Get FREE NRO Newsletters

 

June 11 Issue  |  Subscribe  |  Renew

Close

New on NRO . . .

The Corner

The one and only.

Print   |  Text
 

No Reason for Panic on Health Law

There is buzz aplenty about the decision by the 6th Circuit Court of Appeals to uphold the individual mandate to purchase health insurance. The takeaway from most of the coverage thus far, including the New York Times, is that this decision is the “first on the merits that has not broken down strictly along seemingly partisan lines.” True enough, as far as it goes, but there are still plenty of judges who need to weigh in on this, and we may see other partisan deviations down the road.

The more important point was made by Politico’s Jennifer Haberkorn, who noted that “the 6th Circuit is the first of three appeals panels expected to issue rulings on the law this summer.” We will know more after the other rulings later this summer, and the real resolution on this will not come until we hear from the Supreme Court. In the meantime, nothing has changed the fact the Obama health-care law is expensive, intrusive, and continues to face significant challenges on the political, legislative, and judicial fronts.

New on The Corner. . .


COMMENTS   37

EXPAND  

Michael K
   06/29/11 14:18

"the real resolution on this will not come until we hear from the Supreme Court."

More accurate would be to replace "the Supreme Court" with "Justice Kennedy".

Reply to this commentLinkReport Abuse
HIgh Street
   06/29/11 14:19

Who nominated the judge that was supposedly nominated by a republican.

I just don't see how anyone who takes the Constitution seriously at all can force someone to buy something. There will be no end to it. Which of course is good news for GM.

Reply to this commentLinkReport Abuse
   06/29/11 14:24

I plan on offering healthcare insurance that will cover all of the Obamacare required coverage mandates. Everyone in America will be able to buy it for $10 per year. Of course the co-pay for all coverage is actually the cost of the treatment/drug/test/procedure. But you'll be able to say you have coverage and be exempt from the mandate.

Reply to this commentLinkReport Abuse
US_Marine33
   06/30/11 01:15

That's Brilliant; Sign me up!

Reply to this commentLinkReport Abuse
Kevin Moriarty
   06/29/11 14:25

Mr. Troy,

You should have noted that the Sixth Circuit decision was authored by Judge Jeffrey Sutton, a GW Bush appointee. Prepare to be deluged by screeds against the Sixth Circuit for being activist liberal judges who don't understand the Constitution.

Reply to this commentLinkReport Abuse
   Cato
   06/29/11 14:32

Conservatives have an inherent disadvantage in the appellate courts. We respect the principle of stare decisis, so we are more reluctant to overturn precedent. The left has no such qualms, and feels free to change the Constitution to suit their needs whenever. But when conservatives try to overturn a change of theirs, and return to an earlier interpretation, they shout, "Stare decisis! You're being hypocritical!"

Problem is, many conservative judges actually give in to that argument. So there is a continual ratchet effect -- liberals free to change the law to their heart's content, and conservatives forced to go along with it.

The only way Obamacare will be overturned is legislatively. To have any hope, we must elect more Republicans to Congress and the Senate, and more than anything, replace Obama in 2012.

Reply to this commentLinkReport Abuse
Kevin Moriarty
   06/29/11 14:36

Conservatives hew to stare decisis? The US Supreme Court's conservative majority have overturned a number of key standing decisions in the past 3 years, Citizen's United not being the least.

Reply to this commentLinkReport Abuse
   06/29/11 14:38

So lemme get this straight: judges who draw paychecks from the federal government have ruled that the federal government has essentially unlimited powers...

Did anyone expect this to be decided fairly? Does history provide many examples of a power-grabbing entity voluntarily conceding on a claim that was less than legitimate?

It'll be a power-play at the SCOTUS level too -- with too few justices understanding that the legitimacy of a law matters.

Reply to this commentLinkReport Abuse
Kevin Moriarty
   06/29/11 14:42

I suggest you read the decision to understand exactly what you're criticizing.

Reply to this commentLinkReport Abuse
   06/29/11 14:46

Having read the heart of the ruling, I have to say that I find this opinion to be deeply flawed.

Among its most intellectually vacuous claims was that "the text of the Commerce Clause does not acknowledge a constitutional distinction between activity
and inactivity, and neither does the Supreme Court."

Why on earth would we expect the Commerce Clause to draw an explicit distinction between activity and inactivity when they are opposites of each other? The distinction is implicit! This is where the court gets totally lost in legal theory instead of exercising common sense. Throughout the opinion, the decision not to purchase health insurance is rephrased as the practice of "self-insuring". This was obviously done to try and transform the inactivity that is being regulated into a true economic activity, which, of course, it is not.

Basically, the court's logic is that any American who, at any time, has made the conscious decision not to purchase health insurance has instead consciously decided to "self-insure."

By completely dimissing the notion that an American might decide to completely forego healthcare services as impossible, the Court was able to avoid answering the uncomfortable question of why someone who merely breathes ought to be forced into a private business relationship. This was clever, but deeply intellectually dishonest. No surprise.

Reply to this commentLinkReport Abuse
   06/29/11 15:15

In any case, it's not an uncomfortable question at all, and has a perfectly obvious and defensible reason behind it.

Reply to this commentLinkReport Abuse
   06/29/11 15:13

There is a reason for panic. If you have lost Jeff Sutton, you have lost one of the most conservative judges in America. The good news is that he declined to overturn Congress for conservative reasons, and knowing when he did so, the SCOTUS would have the final word.

Reply to this commentLinkReport Abuse
   06/29/11 16:17

Judge Sutton is a clown, in my opinion. Because the Commerce Clause doesn't say it doesn't cover inactivity (which is the opposite of "commerce", Congress can regulate economic inactivity. So now we can be forced to buy Smart cars, only certain foods and only in the amount they approve of. We can also be forced into smaller homes and be told where to live. Because, in Judge Sutton's view, this is not unconstitutional on its face. Fascist diktats of what to do and when to do it from Washington are okay in Judge Sutton's view. I say he is a stench on the bench.

Reply to this commentLinkReport Abuse
   06/29/11 17:03

OK, you have to take your conservatism in legal practice as well as in life. Judge Sutton took the cautious, conservative tack of saying: I am not going to say this statute, which I know the SCOTUS will rule on, and say it is unconstitutional as applied to everyone. That does not make him a clown. He did not rule as to ALL inactivity -- it was the question of the decision on how to pay for health care costs. You cannot read this opinion as applying to anything else.

Reply to this commentLinkReport Abuse
   06/29/11 17:18

I disagree. Sutton swallowed the leftist argument hook, line, and sinker, as can be seen in this passage.

"No one is inactive when deciding how to pay for health care, as self-insurance and private insurance are two forms of action for addressing the same risk. Each requires affirmative choices; one is no less active than the other; and both affect commerce."

You may be wondering what the heck is the difference between "private insurance" and "self-insurance", since they sound like exactly the same thing.

But you'd be wrong. Private insurance is the practice of an individual privately purchasing health insurance. And "self-insurance" is the courts peculiar name for NOT buying health-insurance at all.

Reply to this commentLinkReport Abuse
   06/29/11 17:40

This is where I also feel that the court errs. Calling the choice not to purchase private health insurance an act of "self insurance" is how you turn an inactivity into an activity.

The problem, as I see it, is that self insurance is only a theoretical activity. If, for example, I choose to save and set aside $300,000 to cover any future medical expenses, the only "activity" I have truly engaged in is that of saving my money. Until and unless I actually spend that money on healthcare expenses, I haven't "self-insured" myself in any meaningful way. I certainly haven't entered into any sort of actuarial, risk-based agreement as the conventional commercial meaning of insurnace would imply.

Self-insurance is a meaningless misnomer relied upon by the court to turn the passive into the active. Insurance is purchased to account for the financial risk of a catastrophic expense. If you have the money to cover that expense, then you have no such financial risk in the first place, and therefore no need for insurance.

Reply to this commentLinkReport Abuse
   06/29/11 18:00

I can't imagine any court accepting this "self-insured" nonsense in any other setting.

Judge: "Mr Smith, you are charged with driving without automobile insurance. How do you plead?"

Mr Smith: "Not guilty your honor. I'm self insured"

Judge: "By 'self insured' you mean you do not actually have insurance, correct? Guilty."

Reply to this commentLinkReport Abuse
Grinder74
   06/29/11 18:44

Good sentiment, but the car insurance analogy fails here too (just like when libs use it to justify ObummerCare). You DON'T have to buy car insurance UNTIL you buy a car. In ObummerCare you ALWAYS HAVE TO buy health insurance--the only opt-out is being dead.

Reply to this commentLinkReport Abuse
   06/29/11 18:54

No. What is in question here is the definition of being insured. Sutton is arguing that everybody is "insured" whether they have insurance or not. Whether or not they are required to have insurance is a whole different issue.

Reply to this commentLinkReport Abuse
   06/29/11 15:24

Basically, Judge Sutton was telling the administration: Good luck when individuals assert the law is unconstitutional as applied, as opposed to the tougher standard of "on its face" unconstitutionality: "While future challenges to the law have hills to climb, nothing about this view of the case precludes individuals from bringing as-applied challenges to the mandate as the relevant agencies implement it, and as the “lessons taught by the particular,” Sabri,
541 U.S. at 608–09, prove (or disprove) that Congress crossed a constitutional line in
imposing this unprecedented requirement. Just as courts should refrain from needlessly pre-judging the invalidity of a law’s many applications, they should refrain from doing
the same with respect to their validity."

Reply to this commentLinkReport Abuse
Load More Comments

Add a Comment

Already Registered? Log In Here.


The content of this field is kept private and will not be shown publicly.


* Designates a required field.
© National Review Online 2012
All Rights Reserved.
Subscriptions
NR / Print
NR / Digital

Gift Subscriptions
NR / Print
NR / Digital
NR Apps
iPhone/iPad
Android

NRO Apps
iPhone
Support Us
Donate
Media Kit
Contact