It is NOT a tax! It IS a Tax! The Government is confused on the health care mandate.

There is a fascinating article in the NY Times on the Obama Adminstration's defense of the the insurance mandate that was part of the recent health care bill.

As you may recall, Congress passed a law requiring all citizens to have health care insurance coverage - or face a penalty - which will go into effect in 2014.  This is a controversial clause and was immediately challenged in court by 20 states as a broad over-reach of federal power.

The plaintiffs claim that there is no precedent, nor no Constitutional authority, for the Federal Government to require individuals to purchase a good or service from a private entity.

Opponents contend that the “minimum coverage provision” is unconstitutional because it exceeds Congress’s power to regulate commerce.
“This is the first time that Congress has ever ordered Americans to use their own money to purchase a particular good or service,” said Senator Orrin G. Hatch, Republican of Utah.
In their lawsuit, Florida and other states say: “Congress is attempting to regulate and penalize Americans for choosing not to engage in economic activity. If Congress can do this much, there will be virtually no sphere of private decision-making beyond the reach of federal power.”

When Congress was debating this law the charge of over-reach was prominent and public.  And Congress chose to defend itself by wrapping the law in the mantle of the Commerce Clause (and failing that, the General Welfare clause.)

Congress anticipated a constitutional challenge to the individual mandate. Accordingly, the law includes 10 detailed findings meant to show that the mandate regulates commercial activity important to the nation’s economy. 

Some opponents also charged that this was, in effect, a new tax that was being levied - a charge that the Administration vehemently denied.

“For us to say that you’ve got to take a responsibility to get health insurance is absolutely not a tax increase,” the president said last September, in a spirited exchange with George Stephanopoulos on the ABC News program “This Week.”

When Mr. Stephanopoulos said the penalty appeared to fit the dictionary definition of a tax, Mr. Obama replied, “I absolutely reject that notion.” 

So, now that this case has gotten to court, what is the defense that the Justice Department is using to meet this challenge?  

In a brief defending the law, the Justice Department says the requirement for people to carry insurance or pay the penalty is “a valid exercise” of Congress’s power to impose taxes. 

This is a startling position, and one that I think is flawed:

First, this directly contradicts the basis of the law as stated by the creators - Congress and President Obama.  One thing the Supreme Court does regularly in researching a case is to review the minutes of the debates in Congress to try and identify "intent".  Clearly the record will show that Congress intended this to be an extension of the Commerce Clause powers.  By switching to a Tax clause defense, the Justice department is implicitly weakening the Commerce clause argument - which is the foundation of the law.  I would expect the Court to see through this veil and get back to the central issue of does this law go beyond the powers implied in the Commerce clause.

Second, by claiming that this mandate is a tax the Government has opened itself up to a review of the definition of a Tax and an examination of whether the mandate fits that model.  I would argue that it does not.  My reasoning is that, by definition, a tax is something that is paid to the governmental agency that has levied the tax.  In this case the tax, i.e. the mandate to buy insurance, is paid directly to private corporations.  This has never been done before and clearly is a huge stretch in the definition of a tax.

I find this case very interesting from the aspect of Constitution constraints on Federal Government powers.  I can not predict how this will go in court - other than to say that it will go all the way through to the Supreme Court - but I think it is a critical case in re-establishing limits on Federal authority.

What do you think?

Filed under  //  Congress   Health Care   Imperial Presidency   politcs   Power of The State  
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Perhaps this is one reason "our Health care costs are high"...and thank goodness.

There was an accident near my house yesterday. Someone on a bicycle ran into someone in a car. The bike rider lost. I did not see the accident but my road was closed when I got home, so I knew something serious had happened. A few minutes after I got home I heard the sound of a helicopter flying very low. I went out to see what was going on and saw a medevac copter landing on the soccer field of the school up the street. The local ambulance corps caring for the injured person drove up to the school and transferred them into the copter and off they went. I pray that they will be fine.

Anyway, I have done some research into the claim that the US spends more per capita than any other country on health care. This is true, without a doubt. But my research, cursory as it is, lead me to the conclusion that we spend more BECAUSE WE CHOOSE TO SPEND MORE. This is a very important point. There are a lot of very expensive, intensive health care options which we choose to take advantage of.

This medevac option is probably one of them. I live in a small town in southeastern PA. No more than a few thousand people. And yet that copter was there wihin 20 minutes of the accident. Now, someone is going to pay for that service - probably the injured party's insurance company. I am sure that it is very expensive. And I am sure that it is worth every penny.

There were no medevac helicopters when I was a kid and my parents were responsible for paying for my health care. I pay much more than my parents ever thought of paying for coverage for my family. Some of that amount that I pay is because medevac helicopters are available and are used whenever they are useful - like the bike accident outside my home last night. Would I opt to pay less and not have access to medvacs? Would you? If ubiquitous access to medevacs are part of the reason that our health cares costs are so high then what does it mean to when our politicians say that "we must bring down the cost of health care."? What are they planning on cutting out?

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Arrogance - "Designing" a Health Care System

It’s crazy for a group of mere mortals to try to design 15 percent of the U.S. economy. It’s even crazier to do it in a few months.

Yet that is what some members of Congress presumed to do. They intended, as the New York Times put it, “to reinvent the nation’s health care system.”

Let that sink in. A handful of people who probably never even ran a small business actually think they can reinvent the healthcare system.

All other arguments aside, do you really think that our esteemed members of Congress have any clue what they are doing? Barney Frank? Nancy Pelosi? Harry Reid? Do you really want these guys deciding how your health care is provided?

Filed under  //  Health Care  
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Health Problems Health Care Can’t Fix

While Americans may have a lower life expectancy than other affluent countries, the disparity is mainly due to Americans' poor personal health-care practices -- not to any flaw in health-care treatment. "The U.S. actually does a pretty good job of identifying and treating the major diseases. The international comparisons don't show we're in dire straits," says University of Pennsylvania's Dr. Samuel Preston, a researcher who has studied the matter.

The real problem, it turns out, is that Americans are accident-prone, health unconscious slobs. Until the mid-1980s, the U.S. had the highest per capita cigarette consumption in the developed world, and the U.S.'s obesity rate today is more than twice that of Canada and ten times that of Japan. These aren't problems of the health care system (i.e. in the diagnosis and treatment of disease). These are problems of behavior. Adjust that data for the higher U.S. incidence of homicide and obesity, and Americans actually have the highest life expectancy in the developed world.

The reasons that we do not have the highest life expectancy in the world are self-inflicted. We smoke too much, eat too much, eat the wrong things and lead a stressful life. These are not things that the health care system can control.

On the other hand, all the maladies caused by these self-inflicted wounds are expensive to treat: cancer, heart attacks, diabetes, etc. This is one reason we spend more than other countries.

Filed under  //  Health Care  
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