Democrats' Health Care bill has been passed - SCOTUS ruling update

The Health Care bill.


  • Total voters
    120

Good to know that there is somebody out there preaching common sense. It's not like the Supreme Court employs people solely for the purposes of interpreting and ruling on the Constitution.

That said, I can understand resistance to the idea that people are basically obligated to have health care, given that America is perhaps the only country in the world where your health insurer can refuse to pay the costs associated with childbirth because of a pre-existing condition - pregnancy.

Let's face it: for one of the most advanced nations on the planet, America's healthcare system is arse-backwards.
 
It's not like the Supreme Court employs people solely for the purposes of interpreting and ruling on the Constitution.
The Supreme Court employs people who were appointed by presidents and were politically favorable to that president at that time. It's packed.
 
That sounds suspiciously like a straw man argument.

It's not.

The Supreme Court consists of one Chief Justice and eight... Notchief Justices. Each is appointed by the President of the United States, with confirmation of the appointment made by the Senate (the upper house, usually controlled by the same party that the President is nominal "head" of). Once appointed, the Justices have life tenure - they can be removed by impeachment (this has never happened), retire/resign (there are three living retired Justices) or die.

Currently there are two Associate Justices appointed by each of Barack Obama (D), Bill Clinton (D), Ronald Reagan (R) and one each from George W. Bush (R) and George H. W. Bush (R). See if you can guess which way they voted...

I'll give you a clue:
In favour
Breyer (Clinton)
Ginsburg (Clinton)
Sotomayor (Obama)
Kagan (Obama)

Opposed
Scalia (Reagan)
Kennedy (Reagan)
Thomas (GHWB)
Alito (GWB)

The carrying vote was, thus, held by the Chief Justice (Roberts, appointed by George W. Bush [R]) who rejected part of the bill as unconstitutional (under the Commerce Clause - you cannot be regulated by the US government if you abstain from the regulated activity), but voted in favour of it as a tax (which is constitutional - on the basis that taxation for inactivity is permitted by the 16th Amendment).

Which is a little odd considering Obama has repeatedly stated that this is not a tax...
 
It's not.
I know it's not a straw man argument - it's just the closest term I could think of. The entire argument seems to be "it doesn't matter if the bill is constitutional or not, the people ruling on it cannot be trusted to make that decision", which conveniently doesn't address the issue of whether or not the bill is constituional, whilst at the same time insinuating that the process of ruling on the bill is unconsitutional, but never actually acknowledging it (I don't know the finer points of the law here).

It's my understanding that most of the resistance to Obamacare is coming from the Republicans - and I'm willing to bet that Republican presidents have stacked the deck in their favour when it comes to Supreme Court rulings in the past. I guess it's not a crime if you're the one committing it.

But at least American politics aren't nearly as screwed up as ours ...
 
I know it's not a straw man argument - it's just the closest term I could think of. The entire argument seems to be "it doesn't matter if the bill is constitutional or not, the people ruling on it cannot be trusted to make that decision", which conveniently doesn't address the issue of whether or not the bill is constituional, whilst at the same time insinuating that the process of ruling on the bill is unconsitutional, but never actually acknowledging it (I don't know the finer points of the law here).

Yes and no.

Each body of the USA is supposed to uphold the Constitution, but sometimes they get it wrong. Above the HoR is the Senate, supposed to correct those mistakes. Alongside the Senate is the President, supposed to veto mistakes that pass the Senate. Alongside the President is the Supreme Court, supposed to veto mistakes that pass the President. Each exists to keep the others in check.

On this occasion, the President has used the Senate, loaded in his favour, to push his pet project through. The Supreme Court is loaded 50:50 with Associate Justices and they voted along party lines despite the fact the SC is supposed to be apolitical and exist solely to protect the people by upholding the Constitution. There have been no such checks in place and thus the Constitutionality of the bill is somewhat moot.


In fact the only part where the Constitutionality came into consideration was the Chief Justice - who ruled part of the bill as unconstitutional, but passed part of it on the basis of it being constitutional under the guise of taxation. Which is exactly what Obama said it isn't - neatly showing him to be legally inept (by passing a law unaware of its purpose), Constitutionally unaware (by passing a law despite its unconstitutionality) and a liar (by passing a law saying it's one thing when it's something else he says it isn't) all in one go.


It's my understanding that most of the resistance to Obamacare is coming from the Republicans - and I'm willing to bet that Republican presidents have stacked the deck in their favour when it comes to Supreme Court rulings in the past. I guess it's not a crime if you're the one committing it.

No, it's wrong either way. Each of the three bodies - the Senate, the Supreme Court and the Office of the President of the United States - exists to ensure the other two cannot breach the Constitution by retaining power of veto.

In theory. Or at least as far as I understand the theory.
 
The fact is, now that it's a tax, Obama is going to be sued again. Based on the 16th amendment, again.
 
prisonermonkeys
It's not like the Supreme Court employs people solely for the purposes of interpreting and ruling on the Constitution.
I see we will be having fun today.

Solely? No. But as a sworn job requirement? Yep.
http://www.supremecourt.gov/about/oath/textoftheoathsofoffice2009.aspx

Justices of the Supreme Court of the United States are required to take two oaths before they may execute the duties of their appointed office.

The Constitutional Oath
As noted below in Article VI, all federal officials must take an oath in support of the Constitution:

"The Senators and Representatives before mentioned, and the Members of the several State Legislatures, and all executive and judicial Officers, both of the United States and of the several States, shall be bound by Oath or Affirmation, to support this Constitution; but no religious Test shall ever be required as a Qualification to any Office or public Trust under the United States."

The Constitution does not provide the wording for this oath, leaving that to the determination of Congress. From 1789 until 1861, this oath was, "I do solemnly swear (or affirm) that I will support the Constitution of the United States." During the 1860s, this oath was altered several times before Congress settled on the text used today, which is set out at 5 U. S. C. § 3331. This oath is now taken by all federal employees, other than the President:

"I, _________, do solemnly swear (or affirm) that I will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties of the office on which I am about to enter. So help me God."


The Judicial Oath
The origin of the second oath is found in the Judiciary Act of 1789, which reads "the justices of the Supreme Court, and the district judges, before they proceed to execute the duties of their respective offices" to take a second oath or affirmation. From 1789 to 1990, the original text used for this oath (1 Stat. 76 § 8) was:

"I, _________, do solemnly swear or affirm that I will administer justice without respect to persons, and do equal right to the poor and to the rich, and that I will faithfully and impartially discharge and perform all the duties incumbent upon me as _________, according to the best of my abilities and understanding, agreeably to the constitution and laws of the United States. So help me God."

In December 1990, the Judicial Improvements Act of 1990 replaced the phrase "according to the best of my abilities and understanding, agreeably to the Constitution" with "under the Constitution." The revised Judicial Oath, found at 28 U. S. C. § 453, reads:

"I, _________, do solemnly swear (or affirm) that I will administer justice without respect to persons, and do equal right to the poor and to the rich, and that I will faithfully and impartially discharge and perform all the duties incumbent upon me as _________ under the Constitution and laws of the United States. So help me God."


The Combined Oath
Upon occasion, appointees to the Supreme Court have taken a combined version of the two oaths, which reads:

"I, _________, do solemnly swear (or affirm) that I will administer justice without respect to persons, and do equal right to the poor and to the rich, and that I will faithfully and impartially discharge and perform all the duties incumbent upon me as _________ under the Constitution and laws of the United States; and that I will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties of the office on which I am about to enter. So help me God."
So help me God, they have to do it twice. Never mind that part of the legal challenge they were ruling in was whether or not the ACA was constitutional, thus being the point of the case.

That said, I can understand resistance to the idea that people are basically obligated to have health care, given that America is perhaps the only country in the world where your health insurer can refuse to pay the costs associated with childbirth because of a pre-existing condition - pregnancy.
1996 called. They want you to meet their friend, HIPAA.

http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html
Are there illnesses or injuries that cannot be subject to a preexisting condition exclusion?

Yes, as follows:

Pregnancy, even if the woman had no prior coverage before enrolling in her current employer's plan.

Conditions present in a newborn or a child under 18 who is adopted or placed for adoption (even if the adoption is not yet final), as long as the child is enrolled in health coverage within 30 days of birth, adoption, or placement for adoption. In addition, the child must not have a subsequent, significant break in coverage (defined as 63 days). For instance, a significant break might occur if a parent lost his job and health coverage for himself and his family shortly after a child’s birth.

Genetic information. For example, if a woman is found to have a gene indicating she is at a higher risk for breast cancer, she cannot be denied coverage if there is no diagnosis of the disease.

Let's face it: for one of the most advanced nations on the planet, America's healthcare system is arse-backwards.
ACA doesn't help that. It changes a few things here and there but mainly it forces you to buy into an arse-backwards system, whether you want to or not. ACA is so poorly designed that people on both sides agree it isn't fixing much of anything.

prisonermonkeys
It's my understanding that most of the resistance to Obamacare is coming from the Republicans - and I'm willing to bet that Republican presidents have stacked the deck in their favour when it comes to Supreme Court rulings in the past. I guess it's not a crime if you're the one committing it.
It's politics. Where was your willingness to point out hypocrisy when Obama thought the Supreme Court would rule against ACA and was making speeches about activist judges, just like Bush used to do before him?
Your statement above describes pretty much every controversial issue in politics, just switch the name of the issue and parties involved. Politicians wouldn't pass laws if they thought it would get shutdown in constitutional review. It makes them look bad. So you definitely have the debate over legality go back and forth.

prisonermonkeys
Of course he wll. Heaven forbid that the bill might actually help people who need it.
But it won't. It looks like it will when you say it gives X number of people insurance that couldn't get it before. But we were notified yesterday that we still expect up to 10% of our state's population to still be uninsured (down from the current rate of 16%), which sounds better except for the fact that we expect to be busier because the funding for any of this has yet to be allocated.

And going even further is the fact that currently we are struggling across the country with the availability of doctors. We get federal grants now in order to try and encourage doctors to work in certain areas with almost none. Ultimately, we don't have enough doctor's now to cover all the people with insurance as it is. To make matters worse, the ACA will take full effect just as baby boomer doctors are expected to retire at significant rates. We expect far more retirements than medical school graduates. Already there is a 15% difference and use programs, such as J-1 Visa Waivers to attempt to bring in immigrant doctors to fill the gaps.

Omnis
The fact is, now that it's a tax, Obama is going to be sued again. Based on the 16th amendment, again.
I'm unsure this can fall under income tax, but if so the idea of having income taxed as a direct penalty for doing, or not doing in this case, something disturbs me. I can't think of any other examples.

I know people defending this are pointing at sin taxes, but that is a point of service tax based on the cost of the product/service, not a percentage proportional to your income, nor are sin taxes a punitive measure.

I fear that this opens a door to punishing crimes by a 1% tax on your income or basically allowing the federal government to force anything on the American people with an income tax as a penalty. What if instead of a bailout you were required to own a Detroit car or pay a tax? We were saving millions of jobs. It probably would have bolstered the Big Three but price controls would need to be implemented and unintended job losses would occur at American factories operated by companies like Toyota and Volkswagen. Or imagine having to have some form of account at one of the giant, too big to fail banks or pay a tax on your income. Millions of jobs saved.

And with all the rhetoric about how without the bailouts the economy would have collapsed it could all be argued as a collective effort to save the economy as a whole and no one gets a free ride.

I can only see one way this could be spun as a positive: you could fund programs without debt spending. Heck, you could even have a military service or tax program to fund wars.

Ultimately, we need to amend the Constitution with language that limits how income tax can be used as punishment or this will need to be challenged to create a legal precedence for its limits.

And imagine how much more convoluted the tax code will be when you have to add proof of insurance to your tax forms or have to keep insurance records for up to seven years in the event of an IRS audit.

I see nothing but trouble from this. This is almost enough to make me vote with the goal of getting Obama out of office. Almost. I'm not sure Romney would overturn anything.
 
I just read a piece by Rand Paul in the National Review, urging votes to back the Republican party (and obviously, by extension, Mitt Romney) as a way of telling the Supreme Court just how wrong they are... but... throwing one's weight behind Mitt Romney (as Rand Paul famously did a few weeks ago) seems like an odd way to register one's displeasure with the ACA (and in particular, the individual mandate), that Romney and many other prominent Republicans besides (including Jim DeMint no less!) seemed so keen on just a few years ago...

It would seem that either Rand Paul is suggesting that Mitt Romney has seen the error of his ways (and all the rest of the Republicans who backed an individual mandate at one stage or another) or he's made a huge and somewhat inexplicable blunder by throwing his weight behind Romney...
 
The bill is unconstitutional, that is why it's been reduced to a tax.(The law would mean zero without the mandate). Thankfully, as Danoff points out, the commerce clause has not been trampled in this corrupt process. I'm not convinced of any states rights being upheld in all this as I need to delve a little deeper, but on the surface if in any way this ruling helps keeping the feds from strong arming the states, I guess that is a win too. I consider this decision a mixed bag, as in, I really thought the mandate would be struck down, but I think some precedent has been set in favor of liberty and the constitution all the same(in other words, the libs won a small battle but in doing so they gave up plenty).

A few things...

Ginsburg

"Unlike the market for almost any other product or service, the market for medical care is one in which all individuals inevitably participate...Virtually every person residing in the United States, sooner or later, will visit a doctor or other health care professional."

Probably true, but what does me paying my physician 50 bucks for a flue shot have anything in the world to do with paying a bogus tax? Nothing at all.

Roberts

"... it is reasonable to construe what Congress has done as increasing taxes on those who have a certain amount of income, but choose to go without health insurance. Such legislation is within Congress's power to tax."

Wait wut? So those dirty rates don't buy b.s. health insurance because it's a, hmm, bad investment for them? Oh the dirty rats should be burned at the stake. This guy does actually bother me more then the others, he is sharp as a tack and knows very well the right course but chooses not to take it 👎

Anyway... Nothing about this bill is going to work, sense when did forcing people to buy something they don't want end up with lower costs for the rest? I think FK has touched on this some iirc, basically free market is the cure, underneath it all is this not just more horse hockey in favor of the jack ass insurance giants that have been lobbying for ages now? I don't see Karen Ignagni complaining lol.

I've said it probably a dozen times on this site, the federal government creates the problem and then blows their trumpets as they 'solve the issue'. Take the regulations away and let competitive free market have a chance. This bill will not make our healthcare any less expensive, not by a long shot, it will not insure more who cannot afford it, it will line a few pockets maybe.

BTW, I am still confident the bill will not survive, repeal, tell your congress reps etc, heads held high people 👍
 
I'd prefer amending the Constitution to forbid income taxes entirely. Eliminate the greater headache.
 
.....And imagine how much more convoluted the tax code will be when you have to add proof of insurance to your tax forms or have to keep insurance records for up to seven years in the event of an IRS audit....

Massachusetts already has the tax form, its Form MA 1099-HC "Individual Mandate - Massachusetts Health Care Coverage"

Link: Form MA 1099-HC

The insurance companies send out the form at the end of the year, just like any other 1099 Tax Form.

My guess is that the title will need changing for the Federal form. Saying "Individual Mandate" is now a no/no...:lol:

Respectfully,
GTsail
 
Omnis
I'd prefer amending the Constitution to forbid income taxes entirely. Eliminate the greater headache.

I agree, but taking a more narrow view of it, it will be many years before you could ever hope to pass an income tax elimination. That is plenty of opportunities for this new precedence to be abused. Preventing punitive income taxes is a stop-gap to protect the people from narrow abusive use of the larger problem.

Think of it as clipping the wings on a dragon. It can still shoot flame, eat people, and be a general threat, but it won't be swooping down in the middle of the night to do it. And when you finally have what you need to completely kill it you have one less aspect of the beast to worry about.
 
Right, but is there more motivation to fight and kill a dragon while it's sleeping or while it's getting ready to turn the village into a happy meal?
 
So what if it's a "tax"? Since more people are going to get the healthcare now that they're fined for not having it, the price of the healthcare will reduce dramatically since more people are buying it...
 


This is pretty good, but he's also kinda pointing out that this isn't as disastrous a ruling as he pretends at the beginning. I don't actually completely agree with him (surprisingly). I do like that he points out the commerce clause win in this opinion.

He neatly wraps up a discussion about how the tax needs to be lower than the cost of insurance to not be a mandate (according to the opinion), but that until the tax comes up to the cost of insurance, the program can't work. So he claims that congress will eventually raise the tax to balance the budget of the ACA, but then the supreme court will find it unconstitutional.

Fine... that's not actually a problem. Pointing out that the ACA is economically bankrupt until it becomes unconstitutional is a win for us because it means ACA will die.

The bottom line is that the law is unconstitutional (even as a tax), but this ruling could have been far worse, and I for one am actually very happy to have something on the books limiting the commerce clause, which until this ruling had absolutely zero limitations.

Edit:

The example I like to give about the lack of commerce clause limitations is that it could be used to allow the government to tell you who you can have sex with, who you can't have sex with, and how often you must have sex with the person the government chooses, and what you must pay the government for the privilege.

Think that's crazy?

How often you have sex with people of your choosing affects commerce of Nevada prostitution (interstate commerce). If not hiring a prostitute is viewed the same as hiring a prostitute under the law, then the government can regulate your sexual activity as part of interstate commerce... and every aspect of your sexual activity.

That's how the commerce clause has been previously interpreted (especially by the government in favor of the mandate provision of obamacare). If this ruling had found the mandate to be constitutional under the commerce clause, it would not just fail to put limits on the commerce clause to prevent it from doing what I wrote above, it would establish precedent that could be cited indicating that what I wrote above is definitely constitutional (rendering the constitution almost pointless).
 
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So what if it's a "tax"? Since more people are going to get the healthcare now that they're fined for not having it, the price of the healthcare will reduce dramatically since more people are buying it...


False. Neither services nor insurance cost will drop one penny.
 
As a Kidney Donor I am obviously for it. Because of my 'pre-existing condition' getting insurance is a lot tougher. Basically any insurance company can deny me coverage because of my decision of saving my dads life.

If ever need a kidney transplant surgery in the future and don't have insurance, it can run up to $600,000. Yeah... That's totally fair. :rolleyes:
 
I don't think the bill is going to make it any easier for you to get insurance anyway tbh, it only requires you do by law.
 
This is pretty good, but he's also kinda pointing out that this isn't as disastrous a ruling as he pretends at the beginning. I don't actually completely agree with him (surprisingly). I do like that he points out the commerce clause win in this opinion.

He neatly wraps up a discussion about how the tax needs to be lower than the cost of insurance to not be a mandate (according to the opinion), but that until the tax comes up to the cost of insurance, the program can't work. So he claims that congress will eventually raise the tax to balance the budget of the ACA, but then the supreme court will find it unconstitutional.

I listened to the Schiff video, and found it interesting but not entirely convincing. Though he does go round and round with his argument about the size of the tax/penalty.:lol:

I certainly think that its likely that (in the future) Congress will raise the tax (if ObamaCare doesn't get repealled), but I doubt that this would ever make it un-constitutional.

It seems to me that what the US Supreme Court has done is to make the ACA law similar to Medicare.

Medicare is funded by payroll taxes (37%), beneficiary premiums (13%) and general tax revenues (42%). Medicare is therefore being partially funded by a "specific" medicare tax (the 1.45% tax that all employees pay and the 1.45% tax that all employers pay).

So if ObamaCare is funded 75% from general tax revenues and 25% from the ACA "tax/mandate/penalty", then I don't really see any significant difference.

This tax/penalty might be shown on our Federal tax returns as follows (assuming 4 people in your household, but only 3 have insurance):

ACA Tax ($250 per each member in household)......$1,000
ACA Credit($250 per each member with insurance)...($750)

Net ACA Tax...........................................$250

So if you have insurance, you wouldn't pay the ACA tax, but if you don't have insurance, you pay $250 per person. This "tax" is then used by the Government to fund the cost of providing medical care to un-insured citizens (and whatever else the crazy complicated law does).

I don't see how adjusting the ACA tax up or down in the future would change the basic premise of this "tax/penalty" that funds ObamaCare. Adjusting the "medicare" tax of 1.45% up or down does not make Medicare un-constitutional.

If you ask me, the horse has left the barn in regard to whether ObamaCare could ever be declared un-constitutional.

Respectfully,
GTsail
 
I don't think the bill is going to make it any easier for you to get insurance anyway tbh, it only requires you do by law.

Are you effing kidding me? If it passes, as of 2014, no one with a 'pre-existing' condition can be refused insurance.

Despite the fact I spend more then 15 hours a week working out I have a disability. Thank god I'm covered for another 4 1/2 years.
 
And the cost of said insurance? Just because you can't be turned down does not mean you can afford it, or does it.
 
And the cost of said insurance? Just because you can't be turned down does not mean you can afford it, or does it.

If I have a job that doesn't pay minimum wage, i will be able to afford it. Paying for insurance is not something I'm worried about, its being stuck without it.

EDIT: Scratch that, if I have a job.. PERIOD. I'll be able to afford it. If you have insurance you get a big tax credit.
 
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