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Myths about the health-care law

Posted: March 25, 2012 - 8:09pm

The Supreme Court will hear three days of arguments starting Monday on whether President Obama’s Affordable Care Act is constitutional. Twenty-six states have filed challenges to the health-care reform law. The main issue, on which the lower courts have split, is whether Congress had the power to pass this law under the Constitution’s commerce clause. The answers to that and other questions are clouded by misperceptions about the law itself. Let’s debunk them.

1. The “individual mandate” forces everyone to buy health insurance.

The law states that, beginning in 2014, individuals must ensure that they and their dependents are covered by health insurance. Taxpayers who do not meet this requirement will have to pay a penalty that the law calls a “shared responsibility payment.” It begins at $95 for the first year and never exceeds 2 1/2percent of anyone’s annual taxable income.

A large majority of Americans, of course, have health insurance through their employers, Medicare or Medicaid and are already in compliance with this requirement. Given the relatively modest payment required of those who choose not to maintain insurance, no one is being forced to buy a product they don’t want.

The challengers argue that the mandate is a binding requirement that makes anyone who goes without insurance a lawbreaker. The government has determined, however, that those who pay the penalty, like those who are exempt from the penalty, are not lawbreakers. As a practical matter, the so-called mandate is just a relatively modest financial incentive to have health insurance.

2. Only the individual mandate is at stake in the Supreme Court case.

The mandate is not a stand-alone provision that can be invalidated without affecting the rest of the law. In fact, it is merely an ancillary measure that makes two more-fundamental provisions of the law workable: “guaranteed issue” and “community rating.”

A significant problem with our nation’s health-care system has been that insurance companies can reject applicants who have had health problems, including minor ones. The guaranteed issue provision prevents companies from turning down applicants because of their medical conditions or history. The community rating measure bars insurers from charging higher premiums to those who have had illnesses or accidents.

Experience in the states has shown that if people can’t be turned down for health insurance, there must be an incentive for them to sign up for it before they have an accident or illness. The individual mandate was enacted to ensure that the central, nondiscrimination provisions can work as they were intended — to provide everyone access to affordable health care, regardless of their medical history or current conditions. If the court were to strike down the mandate, the law’s popular provisions on preexisting conditions would fall as well.

3. If the court upholds the health-care law, it means Congress has the power to require Americans to purchase any product.

The health-care case is a test of Congress’ power under the Constitution to regulate commerce among the states. One way to defend the law is simply to say that a requirement to purchase insurance or any other product sold in interstate commerce is obviously a regulation of that commerce. President Ronald Reagan’s solicitor general, Charles Fried, and conservative judge Laurence Silberman have adopted this view.

The Obama administration is not relying upon such a sweeping argument, however, and its more limited claim would not justify any law that required Americans to buy products such as cars or broccoli.

The mandate does not force people into commerce who would otherwise remain outside it. Instead, it regulates the consumption of health care, an activity in which virtually everyone will engage. Right now, people who go without insurance often shift the costs of their health care to other patients and taxpayers. That situation is different from what happens with any other type of purchase.

Would the government’s defense of the mandate also support a law requiring Americans to buy broccoli or a car? The answer is a simple and emphatic no.

4. The law is socialist.

Actually, the opposite is true. The principal reason the Affordable Care Act has been called unprecedented is that it declines to follow the New Deal approach of having a monolithic government agency be the single provider of a good or service. Instead, the law adopts a new approach, one conservatives have long supported, of using providers in the private market to deal with social and economic problems.

In defending his “Massachusetts mandate” as a conservative model for national health-care legislation, former governor Mitt Romney editorialized in 2009 that by imposing tax penalties on people who choose to remain uninsured, an individual mandate “encourages ‘free riders’ to take responsibilities for themselves rather than pass their medical costs on to others.” And, as Romney noted, conservatives have never been inclined to favor freeloaders.

5. The law is an extraordinary intrusion into liberty.

Liberty is always said to be fatally eroded, it seems, when great advances in social legislation take place. The lawyers who urged the Supreme Court to strike down the Social Security Act of 1935 argued that if Congress could provide a retirement system for everyone 65 and older, it would have the power to set the retirement age at 30 and force the very young to support everyone else.

It was said that if Congress had the authority to create a minimum wage of $5 an hour, it would also be a regulation of commerce to set the minimum at $5,000 an hour. In 1964, critics argued that if Congress could tell restaurant owners not to discriminate on the basis of race, it could tell them what color tablecloths to use. None of these things happened.

Nothing in the health-care law tells doctors what they must say to patients or how those patients are to be treated. It only requires people to either have insurance coverage or pay a modest tax penalty.

Nearly 75 years ago, a Supreme Court dominated by appointees of conservative presidents rejected the challenge to the constitutionality of the Social Security Act. The words of Justice Benjamin Cardozo’s 1937 opinion are relevant today:

“Whether wisdom or unwisdom resides in 1/8the statute in question 3/8 it is not for us to say. The answer to such inquiries must come from Congress, not the courts.”

Walter Dellinger served as head of the Justice Department’s Office of Legal Counsel and acting solicitor general from 1993 to 1997. He filed a brief on behalf of the Senate and House Democratic leadership defending the health care law in the Supreme Court.

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itterditter
5220
Points
itterditter 03/25/12 - 08:47 pm
11
6

The only reason the GOP

hates this is because it is an Obama plan....plain and simple.
Michele Bachman was spewing her lunacy about "Obama Care" this morning on George Stephanopoulos, I thought for a moment I was on the cartoon network.....nice for the GOP to have such a certified lunatic representing them.

And I hope all you GOPers watched "Game Change". What an embarassment to the United States to have Sarah Palin as a VP candidate. Maybe you need to reassess your party affiliation with these two nutbags as party reps.

jaypeterson100
227
Points
jaypeterson100 03/26/12 - 01:05 am
5
8

I'm absolutely against this!

It's not that I'm against healthcare, I realize that everyone will need it eventually. BUT I don't agree with the way this healthcare law is written and I do NOT need the government telling me that I either buy it or else! To me that is just "wrong!" Next thing you know they will try to tell me I have to buy a new car because my old car only gets 28 miles to the gallon. Obama has already said he thinks everyone should buy a new electric Chevy Volt. The reason gas prices are so high is because that is what this "president" wants. Anyhow, I'm voting for the -OTHER- guy whomever it will be!

minnesnowda
17047
Points
minnesnowda 03/25/12 - 10:28 pm
11
4

freeloaders

Everyone will need health care. Well, that IS a fact.

So if you do not have your own insurance, I'm paying for yours. What's that called again?

This is far from Socialism. Private health insurance companies are creating buying pools and trying to offer affordable insurance to people who have not been able to buy it before. This is a move forward. You could even call it Capitalism.

Fair n Balanced
40535
Points
Fair n Balanced 03/25/12 - 10:45 pm
4
11

Capitalism is a Union BA

getting a 98% increase in pay and pretending to be in the 1% and with people like minnesnowda that also use public money to be above the 1%.

tork747
753
Points
tork747 03/26/12 - 06:50 am
5
7

Itter..

So you say**And I hope all you GOPers watched "Game Change". ** That is NOT a documentary..its a fictionalized account produced by the same network that employes Bill Maher. It is as accurate as James Cameron's "Titanic" was..a movie based in fact but fictionalized. Maybe its a good movie, but I dont get HBO because I refuse to pay one dime to a network that has Bill Maher on the payroll. Plus the movie stars Woody Harrelson..a huge liberal. And is produced by Tom Hanks..another huge supporter of Democrats and a big liberal. Thats all fine..just dont take these things as "fact" because they are not. Its a drama. So Ill pass. Anyway, I thought Palin was a horrible choice for VP as it showed desperation by McCain for SOMETHING to spark up his campaign. Pawlenty would have been a much better choice, but it doesnt matter anymore. Donald Trump said the Republican brand was so damaged in 2008 that Lincoln himself wouldnt have won. I agree. I love McCain as an American hero, but I will never forgive him for bringing her into the forefront of American politics.

One thing about the ObamaCare issue. Its trying to legislate responsibility by "making" people do the right thing and be insured. Thats a laugh. Responsible? This society? The same people who gripe about not having health insurance because its "too expensive, I cant afford it" are yapping on the iPhone while surfing the internet at the same time the cable TV is blaring away in the background.

rolflindy
5901
Points
rolflindy 03/26/12 - 07:10 am
8
6

Road we've traveled movie

Despite the misfire about Obama's mother and her cancer and her insurance issues, the movie is essentially true. That's why it is very effective as Obama prepares to face whichever candidate emerges from the Republican food fight.

dutchman7
7760
Points
dutchman7 03/26/12 - 07:27 am
8
6

Itter...you forgot to include the GOP Chairperson

Chairman Rush Limbaugh...
Rhymes with Chairman Mao...
Very similar receding hairline features...

captron
25926
Points
captron 03/26/12 - 08:00 am
8
6

Given the facts . more people understand "affordable care act"

Unlike John B. the GOP Speaker of the House in DC. Johns best answer was " Lets Just Start Over With A Clean Sheet Of Paper" .For those GOP die hards out there who dont understand whats been happening to medical costs and medical care in the USA and think handing out coupons instead of retaining Medicare are a solution , I say - wake up out there. If the GOP has a better idea ,what is it ???

tork747
753
Points
tork747 03/26/12 - 08:51 am
4
6

Rolf

Maybe the movie "Game Change" is very accurate, but as I stated in my post it doesnt matter. Last time I looked McCain/Palin is not going to be on the ballot. Its old news..an inept attempt by a campaign that was going nowhere..4 years ago! Yawn....Now if they would have won maybe this would be interesting. But the McCain/Palin campaign is in the dustbin of history. Leave it there. Then maybe she will go away.

"The Road We've Traveled" is a campaign film..by Tom Hanks, the producer of above mentioned "Game Change" movie. Im sure it paints the administration in a great light. Why wouldnt it?

RichRule peasantsdrool
73
Points
RichRule peasantsdrool 03/26/12 - 10:01 am
5
9

Dutchmen7

If you are saying that Rush Limbaugh is the same as Chairman Mao, maybe we should compare Barack Hussein to Saddam Hussein or Obama to Osama? And last time I looked, Palin isn't running. Why don't you guys try concentrating on the present and future, and leave the past where it is?

lakelander
708
Points
lakelander 03/26/12 - 10:48 am
8
2

tune in to discussion on HCR

on CSPAN right now. Pros and cons.

rubbyk
1384
Points
rubbyk 03/26/12 - 12:24 pm
3
5

Itter

Do you think there are any "nutbags" on the left? Please be fair and let us all know who they are so we can vote responsibly.

rubbyk
1384
Points
rubbyk 03/26/12 - 12:24 pm
4
5

Itter

Do you think there are any "nutbags" on the left? Please be fair and let us all know who they are so we can vote responsibly.

Brainnews
1077
Points
Brainnews 03/26/12 - 02:36 pm
3
4

Supreme court

The Supreme court will decide.

mission
306
Points
mission 03/26/12 - 03:28 pm
10
6

The GOP and medical care

'captron' asks: "If the GOP has a better idea, what is it ???"

Don't hold your breath -- the Republicans have no ideas and no plan...except cutting the taxes of the rich (again).

What did you expect from the party of "No"? You know, the folks who've pledged to shrink the United States government down to the size where they can drown it in the bathtub."

JohnBrown
55
Points
JohnBrown 03/26/12 - 03:37 pm
3
5

The Supreme court will decide.

The Supreme Court will decide (hopefully), but their decision will not mean much in terms of discourse in this nation.

The people who see the issues the same way as the minority of Supreme Court justices will make accusations of playing politics and claim that the supreme court is wrong.

Look at what happened when the court ruled that it is not fair to give some voluntary associations of people more freedom of speech than other voluntary associations of people.

Brainnews
1077
Points
Brainnews 03/26/12 - 08:38 pm
0
2

Huh??

explain your last statement

LibsAreWrong
104
Points
LibsAreWrong 03/27/12 - 11:10 am
4
6

Listen to Doctors and Nurses

My brother in Law is a Doctor (and Obama supporter) and my wife is a nurse (and a reformed democrat now cured of her liberal mental disorder:). They are both 100% against this disaster of a law. If the democrats couldn't get any Republicans to sign on then there is a HUGE problem. A more balanced, bi-partisan effort is needed to fix our health insurance woes and that will not happen under our current leadership. After all, how can you address health insurance reform without even attempting to deal with tort reform and the abuses of trial lawyers? You simply cannot. It needs to be adressed as much as the pre-existing condition fix that the majority of people (including myself) like. This could have been done correctly and been an example for the world, instead the whole thing was hijacked by the far left and became a total disgrace that will be found unconstitutional.

LibsAreWrong
104
Points
LibsAreWrong 03/27/12 - 11:19 am
5
7

WOW

Leave it to the lefties to prove how utterly clueless they are daily:
"What an embarassment to the United States to have Sarah Palin as a VP candidate."

How about Joe Biden as actual VP, or Obama as President? How about Nancy Pelosi as (former) Speaker (that was just awful!) or Harry Reid as Senate Majority leader? Do you really honestly think that these clowns are better than Palin at representing America? To quote House of Pain, "If you do you're a fool".

lakelander
708
Points
lakelander 03/27/12 - 11:41 am
9
5

"but but but"

say the GOP. "Give us another chance, pretty please, and we will create a wonderful health care bill."

Like that has ever happened or ever will.

OldFarmBoy
36413
Points
OldFarmBoy 03/27/12 - 11:43 am
5
2

Libs

Glad to see your wife is cured. Thank her for me.

LibsAreWrong
104
Points
LibsAreWrong 03/27/12 - 11:56 am
5
5

Chairman Mao???

dutchman tries to compare Rush to Mao??? Obama put a Chairman Mao ornament on the White House Christmas tree you fool. He should be called Chairman Obamao!

JohnBrown
55
Points
JohnBrown 03/27/12 - 02:52 pm
3
1

@Brainnews

I meant the Supreme Court will decide, but it sounds like it will be a 5-4 or 6-3 decision.

The dissenting opinions will allow the people who cheer for the political party on the losing side to dismiss the court's decision as Judicial Activism and playing politics.

While the Court will have ruled; their ruling will do nothing to settle down the loud cheerleaders. It will only embolden the halfwits among us.

I_disagree_with_dems
4787
Points
I_disagree_with_dems 03/27/12 - 03:39 pm
2
4

heres what I know

the government cant force you to purchase anything. (car insurance doesnt count because you have to chose to buy a car and if you dont own a car, you are not forced to buy it)

If the supreme court rules in favor of this bill, then I will accept it as law. I trust the supreme court. They are all very smart and understand the constitution way more than any one of us on this board

If the supreme court rules against it, as well noted in here by the lefties, they will play politics and blame a partisan court which is a shame and shows their true colors.

The constitution rules the roost in this country, get used to it

JohnBrown
55
Points
JohnBrown 03/27/12 - 04:56 pm
2
1

they will play politics

I bet the losing side, democrat or republican, will out-fund-raise the other party in July of this year .

Fair n Balanced
40535
Points
Fair n Balanced 03/27/12 - 05:39 pm
2
3

If they rule correctly

Obamao will try to stack the court ASAP.

Tiredofliberalbs
266
Points
Tiredofliberalbs 03/27/12 - 05:59 pm
2
3

Lies

Point 1. It forces everyone to purchase health insurance. The author tries to state that this is not true. He says the "penalty" of $95 for the 1st year and up to 2.5% of their annual income is so small that we aren't forced to buy anything.The author believes that because the amount of the fine we should just ignore the basic truth of being forced to purchase a product against your will. I could go on to the remaining points but when the first point is based on such an obvious lie there is no sense going any further because the truth will just be ignored by the sheep.

" Given the relatively modest payment required of those who choose not to maintain insurance, no one is being forced to buy a product they don’t want".

Yes they are, If they don't buy it they will be criminalized and fined until they comply. The sad part is that people actually believe this garbage.

georgegalt
284
Points
georgegalt 03/27/12 - 06:22 pm
3
1

Facts are facts

LibsAreWrong said: " the whole thing was hijacked by the far left and became a total disgrace that will be found unconstitutional".

Though there are many in competition, it's hard to find a statement as incorrect as that one. If the 'whole thing was hijacked by the far left' we would not have an individual mandate, there would not be an arrangement for allowing for-profit health insurance companies to thrive, we'd simply have a single-payer system like they have in Canada or Europe. Obviously that didn't happen, the far left had to settle for a COMPROMISE.

What's also quite interesting is, had the far left been successful in advancing that type of system, there wouldn't be a constitutional question at all. Medicare has already been accepted in practice, and a single-payer socialist health care system would have simply extended Medicare benefits to all Americans.

Quite entertaining watching devout Republicans critique Republican ideas though, after a Democrat president puts them in play. "I'm a free American and I have a right to be a free loader, the individual mandate is unconstitutional". lol

Fair n Balanced
40535
Points
Fair n Balanced 03/27/12 - 06:56 pm
1
3

I'm not a Republican and lots of

others aren't either. I'm a conservative. You left wing loony's need to learn to differentiate.

Your brother has good reason.

JohnBrown
55
Points
JohnBrown 03/27/12 - 07:50 pm
1
0

Republican idea

The whole "individual mandate is a republican idea" meme has got to go. It's a red herring. It was brought up by some republicans a generation ago and permanently shelved due to lack of support/concerns of unconstitutionality.

The only thing it furthers is the ostracization of politicians who learn something.

More recently, in 2008, is was Hillary Clinton's solution. It was actually, for those of you who refuse to pay attention, one of the hotly debated differences between Senator Clinton and Senator Obama on the campaign trail. He was vehemently opposed to an individual mandate.

"I mean, if a mandate was the solution, we can try that to solve homelessness by mandating everybody to buy a house."
~Candidate Obama, 2008

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