Thursday, March 05, 2015

SCOTUS - How Obamacare’s fate will really be decided





Yesterday, the U.S. Supreme Court heard oral arguments in King v. Burwell, a suit brought by far right elements seeking yet again to sabotage the Affordable Health Care Act ("AHCA") and leave millions of Americans, including children, uninsured.  Naturally the opponents of AHCA have no proposed alternative plan and seemingly want those they see as "takers" left to die.  It's after all, the "Christian" thing to do if one is a far right Christofascist/Tea Party adherent. With the votes of Scalia, Thomas and Alito in the camp to destroy AHCA, the focus turns to Chief Justice Roberts and Justice Anthony Kennedy who will cast the deciding votes.  A piece in Salon looks at their dilemma.  Here are excerpts:

Oral arguments in King v. Burwell began and ended yesterday, and the Supreme Court will determine over the next few days whether the Affordable Care Act’s health insurance tax credits can be legally distributed in states that relied on the federal government to set up their insurance exchanges. The plaintiffs in this case argued vigorously that a hyper-literal interpretation of one short clause in the ACA should prevent those subsidies from going out, even though such an interpretation would put the law at war with itself and defeat its stated intention of making insurance affordable for all Americans.

The plaintiffs had sympathetic ears in at least two of the conservative justices: Antonin Scalia and Samuel Alito. (Clarence Thomas, as is his custom, remained silent during the oral arguments, but his opinion of the ACA is no secret.) Scalia in particular was enthusiastic to see the law blown up from within, regardless of what Congress intended or what the rest of the law says.

The liberal justices did an effective job of tearing down the plaintiff’s arguments – Elana Kagan offered a great deconstruction of the petitioners’ case that put the plaintiff’s lawyer, Michael Carvin, in such an awkward spot that Alito had to come to his rescue. But what mattered most were the comments from the two justices broadly viewed as the “swing” votes in this case: Chief Justice John Roberts and Anthony Kennedy. Roberts didn’t say a whole lot and left people guessing as to what he’s thinking, but Kennedy was quite voluble, and what he said left liberals feeling confident and conservatives noticeably deflated.

For Kennedy, one the biggest issues confronting the justices in this case is state sovereignty. King v. Burwell does not pose a constitutional challenge to the Affordable Care Act, it simply seeks to have the text of the statue interpreted in a very narrow and outlandish way. Kennedy raised the possibility that interpreting the statute in accordance with the plaintiff’s argument would actually serve to create a constitutional crisis by coercing the states into acting to set up their own insurance exchanges.

Trying to figure out how the justices will rule based on their remarks during oral arguments is a dangerous pursuit, but if you’re looking for a basic lay of the land, it feels safe to say that there are three obvious votes against the Affordable Care Act (Scalia, Thomas, Alito), four obvious votes in favor (Kagan, Breyer, Ginsburg, Sotomayor), and two question marks in Kennedy and Roberts. Bloomberg View columnist Noah Feldman made the interesting argument that Kennedy, in pursuing the federalism angle so enthusiastically, was actually pressuring Roberts to be the one to vote to in favor of the ACA. It was Roberts who used the coercion argument to defang the ACA’s Medicaid expansion back in 2012, and Kennedy may have been unsubtly reminding him that this is his principle to stand on.

That, of course, assumes that the conservative justices will care about principle more than they do about destroying the Affordable Care Act. Either way, we’re in the thoroughly depressing situation in which the health insurance of millions of Americans depends on whether Anthony Kennedy and John Roberts can work out amongst themselves who will be the one to “betray” conservatives by adhering to principle and common sense and voting to protect the Affordable Care Act.

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