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HEALTH CARE MANDATE CHALLENGE FACES TOUGH SLOG BEFORE SUPREME COURT

Richard Kigel · Wednesday, March 21st 2012 at 12:04PM · 734 views
TALKING POINTS MEMO, March 21, 2012 -- When the Supreme Court hears arguments on the Affordable Care Act next week, the central question the justices will consider is whether the federal government has the authority to require Americans to buy health insurance.

The Obama administration will argue that it’s an acceptable use of federal power to regulate interstate economic activities, backed by decades of judicial precedent. The 26 Republican-led states and other stakeholders challenging the law will decry it as an abuse of federal power that exceeds the limits of the Constitution’s Commerce Clause.

Experts on both sides of the ideological divide say the ruling will come down to whether the justices rule with an eye toward precedent. If they do, they’ll uphold the law. An ideology-driven move to strike down the mandate, a central component of the law, would mark a rare, swift departure from precedent.

Citing half a century of jurisprudence, constitutional scholars envision an uphill battle for the challengers. Experts largely agree that the four Democratic-appointed justices are highly likely to uphold it, while only Justice Clarence Thomas has the sort of record that virtually ensures he will vote to strike it down. The other four Republican appointees — Justices John Roberts, Samuel Alito, Antonin Scalia and Anthony Kennedy — have a mixed record on federal power and are believed to be in play.

“For the challengers, it’s like a best-of-seven series where you’re down 3-0 and have to sweep the next four games to win,” Orin Kerr, a George Washington University law professor, libertarian opponent of the individual mandate and former clerk to Kennedy, told TPM. “Those are not good odds.”

The history of Commerce Clause jurisprudence took a major turn early last century. Prior to the New Deal era, the Supreme Court mostly used it to protect states from federal encroachments. Over time, industrial development led to an interdependent interstate economy, which created the need to regulate such activities on a national level. After the New Deal battles were settled, the Supreme Court’s view of federal authority to regulate economic activities greatly broadened.

Since then, the high court has overwhelmingly supported congressional authority to make economic regulations — from the 1942 Wickard v. Filburn case, which upheld laws restricting wheat production for personal consumption, to the 2005 Gonzalez v. Raich ruling, which decreed (with the help of Scalia and Kennedy) that Congress may override state laws permitting medical marijuana patients to grow cannabis for personal use. The administration will argue that both laws reflected broad exercises of Congress’s power on the scale of mandating insurance coverage.

“The concept here is about a body of laws developed over the last 60 or 70 years that has adopted a very expansive view of federal power,” Kerr said. “The precedents don’t foreclose the idea 100 percent, but they seem to point relatively directly to the conclusion that the justices will vote to uphold the mandate.”

The two chief cases in modern history where the high court placed limits on the Commerce Clause were in 1995, to strike down gun laws, and in 2000, to overturn a piece of the Violence Against Women Act. But both those laws dealt with local and non-economic issues, and therefore had a more questionable premise under the Commerce Clause than the individual mandate.

In Raich, Scalia’s concurring opinion declared that “where Congress has authority to enact a regulation of interstate commerce, it possesses every power needed to make that regulation effective.” Liberals who hold out hope for winning Scalia’s vote point to that opinion. It’s an opinion that worries small-government libertarians because requiring the purchase of health insurance is a means of regulating interstate commerce, in part to prevent uninsured people from passing their medical costs on to taxpayers.

Roberts and Alito have not been on the high court long enough to rule on a broad Commerce Clause case. While Alito’s view is seen as something of a mystery, Roberts has tipped his hand in favor of congressional power in other realms before.

In his confirmation hearing, under questioning about Wickard and Raich, the soon-to-be chief justice said he would have no intention of turning back the two precedents. The principles behind Wickard, he said, were “reaffirmed in the Raich case. And that is a precedent of the court, just like Wickard, that I would apply, like any other precedent. I have no agenda to overturn it. I have no agenda to revisit it. It’s a precedent of the court.”


And the Republican-appointed chief justice isn’t afraid to cross ideological lines. In the 2010 U.S. v. Comstock case, Roberts joined the four liberal justices in a majority opinion decreeing that Congress has “broad authority” under the Constitution’s Necessary and Proper Clause to indefinitely detain certain individuals beyond their prison sentencing (the plaintiff in the case was a s*x offender). Like Kennedy, Alito concurred in the 7-2 ruling, but he wrote a narrower opinion, punting on the larger question.


Despite the favorable precedents, progressives have a nagging fear that the five Republican-appointed justices will hand down a partisan decision on the scale of Bush v. Gore, to deliver a blow to President Obama. After that unprecedented 2000 ruling, some liberals take little comfort in scholars’ view that political pressure doesn’t usually carry the day in the chamber, that the high court’s longstanding tendency is to make gradual, not radical, shifts in jurisprudence on core Constitutional questions.


But the Obama administration likely only needs one Republican justice to win. And between Kennedy’s track record of partisan independence, Scalia’s jurisprudence in Raich and Roberts’ occasional sympathy for federal power, they have cause for hope.

“I have thought this would not be and should not be a close question for the court, even if it takes a conservative approach,” said Walter Dellinger, former U.S. solicitor general under President Clinton, at a panel organized by the liberal Center for American Progress. Overturning the mandate, he argued, “would be an extraordinary act of intervention by the Supreme Court.”

Apart from that, Roberts may not love the mandate as policy, but he is keenly attuned to the institutional perils — and the impact on his legacy — of departing from “stare decisis” and reversing more than half a century of judicial precedent in one fell swoop.

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Richard Kigel Staten Island, NY

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Comments (9)

Richard Kigel Wednesday, March 21st 2012 at 12:08PM

If the Court goes by precedent, which is their standard, the law will be upheld. The Justices know that one of the chief complaints by conservatives of the judiciary is against “activist judges” who “legislate from the bench.”

Striking down this law means that the Court will be negating a valid and legitimate law passed by Congress and signed by the President, exactly according to procedure laid down in the US Constitution. A negative ruling opens them up to the charge that the decision is political and undermines their legitimacy and reputation.

If a vote were taken today, the Health Care Law would be upheld 4-1. Supporters of the law need to pick up just one vote from the remaining four justices. The most likely vote to uphold the law would come from Justice Scalia, who has ruled in the past favoring broad Congressional authority to pass laws relating to the Commerce clause.

“Where Congress has authority to enact a regulation of interstate commerce, it possesses every power needed to make that regulation effective.”
~ Justice Scalia, 2005 Gonzalez v. Raich

Richard Kigel Wednesday, March 21st 2012 at 11:02PM

That's right!!!

Richard Kigel Thursday, March 22nd 2012 at 11:26AM

Thank you, Irma!!!

ROBINSON IRMA Thursday, April 10th 2014 at 6:47PM

@Rich, each time I hear about this case going before the SC...I say Affirmative-Action was turned around to be used and abused to make it in a sense useles in its form...let theSC deem it illegal and maybe with the our of control rises in insurance will help educate us of why it was put in place...(NUP / SMILE)

THIS BULL S ABOUT IT IS ALL BAD, PARTS OF IT IS ALL BAD...IS NOT WORTH THE FUSTRATION OF BEATING ON THE DOOR OF CLOSED MINDS IS A WASTE OF TIME AND ENERGY...

ROBINSON IRMA Thursday, April 10th 2014 at 6:47PM

...AND, BESIDES WHAT IS NEXT?...it being illegal for a doctor's office to demand you show insurance of pay in cash, the doctor have malpractice insurance?!? but, then this is why the suing attorneys make the big bucks, right? (smile)

ROBINSON IRMA Thursday, April 10th 2014 at 6:47PM

...then again we are a country with laws about forcing untra sounds and our doctor's lie to us and blaming our president because BP is no longer drilling in teh gulf...(nup)

ROBINSON IRMA Thursday, April 10th 2014 at 6:47PM

"I" HATE TO KEEP SAYING THIS BUT THE KILLING OF TM IS GOING TO HELP CURE A LOT OF AMERICAN'S ILLINESS OFPLAYING THE VICTIMS OF POLITICIANS AND NOT ACTING LIKE WE ARE RESPONSIBLE FOR PUTTING EACH AND EVERYOONE OF THESE LAW MAKERS INTO POSITIONS TO TAKE LOBBY MONIES TO DO THEIR BIDDINGS!!!!!!!!!!!!!!!

WE ARE FINALLY AT LONG LAST BACK TO DEMANDING ANSWERS TO THESE QUESTIONS...(N...U...P!!!0

ROBINSON IRMA Thursday, April 10th 2014 at 6:47PM

@RICH NEVER FULLY RETIRE FROM TEACHING.LOL (SMILE)

ROBINSON IRMA Thursday, April 10th 2014 at 6:47PM

I shared with my BIA family using myself as one of the reasons our best law makers taht lobby money can buy are so threaten with lossing muchof that lobby money if the health inurance company has to pay for health care.

I recieved my first bill for my treatment(s) for my 'preexistance cancer(/)

My P.E.T. scan tohelp my chemo doctor to be able to pin point the amount and may be the length of my chermo treatment cost...now get this...

$7,760.00!!!!!!!!!!!!!!!!!!!!!! (smile)

NOw on Wed. I will be geting a C.A.T scan so my radiology doctor can learn ow to stratigize the use of his radiology machine...now don't forget tis is just the first step in theyplan to do both for 4 moths as tis is the goal sset to have tis all done or before this time...

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