Like uncovering more nonsense to be found in the promises made for ObamaCare.
Such as, “when everyone has insurance, Emergency Rooms will no longer be overcrowded.”
Hospital emergency rooms, the theory goes, get overcrowded because people without health insurance have no place else to go.
But that’s not the view of the doctors who staff those emergency departments.
The real problem, according to a new survey from the American College of Emergency Physicians, isn’t caused by people who don’t have insurance — it’s caused by people who do, but still can’t find a doctor to treat them.
A full 97 percent of ER doctors who responded to the ACEP survey said they treated patients "daily" who have Medicaid (the federal-state health plan for the low-income), but who can’t find a doctors who will accept their insurance…."The results are significant," said ACEP President Sandra Schneider in prepared comments. "They confirm what we are witnessing in Massachusetts — that visits to emergency rooms are going to increase across the country, despite the advent of health care reform, and that health insurance coverage does not guarantee access to medical care."
Yes, that little 1/50th scale ObamaCare model that’s been functioning – well sort of – in Massachusetts (aka RomneyCare) has proved to be the debacle it was predicted to be.
And the ObamaCare promise hasn’t tested out there at all.
The Massachusetts story Schneider refers to is important because it shows exactly what we can expect under the new health care law. In the wake of the Bay State’s 2006 health care overhaul, which provided the model for ObamaCare, emergency room visits soared. Backers of that overhaul made arguments similar to President Obama’s, saying that they hoped that by expanding insurance coverage, they’d get people set up with primary care physicians and thus reduce the number of emergency room visits. Didn’t happen. Lines to see doctors got longer. And as they did, emergency room visits rose 9 percent between 2004 and 2008, at which point the commissioner of the state’s Health Care Finance and Policy division kind of shrugged his shoulders and admitted that the uninsured aren’t really the cause of emergency room crowding. Too bad, I guess, and too late: Massachusetts passed the law anyway. And now the rest of us are stuck with it too.
Yup. And the cost?
But John Goodman, the head of the National Center for Policy Analysis, did some rough calculations for the health policy journal Health Affairs last year, and he estimated that thanks to the law’s coverage expansion, we can expect somewhere in the range of 848,000 to 901,000 additional emergency room visits each and every year. ObamaCare’s backers are right that, as passed, the law will result in significantly greater health insurance coverage across the country. But all that coverage will come with a hefty price tag attached: about a trillion dollars over the next decade, and more like $1.8 trillion in the first full decade of operation. In return we’ll get longer wait times at the doctor, and even more crowded emergency rooms—but nothing like a guarantee of actual access to care.
Sucks, doesn’t it?
One of the Kossaks has a post up about the polls showing WI Governor Scott Walker on the wrong end of them as he moves to fix the WI budget and curtail the power of public sector unions.
Poll after poll is telling Scott Walker the same thing: you are on the wrong side of public opinion. While early polling can fool you, we now have substantial data both from the nation and from Wisconsin.
The bottom line is that Gov. Walker has overplayed his hand with the public. Every Republican governor who is trying to curtail collective bargaining is at risk for being seen by the public as taking rights away, not balancing the budget. That can be done with givebacks (and the public is all for that, especially through negotiation.) But trying to curtail collective bargaining is seen by the public as the power grab it really is. The polls leave no doubt.
My reaction is, “so what”?
I mean I seem to recall poll after poll telling Obama and the Democrats that Americans didn’t want the ObamaCare monstrosity. But we were reminded that he’d won and elections have consequences.
Is that no longer true?
Commerce clause idiocy– deciding not to act same as acting, thus can be regulated and action mandated (ObamaCare ruling)
Another federal judge has found for the Constitutionality of the individual mandate. But if ever you’ve wondered what tortured logic looks like (made in an effort to justify something that just doesn’t fit) then you’ll be amazed to read the following from the ruling:
As previous Commerce Clause cases have all involved physical activity, as opposed to mental activity, i.e. decision-making, there is little judicial guidance on whether the latter falls within Congress’s power….However, this Court finds the distinction, which Plaintiffs rely on heavily, to be of little significance. It is pure semantics to argue that an individual who makes a choice to forgo health insurance is not “acting,” especially given the serious economic and health-related consequences to every individual of that choice. Making a choice is an affirmative action, whether one decides to do something or not do something. They are two sides of the same coin. To pretend otherwise is to ignore reality. [emphasis added]
Our thoughts are now actions. There literally is nothing the federal government cannot regulate provided there is even a hypothetical connection to the economy, even if the connection at most is in the future.
Excuse me while I sit down and ponder all of that for a moment. Anytime you make a choice not to act you are "acting". Therefore, the court has now decided, any decision to not to act (related to commerce) is an act and you can be therefore required to do what the government says you must do.
Or, more succinctly, you have no real choice regardless of what you decide, so sayeth the court.
If I decide not to buy a car, I’m acting, and if the government wanted to require me to buy a car, under this ruling, it could.
That’s just absurd (but Government Motors will most likely be putting together a heck of a lobbying effort to carry this ruling out to its logical end).
Oh and borrowing again from Jacobson, a little reminder of where all this “legal thought” is supposedly grounded:
The Congress shall have power…. To regulate commerce with foreign nations, and among the several states, and with the Indian tribes;
There is a new opinion from U.S. District (DC) Judge Kessler ruling that the individual mandate imposed by ObamaCare is constitutional. The primary importance of the ruling is that it is squarely at odds with the Judge Vinson opinion from the District of Florida on one key issue: that deciding not to purchase something is an “activity” that can be regulated under the Commerce Clause. I’m still going through it, and will have more to say, but a few things really leaped out at me.
(1) Kessler places a lot of emphasis on the “free riders” who consume medical services but don’t pay for them. According to the judge, these free rider problems are illuminated by the congressional findings found in the Affordable Care Act (at pp. 39-40):
The findings on this subject could not be clearer: the great majority of the millions of Americans who remain uninsured consume medical services they cannot pay for, often resulting in personal bankruptcy. In fact, the ACA’s findings state that “62% of all personal bankruptcies are caused in part by medical expenses.” ACA § 1501(a)(2)(G), as amended by § 10106. Of even greater significance to the national economy is the fact that these uninsured individuals are, in fact, shifting the uncompensated costs of those services–which totaled $43 billion in 2008–onto other health care market participants, as well as federal and state governments and American taxpayers. See ACA §§ 1501(a)(2)(F), (G),as amended by § 10106; Thomas More Law Ctr., 720 F.Supp.2d at 894.
Because of this cost-shifting effect, the individual decision to forgo health insurance, when considered in the aggregate, leads to substantially higher insurance premiums for those other individuals who do obtain coverage. According to Congress, the uncompensated costs of caring for the uninsured are passed on by health care providers to private insurers, which in turn pass on the cost to purchasers of health insurance. “This cost shifting increases family premiums by on average over $1,000 a year.” ACA §1501(a)(2)(F), as amended by § 10106. Thus, the aggregate effect on interstate commerce of the decisions of individuals to forgo insurance is very substantial.
There are many problems with these “findings” chief among which is an innumeracy problem. According to the first two quoted sentences, we are supposed to infer that 62% of all personal bankruptcies are made up of those “who remain uninsured” and “consume medical services they cannot pay for.” Indeed, according to Kessler’s understanding of the findings, the foregoing population is the “great majority of Americans who remain uninsured.” The only problem is, even if we assume that the 62% statistic is correct (which is a stretch), the number of personal bankruptcies every year does not even reach 2 million. Indeed, 2009 saw personal bankruptcies soar by 32% … to 1.41 million. Sixty-two percent of that is just 874,200, which is far, far fewer people than the “great majority of the millions of Americans who remain uninsured.”
(2) Another glaring issue is that the “cost-shifting” complained of is entirely the fault of the federal government, not “free riders,” thanks to Congress passing EMTALA in 1986, pursuant to which practically every hospital in the nation was forced to accept any and every patient who requested “emergency services.” In short, Congress created the free riders with this legislation.
Now let’s follow the logic here: (a) hospitals refuse to treat patients who can’t afford their medical services, therefore Congress must force hospitals to treat regardless of ability to pay (i.e. costs shifted to hospitals); (b) Patients who can’t afford the medical services, but who hospitals must treat, raise costs of medical services, which are mostly paid by insurers who raise their rates and pass them on to paying patients (i.e costs shifted to service-providers, then insurers, then paying patients); (c) insurance costs are entirely too high because uninsured patients, who can’t afford insurance or medical services, but whom hospitals must treat anyway, which drives up the costs of services and therefore the costs of insurance, and therefore Congress must force everyone to buy insurance (i.e. costs shifted from paying patients to those who can’t afford services or insurance); (d) because some people can’t afford insurance, they must be subsidized in their mandated purchase of insurance by taxpayers (i.e. costs re-shifted back to paying patients).
Putting it all together, according to Kessler’s opinion, Congress must be able to force individuals to purchase insurance because individuals who can’t afford insurance, but still consume health services (thanks to Congress), are causing the health insurance market to become distorted. (Oh, and by the way, those who can afford insurance are going to have to subsidize those who can’t and are therefore responsible for this whole mess in the first place.) Does that make any sense?
(3) The one other thing that really struck me as worrisome is Kessler’s emphasis on the infamous Wickard v. Filburn case (at p. 40):
In this case, the link [between the activity and the market being regulated] is strikingly similar to that described in Wickard: individuals are actively choosing to remain outside of a market for a particular commodity, and, as a result, Congress’s efforts to stabilize prices for that commodity are thwarted. As Wickard demonstrates, the effects of such market-distorting behavior are sufficiently related to interstate commerce to justify Congress’s efforts to stabilize the price of a commodity through its Commerce Clause power.
This is the reasoning underpinning Kessler’s holding (at p. 38) that “[b]oth the decision to purchase health insurance and its flip side–the decision not to purchase health insurance–therefore relate to the consumption of a commodity: a health insurance policy.” In this view, any decision made about an arguably economic subject, even the decision not to participate in a market concerning that economic subject, is subject to regulation by Congress.
Accordingly, should Congress decide to regulate the market for U.S automobiles, your decision to not purchase a vehicle can be regulated and even penalized by federal law. In fact, if Kessler’s view of the Constitution is correct, then Congress could require that you purchase a GM or Chrysler vehicle in order to stabilize the price of that commodity. Or perhaps, because of free rider problems, you can be penalized for choosing not to have children who would grow up, enter the labor force and pay the Social Security and Medicare taxes necessary to support you in your older years. If Kessler is correct, then the only limit on Congressional power is the inability to conjure up a market to be regulated, since any decision (participate/not participate) will have a substantial effect on that market when considered in the aggregate.
I would submit that this cannot be the correct view. The Commerce Clause power has already been distended far beyond what was intended when it written. If the Supreme Court adopts this decision, or something similar, the Congress would effectively have carte blanche to regulate whatever it desires.
In any event, those three things stood out to me. I’ll try to have some more on the opinion itself by tonight.[ad#Banner]
This is sure to revive talk of death panels. And I’m afraid I simply don’t understand the reasoning here. But it is a stark example of the state making decisions that should be left to the people involved – in a free country, that is.
A Windsor, Ont. couple’s fight to bring their gravely ill baby home to die ended in bitter tears Thursday when a Superior Court judge dismissed their appeal to stop doctors from removing the infant’s breathing tube at the hospital.
The father and relatives of one-year-old Joseph Maraachli wept outside a London courthouse after an emotional Justice Helen Rady upheld the earlier decision of an independent provincial tribunal forcing the baby’s parents to comply with doctors’ orders.
With all of their legal avenues exhausted, the family will have to say goodbye to Joseph Monday morning — on Family Day — when his breathing tube will be removed.
Apparently the baby has a rare neurological disease which has put him in a “severe and deteriorating neurological condition that has left him in a persistent vegetative state, according to specialists in London, Ont., who’ve examined him. “
Bottom line, the child is dying. It is now to the point where the baby can’t swallow or breath on his own. The parents know and understand that. They know the child will die. They’re not asking the state to try and save their baby. Instead, what they are asking – what they have to ask, apparently – is permission of the state to take their child home and let the baby die among "friends and loved ones".
Pretty outrageous request, isn’t it? And yet they don’t have the final say.
The parents had petitioned the regional medical board for a tracheotomy to be performed on the child to facilitate their ability to take him home with them. That would have opened up a direct airway which would have made it possible to take the baby home and let it die there.
Oh, too much to ask apparently. Remember, the baby is dying. It’s going to die. There’s no question about that – everyone involved knows it will be dead in a matter of hours if not days. The parents are not asking for heroic or extended (and expensive) treatment be continued. Just a tracheotomy.
The reason given for the refusal?
But doctors refused to perform the procedure, citing serious risks of infection, pneumonia and other possible complications.
It’s a bit like refusing a lung cancer patient with stage 4 cancer a final cigarette because it might kill them. The reason is absurd on its face. But apparently enough that a judge decided for the state and not the parents. So instead of risking infection or pneumonia and letting the parents take their child home to die, the state insists on removing the breathing tube in the hospital and letting the child smother to death there.
Maraachli and Nader went before the Consent and Capacity Board of Ontario, an independent body that deals with matters under the Health Care Consent Act, which sided with the doctors in late January and agreed that it was in Joseph’s best interest to have the breathing tube removed.
Don’t you love it when something called the “Consent and Capacity Board” has the final say on what is in the “best interest” of a child, rather than the parents?
Given the structure and effect of this monstrosity called ObamaCare, that is the probable end state we’ll eventually see here – an insurance industry which will collapse and in answer to the “problem” which government created, a single-payer system will be implemented. And you can bet that something along the line of the “Consent and Capacity Board” will eventually take all such decisions out of your hands and make them exclusively the decision of the state.
(HT: All American Blogger)
When is a penalty not a penalty? Ask Rep Shelia Jackson-Lee (D-TX). Yesterday she told the House Judiciary Committee that the requirement imposed on individuals to buy health insurance doesn’t really constitute a penalty for non-compliance:’
“I would make the argument, one, that instead it is an incentive to do right–that it is not penalizing because penalty is punishment,” Jackson-Lee told the Judiciary Committee.
“You’re not punished if you have health insurance, in fact. And so you are, in fact, incentivized to have health insurance, rather than take the negative which is to suggest that because we have a penalty you are being punished,” Rep. Jackson-Lee said.
“I am helping you. I am helping you not to have 26 percent un-insurance in the state of Texas. I’m helping children be insured. I’m helping diverse minorities be insured,” said Rep. Jackson-Lee. “And I know during the civil rights argument–even though we were arguing under the Constitution–there were many policy statements being made: Do we want to live in a nation that discriminates against a person because of the color of their skin? In addition to the constitutional argument, do we want to live in a nation where there are people being uninsured causing catastrophic costs unto the nation and others have to pay. I think that is the question that needs to be considered by the courts.”
Unfortunately for Rep. Jackson-Lee, who may have never actually read the bill, the law is quite specific about non-compliance.
“If an applicable individual fails to meet the requirement of subsection (a) [having a government-approved health-insurance policy]… there is hereby imposed a penalty with respect to the individual.”
Elsewhere, in a section entitled “Payment of Penalty,” it says that individuals failing to carry a government-approved health insurance policy must pay a maximum penalty of $750.
Meanwhile back in the runaway logic train of Ms. Jackson-Lee:
“But I also need to say whether or not it is more an incentive than it is a punishment,” said Rep. Jackson-Lee. “I am more inspired by incentive. And I welcome it being a parking ticket. We get parking tickets all the time, and no one complains about being required to do the right thing.”
One of those bright stars – because of the level of intrusion we’re allowed this government to make – who are making decisions about your life.
I’m not a lawyer nor do I pretend to be, although I do enjoy discussing legal matters very much.
Anyway, as you might imagine, Judge Vinson’s ruling has created a bit of a stir with the left, of course, accusing him of “extreme activism” and the right saying “right on”. In reality, all it means is the future of the law depends on what Justice Kennedy is feeling like when the SCOTUS hears it because they are going to have to review it now.
So, back to me not being a lawyer, I’d like to turn to someone who is and who has followed this closely and, in fact, wrote amicus briefs for two of the governors involved in the lawsuits – Hans Bader who is a senior attorney with the Competitive Enterprise Institute. Here’s his opinion of the ruling:
A judge in Florida just declared the health care law known as “Obamacare” unconstitutional, ruling it void in its entirety. Judge Vinson rightly declared the health care law’s individual mandate unconstitutional, since the inactivity of not buying health insurance is not an “economic activity” that Congress has the power to regulate under the Interstate Commerce Clause. (Under the Supreme Court’s decision in United States v. Morrison (2000), which I helped litigate, only “economic activity” can be regulated under the Commerce Clause, with the possible exception of those non-economic activities that harm instrumentalities of interstate commerce or cross state lines.)
Judge Vinson also rightly declared the law as a whole unconstitutional. The health care law lacks a severability clause. So if a major provision like the individual mandate is unconstitutional — as it indeed was — then the whole law must be struck down.
The absence of a severability clause meant that, at a minimum, the burden of proof shifted to the government to prove (among other things) that the law would have passed even without the individual-mandate provision that the court has just ruled unconstitutional. The government could not, and did not, meet that burden of proof, given the incredibly narrow margin by which the health care law passed in the House, and the fact that it circumvented a filibuster with no votes to spare in the Senate.
As I noted earlier in The Washington Examiner, “To justify preserving the rest of the law, the judge” in the earlier Virginia case “cited a 2010 Supreme Court ruling [Free Enterprise Fund v. PCAOB] that invalidated part of a law — but kept the rest of it in force. But that case involved a law passed almost unanimously by Congress, which would have passed it even without the challenged provision. Obamacare is totally different. It was barely passed by a divided Congress, but only as a package. Supporters admitted that the unconstitutional part of it — the insurance mandate — was the law’s heart. Obamacare’s legion of special-interest giveaways that are ‘extraneous to health care’ does not alter that.” In short, Obamacare’s individual mandate is not “volitionally severable,” as case law requires.
The individual mandate provision also was not “functionally” severable from the rest of the law, since the very Congress that passed deemed it absolutely “essential” to the Act’s overarching goals (as Judge Vinson in Florida correctly noted).
(In our amicus brief in the Florida case for Governors Tim Pawlenty and Donald L. Carcieri, we also argue that Obamacare violates the Tenth Amendment by exceeding Congress’s power under the Spending Clause, a so-called Pennhurst argument.)
In footnote 27, the judge cited with approval the thoughtful brief of legal scholar Ken Klukowski explaining why Obamacare should be struck down in its entirety under settled principles of severability.
So there it is with all the links. I’m hoping that’s how the SCOTUS sees it as well. So for the lawyers among us – have at it guys.
Yesterday, after the SOTU had been delivered and all attention was on discussing it, the Office of Consumer Information and Insurance Oversight (OCIIO), part of the US Health and Human Services Department, quietly announced that it had granted 511 new waivers to Obamacare (for a total of 733 as of this post) since its last report in November. Hot Air had been monitoring the site and found it rather interesting that a site that had been efficiently updated through November suddenly wasn’t updated until after SOTU. A bit like the CBO’s announced revision of this year’s deficit.
Anyway, the list contains businesses, local unions and other entities. Additionally, four states have applied for waivers (MA, NJ, OH and TN).
The reason for all these waivers (which, btw, only delay their integration into ObamaCare, it doesn’t exempt them)?
This ever-expanding list of waivers is the direct result of ObamaCare raising the annual benefit caps on certain health plans. Obviously, a plan with higher annual limits is potentially more costly than one without them. The money to cover the difference in premiums has to come from somewhere. Without the waivers, it will come from the employer who are forced by law to upgrade to the more expensive plan.
2.2 million effected with the waivers granted to this point. Part of that “less costly” promise Obama made when he was peddling this monstrosity.
Speaking of falsehoods, Jen Rubin at the Washington Post reports on an interesting exchange between Congressional reps and Medicare’s chief actuary (Robert Foster). In this particular exchange they discuss the “double-counting” that was used to justify ObamaCare (and which the Democrats and their pet economists like to claim is nonsense:
REP. JOHN CAMPBELL(R- Calif.): "Is it legitimate to say… that you can add a dozen years to the solvency of Medicare or that you can reduce the deficit, but it is not correct to say both simultaneously?"
FOSTER: "Both will happen as a result of the same one set of savings, under Medicare. But it takes two sets of money to make it happen. It happens directly for the budget deficit, from the Medicare savings, and then when we need the money to extend the Hospital Insurance Trust Fund, we have a promissory note – it’s an IOU, not a worthless IOU, but it is an IOU – and Treasury has to pay that money back. But they have to get it from somewhere. That’s the missing link."
These are the sorts of budgetary tricks that Congress is famous for using (and it isn’t just the Democrats, although it was certainly the Democrats in this case)and one of the reasons we see government in the horrific financial shape it is in.
So, where is the money – promised in the IOUs for the money designated for Medicare but spent elsewhere – going to come from? Of course the Democrat’s answer is from higher taxes. But don’t worry – the result will be "lower health care costs" or so says the plan. Amazing.
Then Foster was asked about this:
Two of the central promises of President Barack Obama’s health care overhaul law are unlikely to be fulfilled, Medicare’s independent economic expert told Congress on Wednesday.
The landmark legislation probably won’t hold costs down, and it won’t let everybody keep their current health insurance if they like it, Chief Actuary Richard Foster told the House Budget Committee. His office is responsible for independent long-range cost estimates. . . .
Foster was asked by Rep. Tom McClintock, R-Calif., for a simple true or false response on two of the main assertions made by supporters of the law: that it will bring down unsustainable medical costs and will let people keep their current health insurance if they like it.
On the costs issue, "I would say false, more so than true," Foster responded.
Finally, this exchange:
McCLINTOCK: "The other promise… was the promise that if you like your plan, you can keep it. True or false?"
FOSTER: "Not true in all cases."
Really? Other than true believers, who else thought “oh heck yeah, we can add more people to the rolls, require insurance companies to take everyone regardless of their health and remove all payment caps and have a cheaper product too boot? The same people who swallowed “if you like your plan you can keep it”, I guess.
For those folks: welcome to reality. If you think the new revised budget deficit of 1.5 trillion this year is alarming, wait till ObamaCare kicks in fully. Oh, and repeat after me “this is not the government taking over health care”.
The Republican controlled House kept its promise and repealed ObamaCare with a large majority. As I’ve said in the past, symbolic or not, these types of votes must be made. Republicans must raise the issue in the House, vote on it and make the Democratic controlled Senate kill it or, if it happens to somehow slip through the Senate, make Obama veto it. Again, it’s about the record – and for once in his life, Obama is actually going to have to run on one in 2012.
That said, it was incredible to listen to Democrats attempt to justify Obamacare yesterday. They are our lawmakers. Yet it became apparent yesterday, at least listening to a few of them, that they simply don’t know their business or what they’re talking about.
Take Shelia Jackson Lee for instance:
"Frankly, I would just say to you, this is about saving lives. Jobs are very important; we created jobs," Jackson Lee said. "But even the title of their legislation, H.R. 2, ‘job-killing’ — this is killing Americans if we take this away, if we repeal this bill."
So, Republicans are "killing Americans" with repeal. There’s that civil discourse right when it is necessary, no?
But that wasn’t the worst of her mutterings:
Rep. Sheila Jackson Lee, a Democrat from Texas, said on Tuesday afternoon that repealing the national health care law would violate the Constitution.
Arguing that the Commerce Clause provides the constitutional basis for ObamaCare, Jackson Lee said repealing the law by passing Republicans’ H.R. 2 violates both the Fifth Amendment’s right to due process and the Fourteenth Amendment’s equal protection clause.
Say what? Frankly, anyone with a elementary school civics class under their belt could see thorough this convoluted and daft bit of nonsense. The ignorance in that “argument” (not to mention the logic) is appalling. But it seemed to be a sort of desperation talking point that some Democrats adopted as their “defense” of the law. John Lewis also invoked the 14th Amendment as a reason for keeping ObamaCare – oh, and the Declaration of Independence thinking he was quoting the preamble to the Constitution:
“Well, when you start off with the Preamble of the Constitution, you talk about the pursuit of happiness," said Lewis. "You go to the 14th Amendment–it’s equal protection under the law and we have not repealed the 14th Amendment. People have a right to have health care. It’s not a privilege but a right."
Of course it’s not the Preamble to the Constitution that talks about the “pursuit of happiness” at all, it’s the Declaration of Independence. You’d think a lawmaker would know that. But then you’d also think he’d know what constitutes a “right” and what doesn’t wouldn’t you? Obviously though, that’s hoping for too much.
Some Democrats insisted on civil discourse to broadcast their unhappiness with the Republican effort to repeal ObamaCare. Like Rep. Steve Cohen:
“They say it’s a government takeover of health care, a big lie just like Goebbels," Cohen said. "You say it enough, you repeat the lie, you repeat the lie, and eventually, people believe it. Like blood libel. That’s the same kind of thing. “
“The Germans said enough about the Jews and people believed it–believed it and you have the Holocaust. We heard on this floor, government takeover of health care. Politifact said the biggest lie of 2010 was a government takeover of health care because there is no government takeover,"
Yup … Democrats can jam something through that the American people were clear they didn’t want using every Parliamentary trick in the book, but when the GOP steps up to repeal it, they’re Nazis. Nice Steve – really nice. You sound like Alan Grayson.
Speaking of Alan Grayson, he’s still puking up nonsense. Apparently he didn’t get the memo that the “blame Sarah Palin for Tucson” narrative is a big FAIL. You remember Mr. Civil Discourse, don’t you? The guy who said “"If you get sick, America, the Republican health care plan is this: Die quickly?" Yeah, him:
"As I observed on MSNBC last week, there has been a stream of violence and threats of violence by the right wing against Democrats," Grayson wrote in the email. "Gabby warned against it, and then became a terrible victim of it. Palin has instigated it, and then tried to pretend that it doesn’t exist,” he wrote."
And as most of us observed while you were in Congress, to include the voters in your former district, you’re a loon, Mr. Grayson. However he’s a loon who somehow found his way to Congress for a while. Says something about our low standards, doesn’t it? And it also points to how seriously Democrats are about embracing “civil discourse”, wouldn’t you say?
It appears that the main question, or at least one of the main questions, about the health care mandate in Obamacare that requires Americans buy health insurance may revolve around the "necessary and proper" clause and not just the badly abused Commerce clause.
From the New York Times:
The necessary-and-proper clause sits at the end of Article I, Section 8, after 17 paragraphs that enumerate the powers delegated to Congress, ranging from the establishment of post offices to the declaration of war. It conveys authority “to make all laws which shall be necessary and proper for carrying into execution the foregoing powers.”
The reason that is a key is because the latest decision that went against the administration involved Judge Henry Hudson rejecting the “necessary and proper” defense. As the Times mentions, the court has struggled over the years to define the necessary and proper clause. Here’s the case as it stands now:
The [DoJ] , which represents the Obama administration, argues that the insurance requirement is constitutional under the commerce clause and allowed under the necessary-and-proper clause as a rational means to an appropriate end. It points to a series of Supreme Court precedents that interpret those provisions as allowing the regulation of “activities that substantially affect interstate commerce.”
The act of not obtaining health insurance, the federal government’s lawyers contend, is effectively a decision to pay later rather than up front in a market that consumers cannot avoid. Such decisions, they say, have a substantial impact on the market because many of the uninsured cannot afford their care and shift costs to governments, hospitals and the privately insured.
Furthermore, the lawyers argue, the insurance mandate is essential — both necessary and proper — to making other changes work, particularly prohibitions on discrimination by insurers against those with pre-existing medical conditions [emphasis mine].
Obviously, at least in my estimation, the argument fails for a number of reasons. Obviously, I’m not a lawyer, so I’m simply giving my arguments based on the stated particulars of the case as outlined above.
First the wording “rational means to an appropriate end.” I’d argue the end is not at all appropriate – i.e government dictating that someone must have insurance certainly smacks of what government had denied and called a “myth”. That is government is now in charge of health care for everyone. Unless you accept that premise, the argument is invalid. Acceptance of that premise and the “appropriate end” argument means government can pretty well do whatever it wants and the Constitution as a guiding document has been mostly rendered moot.
The argument goes on to say that not having health insurance is “effectively a decision to pay later rather than up front in a market that consumers cannot avoid.” Obviously, in the strictest sense that’s not true. “Consumers” can avoid that market. And do. That’s not to say they will – but the fact is no one is forced to use it and no one has to use it if they so choose. Arguing that consumers must be required to buy insurance because they will use the market seems a claim that is unfounded in fact. People of means, for instance, may decide they’d rather pay as they use the service, vs. obtaining insurance. That should be their decision, not governments if we’re really a free country. And while they may be a small set of those who will seek health care, they still give lie to the necessity of insurance to cover the costs of their care – the “pay later than up front” mentioned in the emphasized argument.
Finally there’s the argument which says the mandate is necessary “to making other changes work, particularly prohibitions on discrimination by insurers against those with pre-existing medical conditions
No. It’s not. Consider the fact that much of the problem we face with health insurance today revolves around the structure of the market as one in which employers provide the coverage. Then there’s a problem of government’s making. The restrictions on selling health insurance across state lines. This has essentially segmented the huge pool we see in other insurance markets to 50 segmented markets. It has made the ability to buy an insurance product at the best price and outside the traditional employer furnished insurance all but impossible. Removal of that restriction would go a long way in solving some of the toughest problems – pre-existing conditions and portability. While government may feel compelled to place “prohibitions on discrimination by insurers against those with pre-existing medical conditions”, there would probably be less of a need to discriminate in larger pools of insured. Anyway, that solution is found nowhere in the existing law.
There is no “right” to health care. As far as my opinion goes, I find nothing in the Constitution that gives government the power or authority to require I pre-pay for health care. And that is precisely what it is claiming – that health care is something I will use and since I will use it, I must pre-pay for that use. No matter what my health, age, etc. It argues that it can remove my choice in the matter by law.
One more time – freedom is choice. When it is removed, so is freedom. This is just another step toward a more oppressive government presence in our lives. One can only hope that the SCOTUS will rule against the administration on this travesty of a law and cripple it to the point that repeal is the only valid choice for Congress. Otherwise, the door will be opened to all sorts of mandates we haven’t even imagined. And with each mandate more choice is eliminated.
If anyone can argue that was the vision of the founders of the country or the writers of the Constitution, and do so with a straight face, I’ll be glad to nominate them for an Oscar next year.