What Congress Can't Require

Posted by: Orrin Hatch in Health Care Reform on Print 

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

Alec MacGillis's article about the details of how health-reform legislation would require Americans to purchase health insurance ignored whether the Constitution allows that requirement at all ["If you build a coverage mandate, will they come?," front page, Oct. 26].

The Supreme Court has expanded Congress's authority to regulate interstate commerce itself to include "activities that substantially affect interstate commerce."

There is, however, a fundamental difference between regulating activities in which individuals choose to engage and requiring such activities. The Congressional Budget Office called Congress's 1994 attempt to require that individuals purchase health insurance an "unprecedented form of federal action." It still is. The Congressional Research Service concluded this year that "it is a novel issue whether Congress may use [the commerce] clause to require an individual to purchase a good or service."

The fact that Massachusetts required health insurance coverage is irrelevant. States may do many things that the federal government may not. Nor is this anything like requiring car insurance, which affects only those who drive and, again, is imposed by the states.

If there is no difference between regulating and requiring, between incentives and mandates, then there was no need for "Cash for Clunkers." Congress could simply have required people to buy certain cars or, for that matter, to invest in certain companies or deposit their paychecks in certain banks. The Constitution does not mean whatever Congress wants it to mean; instead it sets limits on the federal government in order to protect liberty.

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written by Thomas R. Harris, November 09, 2009
Isn't everyone who earns income required to deduct for FDIC in order to later receive Social Security and Medicare benefits? And isn't the latter "mandated" health insurance?
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written by Lucille Tyska, November 20, 2009
Dear Senator Hatch
I don't think Congress is listening to us. We do not want a government run Health Care Program.... The health care needs some reform but only to benefit us not to start taking away testing like I have been hearing on the cable news. Pap smears and mamograms are vital to woman and at this time most have the coverage which allows testing once a year. I received a phone call from my Horizon NJ B/C B/S yesterday informing me that I am due for my gynecological exam encouraging preventive testing. Why in God's name would I want to go backward and have this taken away? This health care reform is making me sick and disgusted. A government run plan will be the beginning of all our freedom of choice taken away from us. Please stop this bill from the get go. We do not want socialism give an inch and a yard will be taken. What is the rush? This is our lives you are playing with this is a very serious matter and should not be taken lightly or decided on without deep thorough examination. This bill should be shortened so it can be read clearly and analyzed precisely. David Axelrod said he will put paid government abortions into the bill after it is passed. What is the purpose of the Congress even voting on this bill if serious changes are going to be made after a vote. Something is wrong with this picture and I think this administration has its own agenda and if they are not blocked they will overpower the Congress and the American taxpayers will all lose the America we love. Please do not vote for this bill health care is too important an issue to be rushed into.

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