Supreme Court Watch: PPACA Day 2

The United States Supreme Court, the highest c...

The United States Supreme Court. (Photo credit: Wikipedia)

This week, the Supreme Court is hear­ing argu­ments about the Con­sti­tu­tion­al­ity of the Patient Pro­tec­tion and Afford­able Care Act (PPACA, ACA, or Oba­macare). Audio of Monday’s argu­ment can be heard here. It is fas­ci­nat­ing to lis­ten to the record­ing. The chance to hear a case as it is argued before the high­est court in the land is a treat not to be avoided. One gets a feel for the peo­ple behind the names, the voices and per­son­al­i­ties of a hand­ful of peo­ple (except for Jus­tice Clarence Thomas, whose voice is not heard) who decide some of the most vital issues of our day.  It sounds like a polite and eru­dite con­ver­sa­tion among witty but seri­ous peo­ple. Just like the com­ments on Log­a­rchism. On a good day, any­way. This is con­sti­tu­tional law at its finest.

The Supreme Court is hear­ing a num­ber of law­suits simul­ta­ne­ously, hav­ing con­sol­i­dated them into a sin­gle case before the Court. The suits deal pri­mar­ily with the indi­vid­ual man­date, the require­ment that all Amer­i­cans be cov­ered by med­ical insurance.

On Mon­day, argu­ment cen­tered around whether the Court should hear the case now, or wait until the indi­vid­ual man­date goes into effect in 2014. The Obama Admin­is­tra­tion argued that the Court should take up the case imme­di­ately, and not post­pone the review under the Anti-​​Injunction Act. Solic­i­tor Gen­eral Don­ald Ver­rilli said, “This case presents issues of great moment and the Anti-​​Injunction Act does not bar the Court’s con­sid­er­a­tion of those issues.” The Jus­tices seemed to agree. It appears likely the Court will issue an opin­ion on the Con­sti­tu­tion­al­ity of the law.

There was an inter­est­ing polit­i­cal dichotomy in these argu­ments. The Admin­is­tra­tion argued that nei­ther the require­ment to pur­chase insur­ance, nor the penalty for not buy­ing insur­ance, is a “tax” — and there­fore, the Anti-​​Injunction Act does not apply, and con­sid­er­a­tion of the law­suit can go for­ward before this penalty is actu­ally assessed on any­one. Con­ser­v­a­tives main­tain that the Afford­able Care Act does raise taxes, so one might think they’d like the indi­vid­ual man­date, or the penalty, to be viewed as a tax — yet they would also like to push ahead with the law­suits against the ACA.

One inter­est­ing aspect in lis­ten­ing to the argu­ments before the Court is that many of the Jus­tices seemed anx­ious to push on both sides of an issue. Jus­tices Ruth Bader Gins­burg and Sonia Sotomayor in par­tic­u­lar tended to ask prob­ing ques­tions both for and against the ques­tion of whether suits against the ACA would fall under the Anti-​​Injunction Act.

Today, Tues­day, the heart of the law­suits will be argued — whether the indi­vid­ual man­date is con­sti­tu­tional. Ana­lysts and com­men­ta­tors will lis­ten intently to today’s argu­ment, comb­ing it like a detec­tive search­ing for fin­ger­prints, des­per­ate to find clues to the direc­tion each of the Jus­tices is likely to lean on the final decision.

Mas­simo Cal­abresi has an inter­est­ing piece explain­ing why the suit is about Con­gress, not about Pres­i­dent Obama. Though the ACA is com­monly referred to as “Oba­macare,” the pow­ers and Con­sti­tu­tional lim­its of the Pres­i­dent are not at issue. The ques­tion is not whether the Pres­i­dent, through the Exec­u­tive Branch, has the right to enforce the indi­vid­ual man­date. The ques­tion is whether Con­gress, through the Leg­isla­tive Branch, has the right to leg­is­late the indi­vid­ual man­date. Cal­abresi writes, “many con­ser­v­a­tive jurists find it dif­fi­cult to chal­lenge the health care reform law’s con­sti­tu­tion­al­ity,” because

… Con­gress has a lot of power when it comes to con­trol­ling com­merce in Amer­ica, and Repub­li­can appointees from the D.C. circuit’s Lau­rence Sil­ber­man to for­mer clerk to Jus­tice Antonin Scalia and 5th Cir­cuit con­ser­v­a­tive Jef­frey Sut­ton have argued pow­er­fully that Con­gress is well within its bounds in reg­u­lat­ing health care, which rep­re­sents one-​​sixth of the national economy.

As with many com­men­ta­tors,  Cal­abresi goes on to spec­u­late on how some of the more con­ser­v­a­tive Jus­tices might even­tu­ally rule on the law itself — and, as many com­men­ta­tors do, ended by mak­ing no firm prediction.

What are your thoughts? Do you, Gen­tle Reader, have an opin­ion on how you think the final deci­sion will fall? Do you have any thoughts on what to watch for in today’s argu­ments in try­ing to divine which way a given Jus­tice leans?




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  1. DC is right. One of the great­est expe­ri­ences of my life was attend­ing oral argu­ments in front of the Court. It was just a bor­ing insur­ance case from New York, but the cham­ber was crack­ling with intel­lec­tual energy. I got a real feel for the per­son­al­i­ties behind the peo­ple whose names I had been hear­ing for years.

    Most of all, I’ve devel­oped a pro­found respect for Chief Jus­tice Roberts. I dis­agree with him much of the time, but his is one of the sharpest and most intel­lec­tu­ally rig­or­ous minds I’ve ever seen.

  2. I don’t know enough about the indi­vid­ual mem­bers of the cur­rent court to pre­dict which way they’ll lean on this, partly because there’s been so much polit­i­cal pos­tur­ing injected that it’s hard for a lay­man like me to parse out the actual legal points.  The press and pun­ditry are as much at fault as the politi­cians, because they seem to divide every­thing up like they’re pick­ing teams for dodge­ball.  Every­one on the blue team has to go to that far end of the gym, and every­one on the red team has to go way over there.  Any­one who dares step out of line is auto­mat­i­cally “wrong,” just for dis­agree­ing the the team ortho­doxy as defined not by the mem­bers of the team, but by the media. Facts or hon­esty be damned. It means we can’t talk about any­thing with­out resort­ing to play­ground taunts. And it dis­gusts me.
     
    On legal ques­tions, I agree with Monotreme that Jus­tice Roberts (while I dis­agree with many of his views) has shown an intel­lec­tual rigor that I’ve come to respect.  If the ques­tion gets decided on legal mer­its, then I think the jus­tices will make a good, sound deci­sion. I may not agree 100% with their rea­son­ing, but I believe it will be well-​​reasoned. How­ever, if it becomes more of a polit­i­cal issue, then it’s an unpre­dictable crap­shoot.  The cur­rent con­ser­v­a­tive lean on the court gives me pause for polit­i­cal rea­sons, but for them to decide now that Con­gress can’t reg­u­late health­care or impose man­dates would con­tra­dict my under­stand­ing of how these same con­ser­v­a­tives have ruled in the past.  Cer­tainly, intel­li­gent peo­ple can change their minds, and highly intel­li­gent peo­ple are quite capa­ble of simul­ta­ne­ously hold­ing con­tra­dic­tory views, but most legal minds are hyper-​​aware of things like prece­dent.
     
    I’m not even going to dare stick­ing a fin­ger in the wind on this one.  I’m just going to watch and see which way it blows.

  3. If you read the tran­scripts, it seems that things are falling along par­ti­san lines, which would result in a 5–4 deci­sion strik­ing down the indi­vid­ual mandate.

  4. It will be inter­est­ing to see what hap­pens if the court strikes down the indi­vid­ual man­date, but not the law as a whole. Accord­ing to what I read 2 years ago, the indi­vid­ual man­date is required to pre­vent peo­ple from wait­ing to buy insur­ance until they are sick, because the insur­ance co can’t refuse them for pre­ex­ist­ing con­di­tions.
    With­out a man­date, how many peo­ple will pull shenani­gans and what effect will that have on the insur­ance industry?

  5. Tur­boenvy,

    You’ll like my arti­cle that runs tomor­row morn­ing, then.

    The issue is called “sev­er­abil­ity” and it’s a big one.

  6. It both­ers me that the Supreme Court Jus­tices have no wor­ries about their need­ing health insur­ance.  This is all an aca­d­e­mic exer­cise to them.  I real­ize they are exam­in­ing the legal aspects, but it both­ers me nonethe­less.
    Unless you are “lucky” enough to be hit by a car and killed instantly, you are going to need 

  7. Tur­boenvy, 
    Wouldn’t it be ironic if the man­date is struck down and the insur­ance com­pa­nies decide, because of peo­ple wait­ing until they are ill to buy insur­ance, that they can’t remain in busi­ness.  Sadly, we would have sev­eral years of tur­moil and hard­ship, but see­ing them ask for a single-​​payer sys­tem would be wonderful.

  8. What’s more ironic, Rose, is that the por­tion of the health care law that is draw­ing the most ire from con­ser­v­a­tives was a part that was a con­ser­v­a­tive idea. The Her­itage Foun­da­tion, Newt Gin­grich, and Mitt Rom­ney are the fathers of the Indi­vid­ual Man­date. It was the mech­a­nism added into the Afford­able Care Act in order to pay for it (rather than a single-​​payer plan or a pub­lic option), and it was added specif­i­cally in an effort get get Repub­li­can votes  — because it is a Repub­li­can idea.

    And now that it is part of the Health Care act, now that is is the law, Repub­li­cans hate hate hate the idea, it threat­ens the very fab­ric of Lib­erty, and activist con­ser­v­a­tive Repub­li­cans on the Supreme Court might well find it to be unconstitutional.

    The really funny part is that if we’d going with a single-​​payer sys­tem, that would unques­tion­ingly be within the bounds of the Constitution.

    That’s what Democ­rats get for lis­ten­ing to Repub­li­cans, eh? They can’t be trusted as far as you can spit a bowl­ing ball.

     

  9. Oh come on now boys and girls this was a done deed before it ever got to this court. And after they destroy health care reform they will try to find a way to use this deci­sion to go after Social Secu­rity, Medicare and Med­icade.
    If the Democ­rats do not use this in a tar­geted man­ner against those that have brought it on then we all deserve what ever comes next.

  10. and it was added specif­i­cally in an effort get get Repub­li­can votes 
    You mean con­ser­v­a­tive Demo­c­rat votes, right? C’mon, you can’t really believe they dropped the pub­lic option because Repub­li­cans wouldn’t approve. The pub­lic option and tax increases would’ve lost Lieber­man, Nel­son and who­ever else.…so that brought the man­date into play.  

  11. rgbact,
     
    Would you per­haps like to admit to the asser­tion? Or would you rather be pow­er­fully embarassed with links to the NUMEROUS GOP politi­cians, includ­ing cur­rent sit­ting ones and ones run­ning for high office, SUPPORTING indi­vid­ual man­dates?
     
    Wipe the drool off your chin and make your call!

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