Constitution Doesn't Allow For Health Insurance Mandate

Posted by: Orrin Hatch in Health Care Reform on Print 

The following originally appeared as an op-ed in the St. George Spectrum. -Staff

"If men were angels," James Madison once wrote, "no government would be necessary. If angels were to govern men, neither external nor internal controls on government would be necessary." America's founders understood the nature of both human beings and the governments they create and knew that ordered liberty requires limited government. That principle is critical in the current debate over health care reform.

The Constitution both empowers and limits government in general, and the federal government in particular. Congress must have more than just a good idea or a noble intention to legislate. It must also have authority grounded in at least one of its delegated enumerated powers.

Each of the current health care reform bills would require everyone to buy health insurance. Even if this were the best idea in the entire history of ideas, Congress must first have authority to enact it into law. The Constitution must come before politics. The only enumerated power that could conceivably justify this individual mandate to purchase health insurance is Congress' power to regulate interstate commerce.

The Supreme Court has steadily expanded the meaning of "interstate commerce" as the category of what Congress may regulate. By the early 1940s, after President Franklin Roosevelt began appointing activist justices, the court allowed Congress to regulate any activity -- even non-commercial as well as intra-state activity -- that substantially affects interstate commerce. That remains the basic definition today.

But there has been one constant since the Constitution was first drafted. Every Supreme Court commerce clause case has involved Congress attempting to regulate some activity in which people had chosen to engage. In other words, Congress sought to regulate how, but not whether, people did things that either are commerce or substantially affect it.

The mandate that individuals buy health insurance is exactly the opposite of what the Supreme Court has allowed in the past. This mandate would, for the first time, use the commerce clause to cross the line between regulating what people do and start requiring what people must do.

There is some real déjà vu here. The Clinton administration's attempt at heath care reform included an almost identical mandate that individuals purchase health insurance. In August 1994, the Congressional Budget Office concluded that this "would be an unprecedented form of federal action. The government has never required people to buy any good or service as a condition of lawful residence in the United States."

Nothing has changed. Just a few months ago, the Congressional Research Service said in a report that "it is a novel issue whether Congress may use (the commerce clause) to require an individual to purchase a good or a service." If it may, then there was no need for the "Cash for Clunkers" program because Congress could simply have ordered people to buy fuel-efficient cars. There was no need for the TARP or other bailout programs because Congress could have ordered people to buy certain stocks or deposit their money in certain banks.

Incentives are one thing, mandates are another. Eliminating the element of individual choice would be boldly going where Congress has never gone before. And by eliminating virtually any limit to federal government power, it would do irreparable damage to individual liberty.

The front steps of the National Archives bear the words "eternal vigilance is the price of liberty." Those words are appropriate for the home of the Constitution. Vigilance means that the Constitution's principles must guide what the federal government does, even with something as important as health care reform. The Constitution does not, it cannot, mean whatever government wants it to mean or there would no limits left on government power. Congress may not be able to do everything it wants to do, but that is, indeed, the price of liberty.

Trackback(0)
Comments (4)Add Comment
0
Interesting Legal Challenge
written by David, October 13, 2009
I think the claim that "eliminating the element of individual choice would be boldly going where Congress has never gone before" is a bit of a stretch - individuals have no choice over dying but Congress has been happy to tax death. Still, make the most of this Senator by rallying other senators together and making it known that you will support a vigorous legal challenge to any health care bill that includes an individual mandate.

Any bill that has such a mandate cannot be supported in any degree by anyone who wants my vote ever again!!
0
Well said!
written by Matt, October 13, 2009
Once again, Senator Hatch hits the nail on the head. He is one of the few in Washington who gets it! The Constitution is not a living doc*ment as many of our friends to the left of center would have us believe. We cannot allow Congress to use something like the "Interstate Commerce" clause to justify robbing us of our liberties! This bill will not pass if enough of us stand with Orrin Hatch against it. Let your voice be heard. Contact Washington today and let them know you will not put up with such a blatant move against your God-given liberty any more! Stand up!!!
0
...
written by James Fawcett, October 14, 2009
I would like to thank, Senator Hatch, for standing up for our right and freedom to choose what we will secure or buy. There have been times in my life where my family has been medically uninsured, and needed medical care. I had to work with doctors on a payment plan in order to receive medical care. All these uninsured medical bills were negotiated and paid, some on the grace of a doctor extending some sort of affordable payment option. If a doctor couldn't negotiate, then I was put in a position to find a doctor that would negotiate some sort of way to pay. Recently my son was covered by CHIP, and needed an operation that carried a huge deductible of thousand of dollars, which I needed to negotiate with the hospital in order to pay. I'm still making payments to that hospital. President Obama's recent remark to Congress, which indicated that the uninsured simply don't pay for medical costs, thus putting a burden on the insured has me confused. The burden of my uninsured medical needs have been placed between my doctor and myself in working out a fair cost, which is capitalism at its best. Many of the uninsured are compelled to pay their medical bills, or risk losing their good credit, so they find a way to pay. Completely walking away from paying a medical bill is not that easy, unless you have no credit to worry about ruining, or you're not a citizen of this country and have nothing to lose. The uninsured are compelled enough to pay their medical bills, so that they can retain their good credit, homes and property. Those choosing not to negotiate their uninsured medical needs, thus disregarding the payment, more than certainly would not pay a monthly insurance premium, so we should prepare the courts for those less fortunate in wisdom or means. Currently I have health insurance, but I wonder why I will have my liberty ripped from me, and be forced to pay medical insurance premiums without choice, so that someone else can afford a chosen service of medical insurance. If Congress can't afford to give us free health care, then health care should be none of their business. Congress must say, "I wish we could help you, but the government is broke," and not say, "the government is broke, so let us force the broke to do what we can't do for them." There are families that say, "I wish I could afford medical insurance, but we're broke, even though we earned $50,000 this last year." One in five young adults are out of work, so the government shouldn't shove a mandated insurance premium down their throats as soon as they secure work, and struggle in regaining lost earnings from this past recession. I carry life insurance, and maybe the next step that Congress can take is to decide that the insurance is not enough, and force me to carry more. Recently my insurance agent encouraged me to carry more life insurance, but the decision was still mine to make, not someone else's decision. I still cherish my liberty of choice.
0
Scholar teacher
written by Gene F.Danforth, January 16, 2010
Well stated
I have waited a long tome to hear such words. I hope others stand with the Good Senator.
We are in trouble and all Good people need to stand together to save OUR Constitution
Semper Fidelis
Sgt Gene F. Danforth

Write comment
smaller | bigger

busy