Tag Archives: Patient Protection and Affordable Care Act

A brief thought on King v. Burwell

Last Wednesday, the Supreme Court heard oral arguments in King v. Burwell, the GOP’s latest legal strike against the Affordable Care Act (ACA), known colloquially as “Obamacare.” The justices appeared to split largely along familiar ideological lines (with Chief Justice John Roberts remaining mostly inscrutable), but one exchange — no pun intended — stood out to me.

I’ve excerpted the relevant portions below:

 

Something about Justice Scalia’s comments here immediately struck me as bizarre, but I couldn’t figure out exactly why the first time I read it.

I think now I do. The thing is, we’ve come to expect a scarily high level of partisanship on the Court, echoing our broader political divide in the legislature and, indeed, in the nation at large. So it’s no surprise to see Scalia, Alito, et al. bringing out the knives against the solicitor general, Donald Verrilli, Jr. (just as it’s no surprise to see Kagan, Sotomayor, et al. do much the same to Michael Carvin on the challengers’ side).

But what’s interesting here is the specific reasoning Scalia employs in his favor. He had at least two options for how to defend the challengers’ reading of the law. The first, and more obvious, tactic would have been to simply characterize the phrase “Exchanges established by the State” as unambiguous under a strict textualist reading of the ACA, and leave it at that. In essence, he could have just argued that the possibly disastrous effects of eliminating healthcare subsidies in numerous states is simply not a judicial matter and that the law must be interpreted as written, regardless of the outcome. Moreover, this would have been fully consistent with Scalia’s stated originalist approach to jurisprudence.

But he didn’t stop there. Instead, he stated or implied multiple times (in the excerpts displayed above) that, if the consequences were as terrible as Verrilli believed, Congress would step in to fix the problem — in this case, the loss of health insurance to citizens who would have otherwise been covered by Obamacare subsidies.

This is a strikingly odd perspective. As anyone with even a passing familiarity with American politics knows, the chance of a Republican-led Congress — in both houses — enacting emergency legislation to save ACA subsidies is practically zero. Scalia, as someone intimately aware of the American political process, knows this better than most. And so did the audience attending the oral argument, which burst into laughter when Verrilli countered: “Well, this Congress, Your Honor…”

In other words, in a brazen attempt to persuade his fellow justices of the merits of the challengers’ arguments, Scalia made a deliberately disingenuous prediction about the likely outcome of ruling in their favor. Indeed, the idea that Congress would fix Obamacare is so obviously comical that it underscores just how desperate Scalia is to dismantle it: he would gladly suffer the public indignity of making an obviously absurd political prognosis for the mere opportunity to shape his undecided colleagues’ eventual ruling.

This may or may not tell us something about the Court’s likely decision — perhaps it means Scalia is privy to wavering on the part of Kennedy or Roberts, and perhaps not — but it tells us much about the lengths to which Justice Scalia will go to achieve an ideological objective.

Mitt Romney needs to fire his advisers

The man is now flailing. His campaign’s policy incoherence has been an issue ever since the beginning, but this is getting ridiculous:

Mitt Romney on Wednesday cited his record in shepherding through the Massachusetts health care law as a sign of his empathy for all people, talking far more openly than usual about a controversial plan that has caused him so much strife with conservative Republicans.

“Don’t forget — I got everybody in my state insured,” Romney told NBC late Wednesday afternoon. “One hundred percent of the kids in our state had health insurance. I don’t think there’s anything that shows more empathy and care about the people of this country than that kind of record.”

Romney made the comments just before going on stage in Toledo, for a rally in which Romney used President Obama’s health care law as a chief example of what’s wrong with the current administration. The dichotomy of his statements further illustrated the tightrope Romney has had to walk in pledging to repeal President Obama’s federal law, while simultaneously trying to take credit for the state-level plan he signed into law in Massachusetts.

“I will repeal Obamacare and replace it with real health care reform,” Romney said during the rally. “Obamacare is really Exhibit No. 1 of the president’s political philosophy, and that is that government knows better than people how to run your lives.”

“I don’t believe in a bigger and bigger government,’’ he added. “I believe in free people pursuing their dreams. I believe in freedom.”