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Raistlin

SUPREME COURT APPROVES DEATH PANELS, END OF AMERICA

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I made this a blog post instead of an EoEO thread because I doubt many of you care that much about the details.

Today, the Supreme Court issued a massive opinion upholding the Affordable Care Act, aka “Obamacare” (CNN’s hilarious screw up notwithstanding). I disagree with the decision, but in a somewhat surprising way. On a strictly constitutional level, I think Chief Justice Roberts’s opinion (which while not technically the Court’s opinion in all respects, ends up controlling all the results) is entirely correct: penalizing/taxing the uninsured is not a valid exercise of Congress’s commerce clause power, but Congress does have that power under its tax powers. But as I disagree that Congress invoked their tax powers in this case, I disagree that the ACA is constitutional.

The provision at issue was the so-called individual mandate provision, which demands that almost every US citizen “shall” retain health care by 2014 or face a “penalty” on their tax returns. The ACA has other provisions which explicitly create or mention taxes, and Congress deliberately used other language for the individual mandate. This was done because, as Congress and Obama repeatedly stated, the mandate was not a tax, but a penalty for noncompliance. They tried to distance the mandate as far as possible from a tax, because a majority in Congress would likely not have supported anything that could be spun as a “tax increase.”

And, in fact, the first part of the Court’s opinion explicitly concludes that the mandate is not a tax, by saying the Anti-Injunction Act does not bar the lawsuit. The old Anti-Injunction Act bars any suit challenging the legitimacy of a tax before the tax is collected. The only remedy for an unconstitutional or otherwise illegal tax is to sue after its collection for a refund. Therefore, if the mandate is a tax, suit to prevent its enforcement would be barred by the AIA. The Court easily dismissed this argument:

The text of the pertinent statutes suggests otherwise. The Anti-Injunction Act applies to suits “for the purpose of restraining the assessment or collection of any tax.” §7421(a) (emphasis added). Congress, however, chose to describe the “[s]hared responsibility payment” imposed on those who forgo health insurance not as a “tax,” but as a “penalty.” §§5000A(b), (g)(2). There is no immediate reason to think that a statute applying to “any tax” would apply to a “penalty.”

Congress’s decision to label this exaction a “penalty” rather than a “tax” is significant because the Affordable Care Act describes many other exactions it creates as “taxes.” See Thomas More, 651 F. 3d, at 551. Where Congress uses certain language in one part of a statute and different language in another, it is generally presumed that Congress acts intentionally. See Russello v. United States, 464 U. S. 16, 23 (1983).
That seems entirely accurate to me. The main issue following that, then, is whether the mandate is a legitimate exercise of Congress’s power under the commerce clause of the Constitution. Roberts dealt with this issue with similar ease, finding that the mandate is an unprecedented and illegitimate expansion of those powers:

The individual mandate, however, does not regulate existing commercial activity. It instead compels individuals to become active in commerce by purchasing a product, on the ground that their failure to do so affects interstate commerce. Construing the Commerce Clause to permit Congress to regulate individuals precisely because they are doing nothing would open a new and potentially vast do¬main to congressional authority.
Again, I agree with this 100%. Which should have been the end of the matter.

But wait, there’s more! Basic constitutional interpretation generally requires courts to resolve any ambiguities in favor of upholding a statute as constitutional. Roberts and the majority twists this judicial guideline into the power to effectively rewrite the law in order to make it constitutional:

The most straightforward reading of the mandate is that it commands individuals to purchase insurance. But, for the reasons explained above, the Commerce Clause does not give Congress that power. Under our precedent, it is therefore necessary to ask whether the Government’s alternative reading of the statute—that it only imposes a tax on those without insurance—is a reasonable one.
Roberts goes on to conclude that the individual mandate can be reasonably read to create a tax. And so therefore the mandate is a tax, not a penalty. “But,” I can hear you asking, “wouldn’t that mean the Anti-Injunction Act would apply to bar the suit?” No, silly, that only applies when Congress intends a tax, and since the Court created this tax out of thin air, the AIA wouldn’t apply.

Don’t think about it too hard.

The dissent is justifiably critical of this analysis:

The phrase “independently authorized” suggests the existence of a creature never hitherto seen in the United States Reports: A penalty for constitutional purposes that is also a tax for constitutional purposes. In all our cases the two are mutually exclusive. The provision challenged under the Constitution is either a penalty or else a tax. Of course in many cases what was a regulatory mandate enforced by a penalty could have been imposed as a tax upon permissible action; or what was imposed as a tax upon permissible action could have been a regulatory mandate enforced by a penalty.

[…]

In answering that question we must, if “fairly possible,” Crowell v. Benson, 285 U. S. 22, 62 (1932), construe the provision to be a tax rather than a mandate-with-penalty, since that would render it constitutional rather than unconstitutional. But we cannot rewrite the statute to be what it is not.
This goes beyond mere interpretation to judicial legislating, fixing Congress’s errors so it wouldn’t have to. Yes, Congress could constitutionally pass a tax on the uninsured. But the proper judicial remedy for its failure to do that is to strike the law down and let Congress pass a constitutional one.

Is today’s result the horrible, America-damning decision some conservatives are claiming it is? No. As far as I can tell, there would be exactly zero effective difference in applying the ACA if Congress had properly labeled the mandate as a tax (though of course that does not discredit any legitimate policy concerns with doing so at all). My only point is that if that’s what Congress wants to do, Congress has to actually do it. The Court should not step in and mangle the clear intent of the law (which the Court unhesitatingly accepted with regards to the AIA) in order to save Congress from its own politicking.
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Comments

  1. Raistlin's Avatar
    In a more light-hearted vein, Popehat is collecting the best of the internet's collective heart attacks as a result of the decision, in reference to this brilliant post. Get your popcorn.
  2. Raistlin's Avatar
    Apparently our gone but not forgotten azn PG posted a .jpg version of this entry on an obscure Facebook page called "Common Sense 2.0: the New American Revolution," which, as far as I can tell, consists mostly of image macros about how cool it is to be anti-establishment. Am I famous now?
  3. Loony BoB's Avatar
    As an outsider, I find it all a little strange. Why would a country not want it to be constitutional for everyone to be able to get healthcare supported by taxes? I've always been of the opinion that when it comes to health, so long as you aren't damaging yourself knowingly, you should have the right to free healthcare. When someone gets cancer, it should not matter how much money they have - they should be allowed to be saved. I find it disgusting that even in today's first world countries, children (let alone adults) die unless enough money can be raised to save them. Taxes should cover everything. If that's not part of a constitution, it should be. The right to health. The NHS over here does get slammed pretty hard by a lot of people, but if I was to get hit by disaster tomorrow, I'd be able to get healthcare without being a burden on my own finances and that of my family for years to come. The only cost is taxes, and I'd rather pay taxes for healthcare than excessive military might.
  4. Loony BoB's Avatar
    Also gotta admit it kinda makes me glad on some level that there isn't a written constitution over here. >_> Sounds like a lot of hassle. I know it has benefits, but it certainly has drawbacks, too.
  5. Raistlin's Avatar
    There are a variety of legitimate policy reasons to favor private markets over government-provided insurance. Most forms of government-provided universal care have their own draw backs, such as excessive wait times and minimal treatment of non-life-threatening conditions. I've previously discussed ways the US government could make it much easier and cheaper for individuals to afford private insurance much more easily and cheaply than by nationally-subsidized healthcare.

    I'll keep my written Constitution, thank you. Our protections for free speech and the rights of criminal suspects are far better ensured that way. The "drawback" is that it interferes with the legislature further smurfing things up, which is not much of a drawback to me. An inefficient government is a less dangerous government.
  6. Loony BoB's Avatar
    The drawback is the lack of flexibility, but that's another debate altogether, I guess. If there were zero drawbacks to a system the entire world would have adopted it by now.

    I disagree with the system you suggested in that thread - it's all very easy to say "Oh, I don't want to be insured for cancer right now" but when you get cancer, suddenly you look very stupid and you want to change your life and you're told you're hard out of luck. I'm of the general opinion that people, particularly the young, are very stupid in this way but people should be allowed to be kept alive for better reasons than their level of knowledge when it comes to when insurance is a good idea and when it is not.

    And then there is contagious disease - if you catch it and you are not covered, should you be given healthcare? You can only look to the disease in the third world as a point that when people don't have good healthcare, the entire nation can suffer.

    But yeah... tax everyone, give everyone free healthcare. It makes sense, at least to me. It says a lot that America is one of the only (if not the only) western world country to not have adopted publically funded healthcare. To me, it's similar to how all major nations have slowly seen the light of democracy over the years. Some things just make sense. Perhaps it's tricky to get your head around big changes sometimes when you have grown up never knowing the alternative, though?
  7. Raistlin's Avatar
    The US is also the only (or one of the only) developed countries in the world to prohibit "hate speech" legislation; to have a mandatory exclusionary rule which automatically keeps out illegally obtained evidence from criminal trials; and to have entrapment as an absolute defense to any crime. Sometimes the majority is smurfing stupid. You can also apply your last point to yourself.

    Also, I am not saying health care companies would sell policies that exclude cancer or contagious disease coverage. My point is that mandatory coverage provisions (including the individual mandate here) tends to help insurance companies more than patients, and that's something we need to carefully consider in each instance. There are also other government barriers to cheaper insurance in the US, including limits to interstate competition between health care companies.

    And I'm not categorically opposed to helping lower-income people. But if we're going to be subsidizing insurance, I would much rather subsidize individuals to buy their own insurance through tax credits (on top of the aforementioned policies to keeping prices down) than indirectly subsidizing the companies through mandates or expanding Medicaid.
  8. Raistlin's Avatar


    That amused me way more than it should have.
  9. The Man's Avatar
    Thanks for linking me to this.

    I'm much too half-asleep to have absorbed most of the discussion properly right now but I've always felt something roughly along the lines of France's system would work well here - largely market-based but subsidised by the government. Of course that would be too common-sense for our politicians to implement, so of course it wouldn't happen.

    I think it's amusing how much this decision has pissed some people off. Those popehat links are hilarious.