It was a long and uneventful ride, so I decided to check out the opinion itself. I recommend reading the opinion itself; it’s surprisingly readable.
But evidently–and
as a non-lawyer, I certainly did not know this–it is law settled in
1895 that “every reasonable construction must be resorted to, in order
to save a statute from unconstitutionality”; and so the finding that the
law is constitutional on one instead of two grounds is sufficient.
As I understand it,
the Government failed in its attempt to include health care in
interstate commerce because the Constitution’s interstate-commerce
clause allows the government to regulate existing interstate commerce,
but not to simply create a whole class of interstate commerce. This is
the source of Justice Scalia’s comment that if you can force people to
buy health care, you can force them to buy broccoli; and sure enough, the
ruling mentions broccoli. (Gotta love SCOTUS humor!)
But the Court rightly understood that a tax is different from a criminal
penalty, and noted that since everybody agrees that the government has
the authority to use tax policy to incentivize (for example) education
and home ownership (and, I would add, marriage), then using tax policy
to incentivize a health insurance purchase is within the government’s
legitimate authority.
I don’t often have the opportunity to say “I told you so,” but in this
case it appears I can: in fact, I had called it a year previously. On
July 8, 2011, I sent the following in an email exchange with my cousin
Dick:
single-payer plan; but to small-government advocates, such a plan is
anathema. History will decide whether going for what was achievable
(Obamacare) was the right way to go. . . . Lost in the argument (to the
shame of Democrats, I think) is that a tax isn’t the same as a fine. A
fine implies that a behavior has been criminalized to some degree; a tax
doesn’t. So I would argue that what Obamacare has is incentivized
coverage rather than ‘mandatory coverage.’ And that seems to make sense
to me.
“One of the main things driving up the cost of the health care system for
the rest of us is mandatory indigent care. Assuming we don’t want to see
bodies piling up in emergency room dumpsters, we will continue to pay
for people who can’t pay for their own care and don’t have insurance,
either by choice or necessity. This constitutes a sort of tax that we
are all paying, and Medicaid is tax-supported as well. Obamacare seems
to let those who can’t or won’t get insurance pay a tax and subsidize
the purchase of insurance for those who will; and in concept, at least,
that seems fair to me.”