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-   -   SCOTUS hears arguments for/against Healthcare bill (https://greekchat.com/gcforums/showthread.php?t=125632)

DeltaBetaBaby 06-28-2012 06:16 PM

Quote:

Originally Posted by Ghostwriter (Post 2155681)
Per Slate.com - not conservative by any means

http://www.slate.com/articles/news_a...alth_care.html

..."Some of the law's defenders have argued that Congress did just that when it passed the Militia Act of 1792, which compelled all "able-bodied" white men of certain ages to have a battle-ready musket or rifle. But that law hails from an era in which the United States were still young and our politicians wore white wigs. How good of a defense, really, is the Militia Act for the insurance mandate?

It's pretty flimsy. The constitutionality of the insurance mandate relies on the so-called Commerce Clause, which grants Congress the power "To regulate commerce with foreign nations, and among the several states, and with the Indian tribes." The Militia Act (actually two bills passed within a week of one another in May 1792), on the other hand, depends on the Militia Clause, which authorizes the government to "provide for organizing, arming, and disciplining, the militia." Because the two mandates have such different foundations, the constitutionality of one is essentially independent of the other.

Separate clauses aside, the Militia Act of 1792 would still be poor precedent for the insurance mandate, because Congress never enforced, or even meant to enforce, the law at the federal level. Lost in the health-care inflected discussion of the bill is its initial purpose: To standardize state militias and to authorize the president to call them into action. The government expected each state to achieve standardization through locally issued regulations, and to handle the gun-toting provision independently."...

Uh, you linked to an article written in 2010. Today's ruling had nothing to do with the Commerce Clause.

Further, your entire argument here is based on a slippery slope, not actual logic.

AGDee 06-28-2012 06:50 PM

Quote:

Originally Posted by IUHoosiergirl88 (Post 2155598)
http://www.buzzfeed.com/daves4/peopl...e-of-obamacare

I'm posting this out of sheer amusement...people ACTUALLY threatening to move to Canada (land of what they're running from, might I add) because of this ruling. Ignorance is bliss, right?

I have a Facebook friend whose wife is from Finland. He posted that they might have to move there. FAIL there too...

Quote:

Originally Posted by Beryana (Post 2155611)
But I had insurance - which isn't what this whole 'healthcare' debate is about?! How many people don't have insurance in this country?! Having insurance or not doesn't mean much if you still can't afford to go to the doctor when it is necessary (or can't afford the fees charged for tests which you pretty much HAVE to have because of various conditions/illnesses).

And tort reform (and insurance industry reform) have a LOT to do with this whole mess called a 'healthcare system'. . . .

You have crappy insurance because your employer is giving you crappy insurance. Employees in your company should make a lot of noise about that and ask for more options. Or organize and demand it. I have phenomenal insurance. Ideally, someday, we will take all those choices out of our employers hands and be able to purchase our own. Our employers can give us vouchers to offset costs as a means of attracting good talent. This is a step toward that. We have to take baby steps because this country isn't ready for anything else. A lot of people aren't even ready for this.

Quote:

Originally Posted by PiKA2001 (Post 2155646)
In regards to the bold maybe we should get away from seeing the doctor for minor illnesses and rely more on nurses and PA's for our treatments of minor illnesses and check-ups. IIRC that's what they do in Canada. They also make a smaller salary compared to American health professionals.

Here, here! I love going to a PA or clinical nurse practitioner. It's so much easier to get an appointment and they seem to spend more time with you too.

Quote:

Originally Posted by Ghostwriter (Post 2155655)
So now I/you can be taxed for something we do not do or do not consume. I.E. - buy health insurance

What if the Congress and Senate decides everyone should own a gun? They can now tax you/me/he/she for not owning said gun. There are now no limits to the power of the Federal Government. They must simply tax ones actions or inactions in order to exert control. Scary stuff. The Genie is out of the bottle.

You brought up the argument and then told others that the same argument didn't apply. I'm confused. The big difference between your analogy and health insurance is that there is nobody in this country who does not ever use the health care system. Nobody. Not a soul. Everybody needs a doctor at some point in their life.

DrPhil 06-28-2012 07:42 PM

After reading stuff on MSN:


1. Everything has pros and cons but what are some people REALLY mad about?


2. Why are people attention whoring and pretending they will move to Canada? Canada has health care that is publicly funded. They have a tax system that emphasizes the redistribution of wealth. Gun control is strict, same-sex marriage is legal, and there is no capital punishment. These are things that most right-wingers, conservatives, and staunch conservatives (who comprise the majority of the people so outraged over the Supreme Court decision) would be opposed to. These are things that are rooted in a similar foundation as this Health Law.

ETA: I just read IUHoosiergirl88's post and that is what I am saying.

SoCalGirl 06-28-2012 09:10 PM

Quote:

Originally Posted by AGDee (Post 2155573)
Some parts are in effect. Parents can insure their children up to age 26, insurance has to cover pre-existing conditions, and cannot charge more for premiums due to prior health history. Those are all part of that law.

As of today, only children under 19 cannot be denied for pre-existing conditions. Adults will have that in 2014. Currently though those same children can be charged at a much much higher cost than healthy children. That will also change in 2014.

The individual mandate starts in 2014. Open enrollment will begin in about 16 months on 10/01/2013. Coverage will begin 01/01/2014.

The only thing carriers will be able to rate on is age, geographic location, and tobacco use.

The CMS summary of the law is around 600 pages and can be found online. It's worth a read.

MysticCat 06-28-2012 09:11 PM

Quote:

Originally Posted by LAblondeGPhi (Post 2155589)
What I would ideally like to see is a universal healthcare system that ensures a basic, free, level of coverage for all Americans, administered through a combination of private and public entities. For those who want a faster or fancier policy, they can purchase it, or have their employer provide it as part of a compensation package.

Amen and amen! And as you note, universal healthcare does not have to mean single-payer.

Quote:

Originally Posted by Ghostwriter (Post 2155655)
So now I/you can be taxed for something we do not do or do not consume. I.E. - buy health insurance.

Well, if one is willing to sign a binding agreement that as long as he don't have health insurance he will pay-up front for all health care services -- including regular check-ups and preventive services that can cut down on the likelihood of more expensive services -- and that he will never ever expect services that would result in a cost to the health care system that he personally won't cover, then I have no problem waiving the penalty/tax/whatever-anyone-wants-to-call-it. Otherwise, he's part of the problem that's straining the healthcare system, and in turn the economy, to the limits. And otherwise, he is being taxed for something he will use: healthcare services.

Quote:

Originally Posted by PeppyGPhiB (Post 2155659)
Yes! I loved this part of Roberts' majority opinion: "[Justices] possess neither the expertise nor the prerogative to make policy judgments. Those decisions are entrusted to our Nation’s elected leaders, who can be thrown out of office if the people disagree with them. It is not our job to protect the people from the consequences of their political choices.”

This is classic jurisprudence; the role of the courts in a case like this is not to pass on the wisdom of laws, much less the popularity of laws, but on the constitutionality of laws.


Meanwhile, I'm still shaking my head at the outrage of many on the Republican side, given that many of the aspects of Obamacare they're decrying as evil started out as Republican proposals.

AGDee 06-28-2012 10:28 PM

Quote:

Originally Posted by SoCalGirl (Post 2155741)
As of today, only children under 19 cannot be denied for pre-existing conditions. Adults will have that in 2014. Currently though those same children can be charged at a much much higher cost than healthy children. That will also change in 2014.

The individual mandate starts in 2014. Open enrollment will begin in about 16 months on 10/01/2013. Coverage will begin 01/01/2014.

The only thing carriers will be able to rate on is age, geographic location, and tobacco use.

The CMS summary of the law is around 600 pages and can be found online. It's worth a read.

You're right. I forget that those other two don't technically go into effect until 2014 because Michigan has a law that the insurer I work for can't deny for pre-existing and can't charge at a higher rate that is already in effect. My employer is very thankful that PPACA will level the playing field so we aren't the only one bound to those rules. It puts quite a strain on the company when they are the only insurer in the whole state is bound that way.

SoCalGirl 06-29-2012 12:06 AM

These rules apply to individual and family coverage, not employer coverage. Employer group coverage does not have medical review today. Groups do get charged at a higher RAF (rate adjustment factor) if their population has a higher rate of utilization though.

AGDee 06-29-2012 12:33 AM

Which is why it will make sense for small businesses with a higher RAF to ditch the coverage and give their employees vouchers to use to purchase the plan of their choice through the health exchanges. Win-win!

SoCalGirl 06-29-2012 01:47 AM

The voucher requirement was pulled from the original law though before it ever even got to the Supreme Court. Also, groups have generally better coverage options than what's available on the individual and family market. The SHOP Exchanges will give small employers even more choices to offer their employees in 2014.

PiKA2001 06-29-2012 04:22 AM

Quote:

Originally Posted by DeltaBetaBaby (Post 2155687)
Today's ruling had nothing to do with the Commerce Clause.

Um why do you say that? AFAIK the main reason there was a ruling on this to begin with was because of the Commerce Clause.

AGDee 06-29-2012 06:47 AM

Quote:

Originally Posted by SoCalGirl (Post 2155790)
The voucher requirement was pulled from the original law though before it ever even got to the Supreme Court. Also, groups have generally better coverage options than what's available on the individual and family market. The SHOP Exchanges will give small employers even more choices to offer their employees in 2014.

As a requirement, yes. But small businesses could still offer that to their employees. My hope is that eventually all employers will do that and we will get our own insurance with our own options just like we do with auto-insurance. What I really hate about our current system is that we are stuck with the options offered us by our employer who chooses plans based on cost, not based on employee preferences.

I know the exchange in Michigan is going to have a lot more available on the individual and family market than what is currently available. And the resources being poured into improving customer service and quality are incredible, since there will be more competition. This has really kicked insurance companies out of complacency.

LAblondeGPhi 06-29-2012 06:57 AM

Quote:

Originally Posted by PiKA2001 (Post 2155792)
Um why do you say that? AFAIK the main reason there was a ruling on this to begin with was because of the Commerce Clause.

My guess is because the ruling specifically said the individual mandate doesn't work under the Commerce Clause, but that it does work under the fed's ability to levy taxes.

Ghostwriter kept mentioning how this decision changes the ballgame in terms of federal power, and then used an article talking about how flimsy the Commerce Clause argument was. Well, apparently his linked article is right, and SCOTUS didn't change anything about how the Commerce Clause can be applied.

TonyB06 06-29-2012 09:08 AM

Quote:

Originally Posted by LAblondeGPhi (Post 2155795)
My guess is because the ruling specifically said the individual mandate doesn't work under the Commerce Clause, but that it does work under the fed's ability to levy taxes.

Ghostwriter kept mentioning how this decision changes the ballgame in terms of federal power, and then used an article talking about how flimsy the Commerce Clause argument was. Well, apparently his linked article is right, and SCOTUS didn't change anything about how the Commerce Clause can be applied.

I agree w/ yours and DeltaBetaBaby's (?) earlier post but am pretty sure read that Ginsburg, in her separate opinion (presuming here that she spoke for at a least a segment of the other concurring "yes" voting block) said she had no problem with the individual mandate being consitutional under the Commerce Clause. It was Chief Justice Roberts' use of the taxing authority arugment that brought about his crucial 5th vote.

AOII Angel 06-29-2012 09:14 AM

Quote:

Originally Posted by TonyB06 (Post 2155805)
I agree w/ yours and DeltaBetaBaby's (?) earlier post but am pretty sure read that Ginsburg, in her separate opinion (presuming here that she spoke for at a least a segment of the other concurring "yes" voting block) said she had no problem with the individual mandate being consitutional under the Commerce Clause. It was Chief Justice Roberts' use of the taxing authority arugment that brought about his crucial 5th vote.

The commerce clause argument doesn't pass by a majority opinion, though. The majority agree that Congress has the right to levy a tax. The majority do NOT agree that Congress has the right to force you to buy health insurance under the Commerce clause. The more liberal leaning justices all agree that congress can do this, but that is no more valid than the opinion that the entire law is invalid held by the conservative justices.

Kevin 06-29-2012 09:28 AM

I thought Scalia's justification of his position in this case vs. Gonzales v. Raich was pretty indefensible.

We can regulate marijuana with the commerce clause because there's no other way to regulate marijuana, but we can't with healthcare because there are other ways to regulate healthcare.

Kind of inventive, but totally made up.


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