Unconstitutional

Posted by: Orrin Hatch in Health Care Reform on Print 

The following originally appeared as a letter to the editor in the Politico. -Staff

There are many very serious reasons to oppose the government takeover of America's health care system. But before debating whether Congress should take this step, we must first determine whether Congress may do so. In "Health Care Reform Is Constitutional" on Oct. 23, professor Erwin Chemerinsky wrote in POLITICO that "there is no doubt that bills passed by House and Senate committees are constitutional." That conclusion is easier to reach, as Chemerinsky did, by ignoring the most obvious constitutional problem with requiring individuals to buy health insurance.

The only conceivable power Congress may use for this individual mandate is its power to regulate interstate commerce. Chemerinsky correctly observed that the Supreme Court "has held that this includes authority to regulate activities that have a substantial effect on interstate commerce." The most important word in that description of Supreme Court precedent is one he used but never discussed: "activities." Every Supreme Court case interpreting and applying the commerce clause, over nearly two centuries, has involved Congress's attempting to regulate what people choose to do. None of those cases involved what Congress is about to do on health care: require that people engage in an activity by purchasing a good or service whether they want to or not.

The difference between regulating what you do and requiring you to do it is a difference in kind, not degree. When Congress attempted to require that individuals purchase health insurance in 1994, the Congressional Budget Office concluded it would be an "unprecedented form of federal action." It still is. Just a few months ago, the Congressional Research Service similarly said "it is a novel issue whether Congress may use [the commerce] clause to require an individual to purchase a good or service." Each of these agencies had the very real doubt that Chemerinsky claims simply does not exist.

One thing did change in the legal landscape between 1994 and 2009: The Supreme Court twice found that Congress had exceeded its authority under the commerce clause. There was, it seems, something Congress may not do. But even these cases involved activities in which people had chosen to engage. In United States v. Lopez, the court rejected a version of the commerce power that would make it hard "to posit any activity by an individual that Congress is without power to regulate." This would be the case if Congress could order people to purchase particular goods or services.

If there is no difference between regulating and requiring and between incentives and mandates, why did Congress bother creating the Cash for Clunkers program? If buying fuel-efficient cars is so important for the economy, Congress could just require people to buy them. Why does Congress need complicated bailouts when it could simply order people to deposit their paychecks in certain banks, invest in certain companies or purchase certain products? In this brave new world, Congress can tackle obesity by mandating that people buy fruits and vegetables. Perhaps this might also lead to a new chapter in regulating campaigns, with Congress requiring contributions to certain candidates to "level the playing field."

Liberty requires limits on government. That is why we have a Constitution and why it delegates enumerated powers to the federal government. Those limits mean nothing and cannot protect liberty if the Constitution means whatever Congress wants it to mean. Requiring that individuals use their own hard-earned money to purchase whatever the federal government wants them to purchase would boldly go where the government has never gone before -- and would undermine the liberty of all Americans.

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Keep it up Senator
written by David, November 09, 2009
Keep hammering away at the individual mandate - that is the worst single offense in the health care bill that just passed (not that the rest of it is all that pretty). Not enough has been said about that provision, but so long as it remains you must work to kill this bill even if it means repeating your one-man filibuster from years ago.
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How do we fight this?
written by Kim, December 20, 2009
First, I want thank you for writing this blog. Not many people understand or care about this assault to our liberty. Second, how can someone like me fight this? I'm not a constitutional lawyer and I really don't know any. I'm poor, so I really can't afford one. From what I've read from other sources on the Internet, this is going to be one tough battle, so one has to hire lawyer for the long haul. Third, can't the Supreme Court say or do anything before this bill pa***s? It's my understanding, though I could be wrong, that the Chief Justice does have the power to pick any case he chooses to review. Couldn't he ask to see the bill as soon as Obama signs or does he have to wait until someone petitions the Court?
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Betrayal of the middle class by the Democratic Party
written by Christopher Winter, December 24, 2009
I voted for Cantewell, Murray and Barack Obama. All I can say is buyer's remorse. I do not want to be forced to subsidize the health insurance industry. I have insurance but what if times got economically hard for me and it was a choice between paying my mortgage or buying health insurance? I would choose paying my mortgage. What this bill does is remove a layer of flexibility individuals have with their disposal income by forcing them to give it to the healh insurance industry. I am very angry over this. If they pass a mandate, I will never vote for another Democrat as long as I live. I feel so violated and betrayed by their actions. I hope the Republicans and Democrats with a conscience will derail this and start all over with ensuring competition across state lines, allowing the importation of cheap drugs from Canada, eliminate pre-existing conditions, and mandate that health insurance companies must spend 80% of more of their revenues on health care. The system is a mess but it will be worse with this bill. Besides, it most probably is unconstitutional for the Congress to mandate that Americans buy a product from a particular industry.

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