on the Supreme Court to buck their corporate masters. They’ve been told the fix is in and they don’t have the balls to do anything but piss and moan and put on a good show. There is no way they strike down the mandate. All they will do is figure when to announce the decision at the most politically damaging time in the election campaign.
The problem is the mandate, not the pills.
Supervision can be stressful. The next time Obama HHS comes along they say all employees have to pay for stress relief for their employer. He get’s to say what type he wants, no deductible, no co-pay.
But you have to provide the procuct or service. It’s health care. And it’s a mandate. And you like mandates.
Single-payer is not going to be passed any time soon. First of all, the existing Medicare tax cannot even pay for all current costs of the program. It would have to be tripled or more to cover everyone. Second, both parties, having agreed to lower the payroll tax, don’t seem to be in a hurry to put it back where it was. This money is coming directly from the Social Security trust fund.
Exactly the point I was going to make. In Citizens United they actually went looking for a chance to impose their agenda. They had the plaintiff resubmit the appeal with specific points that allowed them to rule the way they did. I’m amazed that has been forgotten and allowed to fade into the mists of time instead of being pointed out over and over. In this case everybody looked at a hundred years of settled law and decided that, even though it had some novel points, there was no doubt the mandate was OK under the Commerce Clause. Now everybody’s panicking, even though it will be months before we really know how the radicals vote, just because they decided to act like clowns. Who knows what they were smoking the day of oral arguments? Their behavior was totally bizarre. But I don’t believe they will be in any way deterred from whatever they want to do by a little thing like stare decisis. Oh, yeah, I also think Obama, may he rot in hell, was right to bring up the comparison with Lochner.