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Forums - Politics - Guide to the Healthcare Supreme Court Case

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Is the death panel mandate still part of this law?



Shorter guide to the Health Care Supreme Court Case:

Four of the justices don't give a single fuck about the Constimawhatever; of the five remaining justices, at least one is likely to find it constitutional. The law will be upheld.



spurgeonryan said:
So possibly, if this is stopped in its steps, the States would just need to wait until they transfer the federal governments part of the taxes to them? Why even wait?

From my understanding, this is because in 1867 a federal law was passed which forbid anyone from refusing to pay a federal tax. Instead, you pay the tax in full, then appeal it if you wish to get your money back.



badgenome said:
Shorter guide to the Health Care Supreme Court Case:

Four of the justices don't give a single fuck about the Constimawhatever; of the five remaining justices, at least one is likely to find it constitutional. The law will be upheld.

I'm curious: why do you think the law is unconstitutional?



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Train wreck said:
Is the death panel mandate still part of this law?


Either yes, never or maybe depending on your definition of Death Panel.

The healthcare law does have provisions that relate to saving costs in medicare, which could be interpreted as death panels.

Though really, it's no different then how most government healthcare works anwyay.

I mean, essentially the NHS in England is nothing but a bunch of Death Panels.



noname2200 said:
badgenome said:
Shorter guide to the Health Care Supreme Court Case:

Four of the justices don't give a single fuck about the Constimawhatever; of the five remaining justices, at least one is likely to find it constitutional. The law will be upheld.

I'm curious: why do you think the law is unconstitutional?

Chiefly because the much abused commerce clause has been used justify stopping people from engaging in certain activity but has never been used to justify forcing people into partaking in economic activity.



badgenome said:

Chiefly because the much abused commerce clause has been used justify stopping people from engaging in certain activity but has never been used to justify forcing people into partaking in economic activity.

Reasonable, especially since I tend to think the commerce clause is often stretched too far.

That said, I can also see the counterarguments. For starters, there is already regulated economic activity when utilizing health care. No one disputes that this area is legitimately susceptible to federal regulation. Add to that how, in the US, some amount of health care is nearly a right; hospitals are forbidden by law to turn away patients regardless of inability to pay.

In other words, there are already health care costs associated with the lack of having health insurance, the health care costs of the uninsured are already being passed on to others, and the substance of that health care is already subject to regulation. It does not seem to me like much of a legal stretch to say that it is permissible to regulate economic activity that is demonstrably impacting already-regulated economic activity.

Moreover, it seems to me that while the word "mandate" is used with regards to this legislation, that word is being misapplied. It is perfectly possible to continue to go without insurance under this Act. You will suffer a tax penalty, yes, but the constitutionality of tax penalties has been consistently upheld: think of the early withdrawal tax on 401s, or the gift tax. Under that rubric, I have a harder time seeing how this law would be unconstitutional.

Of course, it's not completely cut and dried. Those who fall under the economic cut-off line are still technically subject to the law, although the fact that they can not get penalized with the tax makes the point realistically (but not necessarily legally) moot.

Overall though, I'm inclined to think that the law is constitutional. It will probably be a 5-4 decision though. Because these days, what isn't?



noname2200 said:

That said, I can also see the counterarguments. For starters, there is already regulated economic activity when utilizing health care. No one disputes that this area is legitimately susceptible to federal regulation. Add to that how, in the US, some amount of health care is nearly a right; hospitals are forbidden by law to turn away patients regardless of inability to pay.

But the fundamental question remains: can the government force you into economic activity in order to regulate it? And if the government creates a problem with its regulation - your example of forbidding hospitals from refusing patients, for instance - it's a bit worrying that the solution is invariably more government control. It's also downright illogical, although I certainly understand why the government is always going to be for more government control.

On a less talked about note, I also think the law runs afoul of the establishment clause. In an attempt to accomodate people like Christian Scientists who don't believe in seeking medical care on religious grounds, the law grants an exemption to members of any recognized religion. But, of course, the government doesn't have the power to recognize any religion, and in fact is expressly forbidden from doing so? Besides, why should a Christian Scientist be more entitled to such an exemption than just some sincere nut with "real religion" in his heart? Obviously, this part of the law has more severability than the mandate, as if the mandate is removed, the law is basically unfunded and thus falls apart.



noname2200 said:
badgenome said:

Chiefly because the much abused commerce clause has been used justify stopping people from engaging in certain activity but has never been used to justify forcing people into partaking in economic activity.

Reasonable, especially since I tend to think the commerce clause is often stretched too far.

That said, I can also see the counterarguments. For starters, there is already regulated economic activity when utilizing health care. No one disputes that this area is legitimately susceptible to federal regulation. Add to that how, in the US, some amount of health care is nearly a right; hospitals are forbidden by law to turn away patients regardless of inability to pay.

In other words, there are already health care costs associated with the lack of having health insurance, the health care costs of the uninsured are already being passed on to others, and the substance of that health care is already subject to regulation. It does not seem to me like much of a legal stretch to say that it is permissible to regulate economic activity that is demonstrably impacting already-regulated economic activity.

Moreover, it seems to me that while the word "mandate" is used with regards to this legislation, that word is being misapplied. It is perfectly possible to continue to go without insurance under this Act. You will suffer a tax penalty, yes, but the constitutionality of tax penalties has been consistently upheld: think of the early withdrawal tax on 401s, or the gift tax. Under that rubric, I have a harder time seeing how this law would be unconstitutional.

Of course, it's not completely cut and dried. Those who fall under the economic cut-off line are still technically subject to the law, although the fact that they can not get penalized with the tax makes the point realistically (but not necessarily legally) moot.

Overall though, I'm inclined to think that the law is constitutional. It will probably be a 5-4 decision though. Because these days, what isn't?

The problem with that arguement is two fold.

First is... it's not really written as a tax penalty.  It's written as a fine.  Even the Whitehouse administration has dropped this arguement, it's being argued today simply because the court wants to rule on it.

 

Secondly, again those are penaltys for doing something, withdrawing early/giving money away.  While this would be for NOT doing something.  If anything, your arguement would make it more likely to make it illegal that you can't force hospitals to treat the unisured. (If it were looked at purely consitutionally.)