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Judge Declares Federal Healthcare Plan (Partly) Unconstitutional

healeyb writes "In a surprise move, US District Judge Henry E. Hudson issued a ruling today that the universal healthcare law that was pushed through by the Obama administration is unconstitutional. Specifically, he invalidated the section of the law that requires all citizens to purchase healthcare insurance, arguing that it does not fall under the purview of Commerce Clause of the Constitution, as has been asserted by the government. The ruling represents the first major setback for President Barack Obama on an issue that will likely end up at the Supreme Court. Two other courts have shot down challenges to the law."

152 of 1,505 comments (clear)

  1. Filed by Ken Cuccinelli by eldavojohn · · Score: 5, Informative

    The same guy that went after Michael Mann and others after it was thrown out. He's a young Republican with an agenda that he's forcing down everyone's throat since day one. From trying to change the state seal (it has a mammary in it!) to just stating that "Homosexuality is wrong."

    I'm not saying he's right or wrong in this matter (the judge seemed to agree with him) but he's one of those guys and he's a state Attorney General for Virginia pushing his conservative agenda to a national level.

    --
    My work here is dung.
    1. Re:Filed by Ken Cuccinelli by bluefoxlucid · · Score: 5, Insightful

      Yes but we need those guys. We need the flaming crazies that will go to court and FORCE the judges to look at every little issue and say, "No, stfu," or "Holy hell how did this get to be law?!" We NEED someone to challenge every little thing the government does and make the one balance we have-- the courts-- stand up and tell the executive and legislative branch where to shove it when they overstep their bounds.

      What we don't need is these people becoming judges or congressmen.

    2. Re:Filed by Ken Cuccinelli by Tetsujin · · Score: 4, Insightful

      The same guy that went after Michael Mann and others after it was thrown out. He's a young Republican with an agenda that he's forcing down everyone's throat since day one. From trying to change the state seal (it has a mammary in it!) to just stating that "Homosexuality is wrong."

      Damn those activist judges!

      --
      Bow-ties are cool.
    3. Re:Filed by Ken Cuccinelli by sstamps · · Score: 4, Insightful

      ..or Attorney General. Oh, wait..

      --
      -SS "Teach the ignorant, care for the dumb, and punish the stupid."
    4. Re:Filed by Ken Cuccinelli by melikamp · · Score: 2

      Yet in a bizarre twist, this "young Republican" struck down the part of the law inserted for the benefit of the insurance companies. So the rest of the bill stands and people cannot be turned down due to pre-existing conditions, but they don't have to buy insurance until they are sick. Or am I not getting something?

    5. Re:Filed by Ken Cuccinelli by corbettw · · Score: 3, Interesting

      It looks more like the variant of ad hominem known as poisoning the well. Don't attack what the guy is doing now, but detail criticism of what he's done in the past that you disagree with. It's a pretty juvenile tactic, IMO.

      And while I'm not saying the OP is a child molester or anything, you should keep in mind that it is pretty common for child molesters to poison wells during discourse. Just saying.

      --
      God invented whiskey so the Irish would not rule the world.
    6. Re:Filed by Ken Cuccinelli by Pojut · · Score: 5, Insightful

      Damn those activist judges!

      Definition of activist judge: any judge who makes a decision you disagree with for partisan or moral reasons.

      They don't call it "practicing law" for nothing!

    7. Re:Filed by Ken Cuccinelli by mrsteveman1 · · Score: 4, Insightful

      That's a nice thought, but they aren't challenging "every little thing" the government does, they only challenge things they don't like, and there aren't a similar number of "flaming crazies" challenging other laws that other americans view as blatantly unconstitutional or imposing on freedom.

      Take "obscenity" laws for instance, blatantly unconstitutional and yet those who oppose such laws aren't running around the streets casually with semi-automatic weapons or making references to "2nd amendment remedies" when things don't go their way.

      If this were a case about a law requiring everyone to purchase a Bible, these same people would be actively supporting the law or at least remaining silent, because that's what they do, they only run their mouths and cry about freedom when it suits their personal causes.

    8. Re:Filed by Ken Cuccinelli by Obfuscant · · Score: 2, Insightful
      That's a nice thought, but they aren't challenging "every little thing" the government does, they only challenge things they don't like, and there aren't a similar number of "flaming crazies" challenging other laws that other americans view as blatantly unconstitutional or imposing on freedom.

      I see. So because the crazies you don't like don't challenge the laws you don't like, they are bad, but when the crazies you do like challenge laws I do like, they are good?

      Your answer to the problem of not enough people challenging enough things is to insult and denigrate those who are standing up for the Constitution? That's a really good way to get more people doing it, you know. While your personal condemnation and vitriolic insults are probably irrelevant to them, it does show a bit of a bias on your part.

      If this were a case about a law requiring everyone to purchase a Bible, these same people would be actively supporting the law or at least remaining silent,

      I call "bullshit". Deal with what the people you don't like are actually doing instead of making it up so you can spew more hate at them. If you don't like them opposing a patently unconstitutional law, write your congressman to get him to pass constitutional ones. Insulting them for having principles you don't agree with is just stupid and ignorant, and basically intolerant.

    9. Re:Filed by Ken Cuccinelli by mcgrew · · Score: 2

      That may well be, but IMO this ruling is a good thing, this health care law is nothing but a boon to the insurance industry. I'd like to see the health insurance industry die, and have a sane system like all the other industrialized countries have.

      We have the most expensive health care in the world, but we are not the healthiest people. The insurance industry is an unneeded middleman that is beholden to your employer, not you who actually gets the medical treatments.

      The only thing that gives me pause about having a Canadian or European style health care system is how the VA hospitals are run -- but then again, the US Government has historically shit on its veterans.

    10. Re:Filed by Ken Cuccinelli by Jeremy+Erwin · · Score: 2

      The only reason he is being singled out here is because the VA suit is the first one that had traction.

      First one out of the gate! Woo hoo!

      Virginia's attorney general, Ken Cuccinelli II, is a man in a big, big hurry. He had promised to challenge the constitutionality of the newly enacted health care legislation "as soon as the ink is dry" on the president's signature. And—true to his word—less than five minutes after the bill was signed this week, Cuccinelli's staff sprinted over to Richmond's federal courthouse with a lawsuit aimed at blocking the measure. While 13 other state attorneys general hoofed it to court to file a joint lawsuit in Florida, Cuccinelli opted to go his own way, filing his own suit tethered to a brand-new Virginia law providing that "no resident of this Commonwealth shall be required to obtain or maintain" an insurance policy.

      Quick-Draw Cuccinelli
      Why high-speed lawyering can be hazardous to your health.

    11. Re:Filed by Ken Cuccinelli by DavidTC · · Score: 5, Interesting

      Indeed, I half suspected something like this would happen, and as someone as liberal as humanly possible, I am laughing my ass off.

      To recap: We should have had single payer system.

      Instead, insurance companies, looking to make even more money, promised to insure everyone...but only if everyone was forced to buy from them, so that the healthy couldn't skip out on the deal.

      If the latter part of that gets sentence struck down, insurance companies will have to insure anyone who wants it (I.e, who is currently sick) and then, when healthy, the person can just let their insurance lapse, secure in the fact they can just buy more insurance when they need, because insurance companies can no longer deny insurance on any grounds except failure to pay.

      I am fucking rolling on the floor laughing. I mean that literally. I read this an hour ago, and it's taken me that long to stop laughing to comment. I had to make a support call during that, and I had serious difficulty not cracking up during it.

      You just utterly fucked yourself, insurance companies. Oh, man, oh man.

      I hope the teaparty folks take this as a rallying cry, and regardless of how this goes in the court, yell at their congressmen to remove exactly this part of the law.

      --
      If corporations are people, aren't stockholders guilty of slavery?
    12. Re:Filed by Ken Cuccinelli by icebike · · Score: 2

      That's a nice thought, but they aren't challenging "every little thing" the government does, they only challenge things they don't like, and there aren't a similar number of "flaming crazies" challenging other laws that other americans view as blatantly unconstitutional or imposing on freedom.

      So what?

      If I don't like a law, and find a legal ground for challenge does that mean I am obligated to challenge every other law?

      Your reasoning here seems sort of daft to me. Of course people are going to only challenge what the don't like. OTHER people will challenge OTHER laws. Some laws receive no challenges because no one is sufficiently upset about them.

      And there are obscenity challenges year in and year out, and the standard has changed over time, by edict of the SCOTUS, who (in case you haven't noticed) is the arbiter of what is or is not unconstitutional, rather than some poster on slashdot.

      There are enough people (crazies and normal) to challenge (and re-challenge) everything that need challenging.

      --
      Sig Battery depleted. Reverting to safe mode.
    13. Re:Filed by Ken Cuccinelli by bsDaemon · · Score: 3, Informative

      the Attorney General is an elected position in VA, he wasn't appointed.

    14. Re:Filed by Ken Cuccinelli by Mongoose+Disciple · · Score: 3, Insightful

      Yes, but, well... homosexuality *is* wrong. Homosexual homosapiens are physically unable to reproduce. That is the most damning evidence to support this position.

      Perhaps you're familiar with worker bees. God must hate them, too.

    15. Re:Filed by Ken Cuccinelli by triffid_98 · · Score: 2
      Probably the bit about invalidating the entire law and not just sections of it. It's completely unreasonable that insurance companies can drop coverage once they consider you a 'bad risk'. If you get cancer that shouldn't bankrupt you and your whole family just so they can post bigger profits. That's why you bought insurance in the first place right?

      But oh nos! Consumer rights=socialism.

      Yet in a bizarre twist, this "young Republican" struck down the part of the law inserted for the benefit of the insurance companies. So the rest of the bill stands and people cannot be turned down due to pre-existing conditions, but they don't have to buy insurance until they are sick. Or am I not getting something?

    16. Re:Filed by Ken Cuccinelli by jpmorgan · · Score: 4, Insightful

      Except that by default, when a law is unconstitutional it is struck down in its entirety, to prevent such unintended consequences.

      If Congress doesn't want this to happen, they can include a severability clause that says 'hey, we don't mind if this part stands on its own.' But Congress didn't do that. If mandatory insurance falls, so does the entire bill.

    17. Re:Filed by Ken Cuccinelli by shoehornjob · · Score: 2

      Yes but we need those guys.

      Regardless of the agenda I supose it's a good idea to challenge government and corporate entities. There's definitely NOT enough of that going around.

      --
      "We are just a war away from Amerikastan. When god vs god the undoing of man." Dave Mustaine
    18. Re:Filed by Ken Cuccinelli by Chyeld · · Score: 3, Insightful

      Unfortunately the two groups of crazies don't cover the full Venn diagram, it's more like they both challenge 25% of the same stuff, and an additional 25% of the stuff that just gores their own ox, and leave the remainder out there for folk to get screwed over because they both either believe that it's 'good' or that it's too 'dangerous' to attack.

      See: TSA, Patriot Act, anything that has to do with State Rights, 'protecting the children', or responsible sex education.

    19. Re:Filed by Ken Cuccinelli by Amouth · · Score: 5, Insightful

      i have issues with the "pre existing conditions" mainly the fact that some times you just can't afford health insurance.. aka where i work now i have coverage - and i have a condition.. if i was to be laid off then my only option would be cobra which is exceptionally expensive (prohibitively so) and hope that i can afford it (i can't) until i can find a job with insurance.. if there is even a day or less of lapse then they say "pre existing condition" and i can't get coverage for it.

      now in hind sight i didn't always need treatments - in fact for years i had coverage and never went to a doctor.. but now my meds cost more than my house (without insurance)..

      i know there is more than one problem here that needs to be solved.. and letting the industry "solve" it just won't happen. there is too much money in it for them to keep things broken.

      --
      '...if only "Jumping to a Conclusion" was an event in the Olympics.'
    20. Re:Filed by Ken Cuccinelli by Rob+the+Bold · · Score: 2

      I'm not saying he's right or wrong in this matter (the judge seemed to agree with him) but he's one of those guys and he's a state Attorney General for Virginia pushing his conservative agenda to a national level.

      Isn't that the exact definition of ad hominem?

      Although I'd consider it an attack if someone called me a "conservative," I doubt that Cuccinelli would. And I don't think that accusing someone of "pushing his agenda" is really and attack either. Who doesn't work to further what they believe in? Isn't any politician "one of those guys?" You're in politics for a reason, to advance your own cause, presumably because you think it's the right thing to do.

      I'd say this is only ad hominem in the most literal sense of the term, in that it's an observation/judgement about the man.

      --
      I am not a crackpot.
    21. Re:Filed by Ken Cuccinelli by russotto · · Score: 4, Informative

      If obscenity laws were blatantly unconstitutional then this is a problem we've had since the founding. Why did the same people who wrote and ratified the constitution ok with it, or at least decide not to overturn those laws?

      The First Amendment didn't originally apply to the states. "Congress shall make no law" and all of that.

      The Alien and Sedition Acts weren't enacted by a radical government out of touch with the principles of the Union, but by founding fathers. If they couldn't clearly see what was blatantly unconstitutional or not, why should modern citizens be better tuned in?

      The Alien and Sedition Acts were enacted by a radical government out of touch with the principles of the Union; that some of those in the government were also some of the founding fathers does not change that. It would hardly be the first (or last) time a revolutionary government quickly turned away from the principles it espoused during the revolution. The Sedition Act demonstrated Jefferson's point about the need for a Bill of Rights and was denounced as unconstitutional by Jefferson. Naturally, it was widely used against opposition press, though they didn't quite have the chutzpah to try to jail Jefferson himself..

    22. Re:Filed by Ken Cuccinelli by russotto · · Score: 3, Interesting

      I think if they can not get 6 justices to agree that some law is unconstitutional than they should leave it alone.

      I think if as many as 3 justices think a law is unconstitutional, it should be struck down.

    23. Re:Filed by Ken Cuccinelli by LifesABeach · · Score: 2

      I'm still working on how businesses inside and outside of the U.S. can throw in tonnes of money to influence elections, and the head screw of the judicial branch says, "ya, businesses are people too."

    24. Re:Filed by Ken Cuccinelli by Maxo-Texas · · Score: 2

      Reasonably well put for this particular argument. It doesn't mean it's not a fallacy to the proper argument form.

      I get your point, if anyone takes the lead, then everyone benefits.

      It's kind of a reverse "tragedy of the commons". It has a name too- and hard data showing that you are much more likely get help from one person than from a group- because in a group, everyone is waiting for someone else to go first.

      However, since it's very expensive to test these things, really you need to get a group of people to donate money so one person can lead the fight.

      For example, if I donate to wikileaks and no one else does, it goes down with $50 dollars worth of donations. Collective action is required tho only one person can lead the case, they need financial support of many. Same thing for supreme court cases.

      --
      She was like chocolate when she drank... semi-sweet at first and then increasingly bitter.
    25. Re:Filed by Ken Cuccinelli by gonzo67 · · Score: 2

      Actually, look at the various states where those same people were up in arms when SCOTUS ruled against those displays.

      As for Cuccinelli...you can judge a person for the company he keeps and the comments he makes:
      http://gayrights.change.org/blog/view/for_ken_cuccinelli_discrimination_is_funny

      As a heterosexual who happens to be a Hispanic but not a Christian, people like this concern me. And any politician that cozies up to Falwell and his Liberty U....definitely deserves careful watching.

      Add in the stuff found here http://americanloons.blogspot.com/2010/10/91-ken-cuccinelli.html (which gives links to his lunacy)...and we should be scared when he charges into court because HE thinks something is unconstitutional!

    26. Re:Filed by Ken Cuccinelli by mrsteveman1 · · Score: 3, Insightful

      This country (USA) needs to learn how to accept points of view that are different and find a common ground. This is why nothing gets done in Congress. No one can stop bickering and being intolernat long enough to do some damn work. That's not what we sent them there to do.

      Another nice thought, but one that doesn't work in practice when one side is accusing the other of being agents of the chinese government, or admirers of Stalin and Hitler.

    27. Re:Filed by Ken Cuccinelli by idontgno · · Score: 2

      It's kind of a reverse "tragedy of the commons". It has a name too- and hard data showing that you are much more likely get help from one person than from a group- because in a group, everyone is waiting for someone else to go first.

      Diffusion of responsibility

      --
      Welcome to the Panopticon. Used to be a prison, now it's your home.
    28. Re:Filed by Ken Cuccinelli by Man+On+Pink+Corner · · Score: 2

      The fact is that there's no shortage of "flaming crazies" on either side of the isle.

      The only reason children are led in school-sponsored group indoctrination, chanting "one nation, under God" every morning, is because there weren't enough flaming crazies in the 1950s to stop it.

      Something tells me your personal brand of flaming craziness is all for it, though. Amirite?

    29. Re:Filed by Ken Cuccinelli by StevenMaurer · · Score: 2

      You are completely wrong. It's pretty unfortunate for this comment to have been modded up to +5 based on that.

      Unlike tort law, the lack of a severability clause does not doom an entire piece of legislation. Courts give far more deference to statutory law than they do contracts. The normal rule is that partial invalidation is the required course.

      In other words, even if this opinion is upheld on appeal (which I would guess to be about a 40% chance), it is up to the courts to decide whether other pieces of the law are affected or not. And any attempt to invalidate the remaining parts of the legislation would be on increasingly shaky ground, themselves subject to even more-likely-to-succeed appeals.

    30. Re:Filed by Ken Cuccinelli by garyebickford · · Score: 2

      Forcing me to buy auto insurance

      Actually, that is something the Feds can not do (with the possible exception of over-the-road truckers). The Feds can not even set speed limits on federal highways - back in the 1970s they got around that to establish the 55MPH speed limit by threatening to pull federal highway funds from states that didn't toe the line. Same thing for most of the rest of your examples - those are all STATE, not Federal laws. Many federal policies and laws are based on the increasing abuse of the Commerce Clause since about 1927 (I'm too lazy to look up the specific instance, but it's a famous case. The first time since then that the SCOTUS has moved back toward the states on the Commerce Clause was a decision about six months ago, which I forget as well.

      This question is the basis of at least some of the suits that have been filed by numerous states, who are arguing that the feds do not have the right to impose various aspects of the plan on the states.

      --
      It's easier to be a result of the past, but more fun to be a cause of the future! http://www.spacefinancegroup.com/
    31. Re:Filed by Ken Cuccinelli by BitterOak · · Score: 3, Informative

      Except that by default, when a law is unconstitutional it is struck down in its entirety, to prevent such unintended consequences.

      If Congress doesn't want this to happen, they can include a severability clause that says 'hey, we don't mind if this part stands on its own.' But Congress didn't do that. If mandatory insurance falls, so does the entire bill.

      Actually, if you read the ruling, you'll see that he addressed the issue of severability and decided not to throw out the entire law, only the mandate part.

      --
      If I can be modded down for being a troll, can I be modded up for being an orc, or a balrog?
    32. Re:Filed by Ken Cuccinelli by Man+On+Pink+Corner · · Score: 2

      In short, I believe that Pledges of Allegiance make more sense in places like North Korea, where they shoot you for trying to leave. Why is it so unacceptable to let children make their own decisions about what pledges and oaths they will recite?

  2. Unconstitutional by mark72005 · · Score: 4, Insightful

    Too bad "unconstitutional" is only defined by which party has the bench packed at the Supreme Court, currently

    1. Re:Unconstitutional by Archangel+Michael · · Score: 3, Insightful

      The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.

      Either we have a Constitution, and it applies, or it does not. Can you tell me, exactly where in the Constitution, Congress has the authority to require people to spend any money on anything, save for taxes?

      If you clamor about the Commerce Clause I'll scream that Health Insurance is NOT interstate commerce, it is specifically NOT interstate. I can't buy health insurance from Nevada.

      But that is besides the point, you want universally bad health care for everyone, so Constitution be damned.

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    2. Re:Unconstitutional by Sponge+Bath · · Score: 4, Insightful

      ...you want universally bad health care for everyone

      No. The OP said nothing like that. Democrats said nothing like that. Nobody but you said anything like that. Claiming people who disagree with you are burning kittens and hate freedom is not an argument.

    3. Re:Unconstitutional by Moridineas · · Score: 3, Insightful

      Either we have a Constitution, and it applies, or it does not. Can you tell me, exactly where in the Constitution, Congress has the authority to require people to spend any money on anything, save for taxes?

      That would be (amongst others), Article I, Section:

      The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States;

      But that is besides the point, you want universally bad health care for everyone, so Constitution be damned.

      My problem with this -- what in the health care bill actually improve things? At the small business where I work, our health insurance costs look to be increasing by 20-30% for our next contract. That's even worse than the increases a few years ago! With regards to affordability, doctor supply, availability, quality -- I don't see how anything is improved. I tend towards the libertarian in general, but I would have rather had a full on single payer plan over what we got...seems to be the absolute worst of both worlds.

    4. Re:Unconstitutional by jcr · · Score: 2, Insightful

      I'm getting a lot of mod points these days, but regrettably I have none at the moment.

      Your point about the commerce clause is correct. If it meant that the federal government has the power to intervene in anything that is bought or sold, or not bought or sold, across state lines or even entirely on one's own property, than the rest of the constitution would be moot.

      I'd say it's about time we struck the commerce clause altogether, and replaced it with a simple prohibition of interstate tariffs or trade barriers.

      -jcr

      --
      The only title of honor that a tyrant can grant is "Enemy of the State."
    5. Re:Unconstitutional by ep32g79 · · Score: 4, Informative
      Wickard v. Filburn

      "... even if appellee's activity be local and though it may not be regarded as commerce, it may still, whatever its nature, be reached by Congress if it exerts a substantial economic effect on interstate commerce and this irrespective of whether such effect is what might at some earlier time have been defined as 'direct' or 'indirect.'"

      It does not matter if the commerce happens completely within the boundaries of the state, only so long as the activity has an effect on interstate commerce congress can legislate it.
      Now what constitutes effect, how much effect on interstate commerce is necessary for it to land under interstate commerce clause has been argued (see US v. Alfonso Lopez, Jr), But I would say that if arguing on the merits that health insurance does not fall under the interstate commerce clause will ultimately fail. This is why the states are raising contest under the requirement to purchase and not solely on the legislations merits of necessary and proper.

    6. Re:Unconstitutional by Moridineas · · Score: 2

      Relevance to the bill under consideration is what, precisely? Why didn't you negotiate a longer contract term when it was "20-30% less?"

      Shouldn't it be obvious? The insurance companies are going to pass all their greatly increased costs on to consumers. Right? I mean, why wouldn't they? You can find many examples of this. There ARE tax credits that will become active in several years that looks like they will offset some of the impact for us, and obviously like always large companies who can swing political impact can get exempted from the health care act all they want...

      I am not directly responsible for picking the plans, so it's possible there is some nuance here I'm missing, but my understanding is that regardless of plan or contract, costs can change (ie, go up) every year.

    7. Re:Unconstitutional by Arker · · Score: 2, Interesting

      The entire text of the Constitution, as well as the extensive extemporaneous evidence, SCREAMS that this was never intended to be interpreted in anything like this fashion. It's a sophomoric rationale that was invented with a nod and a wink to gut the Constitution then, and it's been used to that affect for decades. You may be right in that the federal judiciary at this point is far too corrupt to ever enforce the law, but that is a different issue entirely.

      --
      =-=-=-=-=-=-=-=-=-=-=-=-=-=-
      Friends don't let friends enable ecmascript.
    8. Re:Unconstitutional by NoSig · · Score: 5, Insightful

      Claiming people who disagree with you are burning kittens and hate freedom is not an argument.

      On the contrary, in politics it seems to be the only argument.

    9. Re:Unconstitutional by commodore64_love · · Score: 5, Informative

      >>>That would be (amongst others), Article I, Section [general welfare clause]

      The author of the Constitution disagrees with you, and being the author he would know better than anyone what he meant. "There is nothing more natural than to start with a general phrase, and then follow it with a qualifying phrase that narrows its focus to a list of particulars." - James Madison. A decade later he wrote: "To take them in a literal and unlimited sense would be a metamorphosis of the Constitution into a character which there is a host of proofs was not contemplated by its creators."

      In other words the Congress can only exercise the ENUMERATED powers underneath the general welfare clause, not everything under the sun. And if you have doubt of that, simply read amendment 10: "...powers not granted to the US are reserved to the States..." In other words the power to Require Hospital Insurance does not belong to the Congress. It belongs to the 50 State Legislatures.

      --
      "I disapprove of what you say, but I will defend to the death your right to say it." - historian Evelyn Beatrice Hall
    10. Re:Unconstitutional by DavidTC · · Score: 2

      As someone on the left, i entirely agree. This is one absurd scam from the start.

      What we should have done is, you know, had a public option that people could opt out of if they were insured some other way.

      But I love how the right is blaming the left for this. This idiocy is because insurance companies won't insure everyone, and drop people when they get sick.

      We had three options to get full coverage: a) remove all insurance, require everyone to pay taxes for a single payer system or just government provided health care, b) add a government-run insurance option of the last resort, aka, the public option, that people rejected by insurance companies could use, or c) require insurance companies to insure everyone, regardless of health.

      We picked c, and, as it was rightly pointed out, if you do c, insurance companies will only have sick people on the rolls...everyone will just wait until they are sick. So we required them all to buy insurance.

      If you didn't want this outcome, all you people on the right suddenly worried about the constitution, you should have picked one of the first two options. You forced us into the fucking stupid one.

      And now we've hilariously headed towards c without part that makes it works. Insurance companies will go bankrupt. Which is way, way, way too nice for them.

      --
      If corporations are people, aren't stockholders guilty of slavery?
    11. Re:Unconstitutional by bmo · · Score: 2

      you want universally bad health care for everyone

      You mean like the spectacularly bad cost/benefit ratio that we have in this country - that we pay *twice* as much as any other nation per capita and *still* come in just north of 40'th plac? (at last check it was 37'th, but that was last year. close enough)

      Please, tell me how fucking good it is here. Tell me how fucking good it was when my employer does the insurance company two-step every fucking year.

      Tell me how fucking good it is when I have to call up to find out if I'm covered out of network for something.

      We have death panels. They're called insurance companies.

      People like you have no fucking clue.

      --
      BMO

    12. Re:Unconstitutional by babblefrog · · Score: 3, Insightful

      That's the way it reads to me too, but that's not the way the courts have read it for longer than you and I have been alive. I don't see how they can strike down the health care bill without also striking down Social Security and Medicare and most of the rest of what the Federal government does, and that ain't gonna happen.

    13. Re:Unconstitutional by sjames · · Score: 2

      That's my big problem with it. I fully support healthcare, but certainly not the current plan. So far, healthcare in the U.S. has been a disaster and now we get a law that says if you can't afford it, we'll make it even harder for you to afford it and then insist you do anyway. I wonder how the insurance companies will deal with paying for the treatment of hypothermia brought on by people choosing between rent and mandatory insurance payments...

      Meanwhile we continue to maintain the delusion that healthcare can function as a market or that what we have now even resembles a market.

      Up next, of course, will be a challenge on religious grounds. Why would a Christian Scientist buy health insurance?

  3. Surprise move? by sunking2 · · Score: 5, Insightful

    Oh really? Anyone who at least didn't question the constitutionality of this really (regardless of where you end up standing) needs to get a clue.

    1. Re:Surprise move? by mark72005 · · Score: 3, Interesting

      You don't think it's reasonable to say every citizen must buy a particular product from a small set of private companies, or face onerous tax penalties (and jail time, if unpaid?)

    2. Re:Surprise move? by Hatta · · Score: 5, Insightful

      It's surprising when the constitutionality of *ANY* measure the federal government takes is called into question. If we really read the constitution, very, very little of what our government does is authorized. The real question is not whether this bill is unconstitutional, most laws are unconstitutional. The question is why does this law get questioned, when other laws that are just as clearly unconstitutional get a pass?

      --
      Give me Classic Slashdot or give me death!
    3. Re:Surprise move? by gurps_npc · · Score: 5, Insightful
      I don't question it. I have studied it thoroughly and am very well educated on the issue. You are entirely wrong, are acting emotional and objecting to soemthign becaue you dislike it and therefore are struggling to find SOME kind of insane argument about it being unconstitional. Nope. Sorry. Not everything you hate is unconstitional.

      The clause in question does NOT really criminalize failure to get insurance, it simply requires those that fail to buy a insurance to pay the government cash.

      Just as the government can put a tax on you doing something, they can put a tax on you not doing something. Just as the government can say "we give everyone that have children a tax reduction", that same government can say "We give everyone that buys health care, a tax reduction."

      The only problem here is a bunch of morons are too stupid to think their own argument through. They get caught up in words like 'require' but don't bother to look at what the law actually does.

      The fact that the government choose to use words that sound like they are criminalizing it does not affect the actual content of the law. The fact that you can't find anything at all actually wrong with the law forces you to concentrate on irrelavant crap.

      --
      excitingthingstodo.blogspot.com
    4. Re:Surprise move? by Courageous · · Score: 3, Insightful

      California. A State, not the Federal Government.

    5. Re:Surprise move? by hhallahh · · Score: 3, Informative

      Not every citizen in California is required to have auto insurance. Only those who want to drive.

    6. Re:Surprise move? by 99BottlesOfBeerInMyF · · Score: 2

      You don't think it's reasonable to say every citizen must buy a particular product from a small set of private companies

      You mean like buying the product (service really) of federal law enforcement? Or do you mean like a whole class of citizens being required to pay into a federally run healthcare system (like medicare)? Sure, healthcare reform is constitutional under a very broad interpretation of the commerce clause, but anything that would strike it down would apply equally to medicare.

      ...or face onerous tax penalties (and jail time, if unpaid?)

      This is a myth. There is no way at all to face jail time for not getting health insurance. You can be fined and you can have your wages garnished or assets seized to cover the cost, but there is no route from not buying healthcare to jail time unless you commit some other crime, like shooting at the tax collector. There was originally such a provision in the bill, but it was removed long before the bill passed as anyone who gets there news from anywhere other than Fox should know if they care even a little about this important topic.

    7. Re:Surprise move? by commodore64_love · · Score: 4, Insightful

      >>>The clause in question does NOT really criminalize failure to get insurance, it simply requires those that fail to buy a insurance to pay the government cash.

      Sounds like a fine to me. Where in the Constitution was Congress given power to interfere with INTRAstate commerce between Me and my Doctor or hospital? Answer: No where. Such interference is specifically limited to the STATE Legislature per amendment 10.

      If you still think your stance is reasonable, consider if the Congress started charging people $1000 extra per year if they failed to buy a solar roof. Or a Microsoft Operating System. Or a General Motors car. Or ..... Still think your stance is reasonable? Once the precedent is set (fines for failure to buy a product) then there's no limit to what the Congress can "nudge" us to buy.

      Anyway I hold to Jefferson and Madison's opinion that the US was meant to have a FEW enumerated powers, while most of the powers remained with the Member States. Just like the modern EU.

      --
      "I disapprove of what you say, but I will defend to the death your right to say it." - historian Evelyn Beatrice Hall
    8. Re:Surprise move? by DoofusOfDeath · · Score: 2, Insightful

      The clause in question does NOT really criminalize failure to get insurance, it simply requires those that fail to buy a insurance to pay the government cash.

      I think the distinction between unbounded taxation and compulsion can be a false one.

      For example, if the government taxes me at 100% because I don't (for example) want to wear pink pajamas, then I'll be unable to provide adequate care for my children, and they can be taken away. Or it could make me homeless, which coupled with anti-loitering laws could essentially banish me from a city for now wearing pink pajamas, and it could all be done using the tax code.

      So really, in the end, when the government can punish me with a ruinuos tax rate for doing something for which they can't throw me in prison, the distinction seems fairly moot.

    9. Re:Surprise move? by h4rr4r · · Score: 3, Insightful

      If you like living in a third world nation maybe. We would have no interstate highway, the Internet would never have been invented, and many places might still not even have electricity. Truly a wonderland, like Somalia.

    10. Re:Surprise move? by gurps_npc · · Score: 2
      The government is NOT interfering with your transaction. They raised your taxes, then gave certain people a tax break if you qualify. You choose NOT to qualify. They have not in any interfered in your transaction.

      As for charging people an extra $1,00 per year if they failed to buy a solar roof... THEY ALREADY DO THAT YOU!

      The fact that you are too stupid to tell the difference between raising everyone's taxes by $1,000 and then offering a $1,000 tax refund for buying a solar roof and instead just straight forwardly charging people $1,000 if they don't buy a solar roof tells me that you are MORE than stupid enough to buy this new Cadillac I just bought but can't afford the upkeep on.

      I promise it is in very good shape. It's a steal at only $2,000 (warning, you will have to continue paying the upkeep contract that I bought from my sister. I swear I got a very good deal - so I locked it in at only $1,000 a month for 10 years.)

      Your problem is not that you have misinterpreted Jefferson and Madison (although it sounds like you have done). Instead it is your clear inability to understand Math and Economics.

      The power to raise taxes combines with the power to offer people a tax break for doing something is EXACTLY identical to offering a tax penalty for not doing something. There is NO difference.

      Congress can raise taxes. They don't like doing this, because it costs them votes, but they have that power. No sane person would claim they don't have that power. Similarly, they have to power to create tax loopholes. They have been doing it practically since they were created. There is NO real difference - financially, ethically, or legally - between those two abilities and the power to create a tax penalty.

      --
      excitingthingstodo.blogspot.com
    11. Re:Surprise move? by fahrbot-bot · · Score: 2, Informative

      Driving is a privilege, not a right. No one has to drive.

      Although... Hospital ERs (at least in Virginia) are required to treat people regardless of their ability to pay. Payment gets worked out later. Expenses for those that cannot pay get shifted to the rest of us. So treatment is basically a right. With rights come responsibilities.

      Abolish the right to treatment and I'll go along with your argument.

      --
      It must have been something you assimilated. . . .
    12. Re:Surprise move? by HungryHobo · · Score: 5, Insightful

      What's depressing is that you guys seem to have ended up with the worst of all possible health systems.
      the expense, the inefficiency and the overall terribleness of a private system combined with the expense, the inefficiency and the overall terribleness of a public system.

      Avoiding the advantages of either and getting the disadvantages of both.

    13. Re:Surprise move? by danbert8 · · Score: 4, Insightful

      Umm actually, the Dwight D. Eisenhower National System of Interstate and Defense Highways disagrees with you, as it was built for military purposes and thus is well within the constitutional bounds of government. Also, it does facilitate and aid interstate commerce, while still being managed by the states.

      The internet? Again, developed for the military, and then expanded to allow for private use. And electricity was completely private and had no issues until the government forced a monopoly, and I think it should go back to being deregulated.

      --
      Yes it's an anecdote! Were you expecting original research in a Slashdot comment?
    14. Re:Surprise move? by skids · · Score: 4, Insightful

      Please. An argument could be made that it is absolutely essential to be able to drive in some areas to do important things things like, for example, eating.

      The whole reason it was passed in its current form was as a compromise to keep it a private system -- a compromise demanded by the very same people who now are
      trying to finagle this as a constitutional issue. Congress could have just increased taxes and had the government buy policies for everyone, or even supplied the health care directly rather than go trough a third party bean counting organization.

      This would be the equivalent of taxing you and then spending the money on making sure your food is safe to eat. Nobody seems to be challenging that on constitutional grounds.

      Most Americans (not just lefties) are sick and tired of these obstructionist tactics where Republicans try to poison everything that comes out of congress so they can take it to court later. But mostly they are sick and tired from heart disease, cancer, neurological disease, and diabetes. Taking this to the Supremes isn't going to help fix that at all.

    15. Re:Surprise move? by fahrbot-bot · · Score: 2

      I wouldn't have a problem dedicating a portion of my taxes to pay for this, as long as everyone else pays for it as well, regardless of whether they themselves have health insurance. I agree that the cost for this shouldn't be born by only those who have purchased insurance, but the solution is not to force others into the insurance system, it's to provide base single-payer insurance for everyone.

      Your statements contradict each other. So you'd be OK with requiring everyone to pay taxes to support health care, but not requiring everyone to purchase insurance? Think of the premiums as the tax. Problem solved.

      All that aside. I too, would rather support a single-payer system. We already have two in the US: Medicare for those 65+ and Tricare for those in the military. Medicare has the lowest overhead expense rate of all insurers - 2%. Even doubling that would be much lower than for private insurers. Heck, even all the old-folks in the Tea Party want to keep their Medicare. See this: Matt Taibbi on the Tea Party (How corporate interests and Republican insiders built the Tea Party monster.)

      --
      It must have been something you assimilated. . . .
    16. Re:Surprise move? by Danse · · Score: 5, Insightful

      No because I'm a Pro-Choice person and this is anti-choice. It's forcing me to buy a product I don't want. It's no choice.

      I can avoid the car insurance requirement by simply not driving, but there's no way for me to stop existing. I object to being forced to fall on my knees and suck Nationwide or Allstate or any other Corporation's phallus ("oh please sell my insurance & rape my wallet of $5000 Mr. CEO, else government will fine me"), especially in a country that is supposedly "free" and "celebrates liberty". That is not liberty. That is being demoted to a Serf (someone else runs your life and you are just a puppet).

      Okay maybe I went a little overboard there. But hopefully it made you think. This requirement is nothing more than Corporate Welfare giving them guaranteed sales to 110 million homes. (I thought Democrats were against that?)

      No, it's forcing you to pay a tax, something the government does for all sorts of reasons. In this case it's to ensure that everyone has health care coverage. You can avoid paying this tax by purchasing health care coverage for yourself. Object to the tax if you like, but someone has to pay for covering health care costs, and unless we're going to start turning people away from emergency care (the most expensive kind of care there is), that someone is government, via taxes. Personally, I think a single-payer system would be more efficient and serve us better, but the Republicans managed to shoot that down before we even got started, so now we end up with a system that benefits the insurance companies more than anyone else really. Sadly it's still better than what we have now, and I haven't heard of a better solution from the Republicans yet.

      --
      It's not enough to bash in heads, you've got to bash in minds. - Captain Hammer
    17. Re:Surprise move? by DavidTC · · Score: 4, Insightful

      The whole reason it was passed in its current form was as a compromise to keep it a private system -- a compromise demanded by the very same people who now are trying to finagle this as a constitutional issue. Congress could have just increased taxes and had the government buy policies for everyone, or even supplied the health care directly rather than go trough a third party bean counting organization.

      This.

      As I said elsewhere, there are only three ways to make everyone have health insurance(1):

      a) Remove all insurance companies, have only a government run plan, aka, single payer. Republicans killed it.
      b) Have a public option that covers people who insurance companies won't insure (Like, oh, me.) Republicans killed it.
      c) Require insurance companies to insure everyone, even people with pre-existing conditions. Which, as would rightly pointed out, destroy insurance companies as people would wait until they were sick to get insurance...so we required everyone to have insurance.

      There were no other solution to 'insure people insurance companies will not insure'. None. No one has any other solutions, and Republicans killed two of the three. They don't get to bitch about the third.

      Well, okay, they're allowed to bitch if their bitching removes the one thing keeping insurance companies from being destroyed...then I'll be right alongside them, pretending to be a tea party member, complaining about how we have to buy insurance and that part of the law needs repealing. And I'll stand there and watch their judges strike down that part of the law, and cheer that on also.

      And then I will watch insurance companies burn.

      Mwuhahahaha.

      1) Which we've decided to do for some reason, when the actual problem is people need health care. But our national debate has gotten so fucked up we can't even talk about that.

      --
      If corporations are people, aren't stockholders guilty of slavery?
    18. Re:Surprise move? by opinionbot · · Score: 2

      The electricity was also initially private in the UK... and was a complete mess. Different providers pushed different voltages, plugs etc. all completely incompatible. It was not until a mass government programme to create the national grid that this was fixed. Sometimes standardisation by diktat is a necessary thing, even if makes people uncomfortable.

    19. Re:Surprise move? by ArsonSmith · · Score: 2

      Godwin time...

      1940 German citizen, "Hitler, it's time to reduce the size and scope of government, rounding people up and slaughtering them is overstepping government bounds."
      Hitler, "What you don't like roads?"

      --
      Paying taxes to buy civilization is like paying a hooker to buy love.
    20. Re:Surprise move? by jayveekay · · Score: 2

      The Veterans Administration runs a health care system too. Your post made me wonder if the US military had invented a health care model that was more efficient than either the private insurance system or medicare?

    21. Re:Surprise move? by Anonymous Coward · · Score: 2, Interesting

      And for the next World War we need all possible Americans to be in top physical condition which means they must have healthcare...

    22. Re:Surprise move? by DavidTC · · Score: 5, Insightful

      There are two kinds of people in this country: Those who are happy with their insurance, and those who have had a major sickness.

      As you are in the former, I suggest you locate someone in the latter and actually talk to them.

      And while you probably missed it, there's actually a third group who can't get insurance at all, of which I'm a member of.

      And before you start with some slander about how I didn't try to buy insurance until I was sick, or don't 'exercise', which you apparently think is all you need to make you healthy, I will point I was born with my condition, and the second my mother's insurance company was able to drop me, they did, and I have been unable to buy insurance since.

      And, while I'm at it, I will point out that I have no medical debts at all, and am freeloading in no way...in fact, you guys with insurance are freeloading off me, because I'm paying three times as much for medical services as your insurance companies have 'negotiated' with health care providers.

      That is the system you don't want to change. The one in which you're fine...if you're healthy.

      --
      If corporations are people, aren't stockholders guilty of slavery?
    23. Re:Surprise move? by DavidTC · · Score: 4, Informative

      The fact is, and I'm clearly speaking from experience, Obamacare is bad for EVERYONE.

      Except for me, who can now (Well, as of 2013) purchase insurance when I could not before because they wouldn't sell it to me.

      I love how people just keep making blanket statement about how no one is better off, despite the fact that I repeatedly say that I am.

      And, um, incidentally, Obamacare hasn't gone into effect yet.

      If your insurance company is claiming that's why premiums went up, they are lying. They do not have to change their behavior and allow people with pre-existing conditions until 2013.

      --
      If corporations are people, aren't stockholders guilty of slavery?
    24. Re:Surprise move? by JumpDrive · · Score: 2

      I know it's hard to believe , but your insurance company lied to you, they lied to me too.
      They jacked up the premiums saying they had to because of Obamacare, when in reality nothing had changed. Obamacare hasn't taken effect.

      This reminds me of how the insurance companies came here to Texas and said that Lawyers and lawsuits were driving up insurance and forcing doctors to quit. Well they passed laws here limiting the amount that doctors could be sued for. Did insurance rates go down immediately? No.
      Insurance companies made a shitload of money though.

    25. Re:Surprise move? by nahdude812 · · Score: 2

      Because this is a tax on being alive, the failure of paying is being sent to jail.

      The democrats wanted a public option to cover this, but the Republicans refused (in one of their many, "If you move a step forward, I'll move a step," only it was backwards).

      The reason why you have to have every citizen covered is that this is the only way to prevent abuses of the clauses which state that an insurance company cannot refuse to cover you for a pre-existing condition.

      Otherwise you can float along in life with no significant health insurance, then if you develop a chronic or otherwise extremely expensive condition, purchase health insurance only at that time. Insurance only works when the total cost of insurance is greater than or equal to the total outlay by the insurance company. If people can game the numbers this way, the whole idea of insurance falls apart.

      This leaves only three choices:
      1) A public option - so that pre-existing conditions can be covered by the government when all else fails
      2) Requiring everyone to have insurance - so that you can't game the system
      3) Eliminate the requisite coverage of pre-existing conditions

      #3 is the worst one, pre-existing conditions make people a slave to their job if they have a chronic condition; they can never change insurance coverage or they lose their coverage.

      #2 is better but not great, for reasons you obviously get.

      #1 is the best choice, but oh no, it sounds like "socialism," and that's practically communism, and then we might as well be Russian, and those guys were going to nuke us... commie bastards.

  4. How can this possibly be surprising? by Agent__Smith · · Score: 2, Insightful

    How can it possibly be constitutional to force someone sitting at home who has no insurance to leave that home, to forcibly purchase anything? It is like forcing a license to live.

    While I think it foolish not to purchase said insurance if possible, I cannot see anyway to legally compel this action by force.

    --
    "It seems that we are at the age where life stops giving us things, and starts taking them away..." Indiana Jones
    1. Re:How can this possibly be surprising? by Hatta · · Score: 5, Insightful

      The same way it's possible to force him to pay for roads he doesn't use, police he doesn't need, or libraries he doesn't want. It's like people never heard of taxes before.

      As for the Commerce Clause, yes it's been mutilated in the past century. I'd be in favor of rolling back those abuses. But as long as the courts hold that Cannabis grown for personal medical use in ones own home can be considered interstate commerce this challenge doesn't have a chance.

      Where the hell were all of you limited government people 5 years ago?

      --
      Give me Classic Slashdot or give me death!
  5. This wouldn't be a problem with single payer. by Anonymous Coward · · Score: 4, Insightful

    The odd aspect of the current plan is that you can be compelled by law, just by dint of being a citizen, to purchase a product from a private company.

    If it was an across-the-board tax for across-the-board health coverage it'd clearly be constitutional. But for some reason we have to keep cutting in a for-profit industry that adds no real value to the process and pretend that's better than having the government pool the cash and disburse it as necessary to doctors.

    They actually found a worse solution than socialism to the problem.

    1. Re:This wouldn't be a problem with single payer. by donny77 · · Score: 2

      Moderate democrats would not go for it. ZERO republicans voted for the current bill.

  6. Wow by 0racle · · Score: 2, Insightful

    Only in the US is healthcare a privilege instead of a human right. That so many in a 'civilized' country are opposed to universal healthcare should make people wonder if the term 'civilized' is appropriate at all.

    --
    "I use a Mac because I'm just better than you are."
    1. Re:Wow by jedidiah · · Score: 3, Informative

      Healthcare is not a personal liberty, it's someone else's goods and services.

      Talk about piracy...

      --
      A Pirate and a Puritan look the same on a balance sheet.
    2. Re:Wow by Beelzebud · · Score: 2

      The Emergency Room isn't the best way to provide health care to all, and under "Obamacare" (which was called RomneyCare back when the Republicans loved this style of plan) you can still go to the emergency room if you need it.

    3. Re:Wow by dkleinsc · · Score: 2

      Before Obamacare you could get medical assistance with having a baby or if your life is endangered regardless if you are a citizen or not.

      I take it you mean that in an emergency you can go to the ER. There are at least 2 major problems with that:
      1. The ER is the #1 most expensive way to treat patients. If the cost isn't paid by the patient, it's going to get paid by everybody else via higher prices. For instance, a typical ER visit is in the range of $300-$500. A typical office visit is closer to $150 to $200.

      2. If you do need to get treatment for life-threatening issues, it could well cost you not only everything you own, but everything you'd possibly be able to save after you recover. You'll be alive, but you and your family will be impoverished more-or-less permanently.

      --
      I am officially gone from /. Long live http://www.soylentnews.com/
    4. Re:Wow by Wyatt+Earp · · Score: 2

      And I don't want to pay for roads leading up to the home of redneck racists who fly Confederate Flags, nor provide for their common defense.

      However I live in the goddamned United States of America and the preamble to the Constitution says...

      "We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America."

      What part of "common" and "general" don't you understand?

    5. Re:Wow by Wyatt+Earp · · Score: 2

      Constitution says stuff about promoting the general welfare, so maybe that includes health care?

    6. Re:Wow by h4rr4r · · Score: 2, Insightful

      So what about roads?
      Police service? Fire Dept?

      All of those are someones goods and services.

    7. Re:Wow by Archangel+Michael · · Score: 2, Insightful

      Please define what a "human right" is, in terms that can be applied to anyone that is stranded on an island all by themselves.

      My point, a RIGHT cannot be SECURED by the TAKING from one, and GIVING to another. Rights are SELF evident, meaning they don't require anything from anyone else.

      If, however, you believe that a RIGHT can be secured by the TAKING from another, then I suggest that you lock your kidneys up, because someone's right to LIFE might require them to TAKE your kidney, regardless of how you feel about it. If you can demand of me to give to another to secure a "right", then society has the same ability to do the same thing to you in ways that is most unpleasant.

      Somehow, I doubt you'll understand the basic concept here because you want something (thing) you don't have, and are willing to use government to give it to you. Health care is a THING, not a right. It cost money to produce, people to work for it, technology and skills to enhance it.

      We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    8. Re:Wow by Attila+Dimedici · · Score: 2

      So, you have a right to healthcare, that's great. I guess in you country the government drafts people to become doctors and nurses and those people are required to treat everyone who comes through the door. And other people are drafted to become medical researchers and whatever good things they discovered are made available to everyone at no cost. Of course these people have to do something else, as well, in order to feed and clothe themselves, since healthcare is a right.

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    9. Re:Wow by dkleinsc · · Score: 2

      Nobody goes to the ER for a minor issue that takes a few minutes of work and 15 minutes of discussion to clear up.

      Actually, yes, sometimes they do. If your only source of medical care is the ER, and you have a sore wrist, you go to the ER. Is it stupid? You betcha. But that doesn't stop them from doing it.

      The real issue is the total cost of medical care period. It doesn't matter how it's delivered.

      Did I not just point out that ER visits are at least twice as expensive as doctor office visits? That was exactly point 1.

      --
      I am officially gone from /. Long live http://www.soylentnews.com/
    10. Re:Wow by kqs · · Score: 2

      Yeah, I feel really bad for those slave doctors in Europe where health care is considered a right. Chained to their operating tables, barely making enough to feed their families...

      In fact, even in the US, emergency rooms must provide health care to anyone regardless of their ability to pay. Yes, that's right, the US considers emergency health care a right!

      I suggest you move to a capitalist paradise like Somalia, where you'll never have the government trying to take your hard-earned money to help your fellow citizens. And perhaps you shouldn't use words like "slavery" without knowing what they mean.

    11. Re:Wow by SETIGuy · · Score: 3, Funny

      You are REALLY good at CAPITALIZING random words in YOUR posts.

    12. Re:Wow by compro01 · · Score: 2

      A military for common defense is a THING, not a right. It cost money to produce, people to work for it, technology and skills to enhance it.
      Roads are a THING, not a right. They cost money to produce, people to work for them, technology and skills to enhance them.

      Yet the constitution you're waving around mentions explicitly both of these as things that can be secured by taking from others, in the form of taxes.

      You don't seem to understand the basic concept either and insist on screaming incoherently about people taking your kidneys.

      --
      upon the advice of my lawyer, i have no sig at this time
    13. Re:Wow by rainierburger · · Score: 2

      Rights are SELF evident, meaning they don't require anything from anyone else.

      That phrase, I don't think it means what you think it means.

  7. Re:Could someone kindly explain by Anonymous Coward · · Score: 4, Insightful

    Long story short: it starts in the corporate boardroom, and ends in a room full of senators on a pile of hookers and blow.

  8. Before you pat yourself on the back... by damn_registrars · · Score: 4, Insightful

    ...ask yourself who this is actually a victory for. After all, this was only a ruling against a part of the law, not the entire thing. And this was really the part that was the biggest corporate hand-out of the bill - had a real liberal written it we would have seen a single-payer option instead of forcing people to give more money to large corporations.

    So in other words, if this part goes, and the rest stays, what are we left with? A bunch of smaller corporate hand-outs that don't fix much of anything in a horrendously broken system. Most people will still have the shitty insurance they already have, and they will see their costs continue to rise the same way that they would have if nothing at all had happened.

    So whether it goes away - in part or in entirety - or not, we still have a crappy broken system. Maybe, just maybe - if we are really truly fortunate - this will motive our politicians to actually write a bill that addresses some of the existing problems and then hold an honest discussion on that.

    But I suspect at this rate I (and anyone currently reading this) will be dead before that happens in the US.

    --
    Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    1. Re:Before you pat yourself on the back... by jfruhlinger · · Score: 4, Insightful

      Call it a "corporate handout" if you want, but the logic behind it is this: you can't require private insurers to accept new customers with pre-existing conditions (which the health reform does -- and this is probably its most popular provision) without requiring everyone to buy health insurance. Otherwise, people would just stay uninsured until they got sick, and the whole health insurance industry would collapse. Essentially, this is the only way that you can get a system with universal coverage that is entirely based on private insurance.

      If this provision doesn't hold, you may get your single payer coverage sooner than you think.

    2. Re:Before you pat yourself on the back... by betterunixthanunix · · Score: 4, Insightful

      Essentially, this is the only way that you can get a system with universal coverage that is entirely based on private insurance.

      Which is precisely the problem here: we do not have a public option. The public option would have represented actual progress on getting universal coverage, and we did not pass it. Instead, we decided to pass yet another bill that enriches large corporations, rather than a bill that would have actually benefited America. This provision should never have even been discussed because it only makes sense if the interests of private insurance companies are a priority.

      --
      Palm trees and 8
  9. Re:Could someone kindly explain by bky1701 · · Score: 2

    The house essentially creates the law, and must pass it. It then goes to the senate which can revise it. In practice these tend to go on at the same time. Once it passes the house and the senate, the president can pass or veto it (veto only makes it require a larger margin).

    In the US (and other common law countries) laws can be ruled unconstitutional by the judiciary. Should a law be challenged and get high enough, it can essentially be repealed by the supreme court.

  10. Re:Flamebait by Moridineas · · Score: 4, Insightful

    I think the only part of the story that is flamebait is the editorial statement "In a surprise move."

    This is NOT a surprise move. The individual mandate has been widely debated by academics and lawyers with many dissenting viewpoints. It was pretty much inevitable that at some point a portion of the bill (and most likely the individual mandate) would end up in front of a judge who didn't find it licit, and that it would end up in front of the supreme court.

    I would bet anything that President Obama and and most of the people behind the health care bill were certain that it would at some point be reviewed by SCOTUS.

  11. Conservatives to start... by greg_barton · · Score: 4, Funny

    .complaining about activist judges in 3...2... ...no? Really?

    1. Re:Conservatives to start... by Alaska+Jack · · Score: 2

      I don't understand why people continue to trot out this old trope.

      The question is: Is the judge determining, as best he can, whether the constitution grants the government the power to do a specific action; or is he simply substituting his *own personal policy preferences.*

      Simply the fact that he is striking down a law doesn't mean anything. That's part of a judge's job.

          - AJ

  12. Re:Could someone kindly explain by LMacG · · Score: 4, Informative

    At a very rudimentary level . . . A bill can be introduced in either the Senate or the House of Representatives. After being passed in one, it must then be passed by the other before it is sent to the President, who can sign the bill into law or veto it. If one chamber has added amendments that the other didn't, or if the two chambers have passed bills that are similar but not exactly the same, then the differences must be worked out by a conference committee and the compromise bill re-passed before it can be signed.

    Any law can be challenged as being unconstitutional - you just need somebody with standing to file the appropriate suit in the appropriate court.

    The judge is not "messing with the law", he is making a judgment on whether or not it violates the Constitution.

    --
    Slightly disreputable, albeit gregarious
  13. Partisan politics sucks. by Beelzebud · · Score: 5, Insightful

    Anyone with a memory better than a gold fish can laugh with me as I recall that insurance mandates were originally the Republican plan. Republicans loved the idea of a mandate, and Democrats hated it.

    Now? The Democrats folded like a cheap suit, gave the Republicans what they had been calling for for 15 years, and suddenly the Republicans hate the idea of a mandate.

    1. Re:Partisan politics sucks. by hhallahh · · Score: 2

      This might come as a shock to you, but the Republicans who promoted an individual mandate in the 90s (think-tank types, mostly) and the Republicans who sympathize with this lawsuit may not, in fact, be the same set of Republicans. Yes, there is probably a large amount of politically-convenient hypocrisy here, but I suspect that most people who oppose the individual mandate in 2010 also would have opposed it in 1994.

    2. Re:Partisan politics sucks. by Insightfill · · Score: 2

      Now? The Democrats folded like a cheap suit, gave the Republicans what they had been calling for for 15 years, and suddenly the Republicans hate the idea of a mandate.

      To be accurate, the Republicans are voting in whatever way makes the current administration look the worst, or lines their (friends') pockets the best. There were well over 100 Republican-sponsored amendments to this health-care plan, many of which were then railed against by the Republicans and their supporters. The "Death Panels", for example, started as a simple Republican-sponsored plan where a person could consult with a doctor for end-of-life planning and have it covered. Within a few weeks it was vilified by the very party that proposed it.

    3. Re:Partisan politics sucks. by Fallingcow · · Score: 2

      Boston Globe

      Kansas Matters (w/ large AP story)

      Fox News (appears to be the same as first, from the AP)

      Huffinton Post

      NYTimes (Economix blog)

      allmilitary.com (Miami Herald article)

      Another good one

      A great one, a 1993 article from Reason

      Orrin Hatch

      This is from the first couple pages of the first two Google searches I tried. Not fucking hard to find.

      Do you want to do carbon credits next? That one should be even easier.

  14. Re:Could someone kindly explain by Wyatt+Earp · · Score: 2

    The US has three equal branches of government at State and Federal level. At the Federal level they'd be Executive (President), Legislative (Congress - House and Senate) and Judicial (Federal Courts, Appeals Courts other misc courts and the United States Supreme Court).

    The two houses of Congress have to agree on a bill, the President can sign or veto. Then its a law. However a challenge or appeal can be filed, which is happening in 19 or states, this case is the second or third one of these challenges and is the first one upheld by a Federal Court.

    Now this will go to a Federal Appeals Court and may end up at the United States Supreme Court, if the courts rule this is unconstitutional then it's no longer a law. They won't be able to pass the same bill as a law because that too would be unconstitutional.

    Judges have always had this power in the United States, its not a new thing.

  15. Re:Great Job, Republican Judge by mark72005 · · Score: 4, Funny

    We passed "meaningful" health care reform? Was there a replacement bill passed recently that was not publicized?

  16. Re:When was the last time our government by oodaloop · · Score: 5, Funny

    All right ... all right ... but apart from better sanitation and medicine and education and irrigation and public health and roads and a freshwater system and baths and public order ... what have the Romans ever done for us?

    --
    Tic-Tac-Toe, Global Thermonuclear War, and relationships all have the same winning move.
  17. Already lost my hope for sanity in the U.S. by fadir · · Score: 2

    Next they probably rule that being poor is unconstitutional because you cannot buy enough stuff and therefore damage the economy which seems to be the only important factor in the U.S.

    Meanwhile I realized that the difference between Obama as president and McCain is probably not much more than the color of their skin. They are both spineless idiots that just follow the way that money leads them. I guess the only way to go for you guys is further down the same road that you apparently chose as the only truth: money, money, money. Will be interesting to see where that will lead you to. I presume civil war at some point when the gap between the rich and the poor has reach a level where the masses won't shut up anymore and even tanks and armed forces will be the lesser evil compared to poverty and the lack of a proper future.

  18. Re:But I have to have auto insurance... by larry+bagina · · Score: 2

    They can't force you to have auto insurance. They can't force you to buy a car.

    --
    Do you even lift?

    These aren't the 'roids you're looking for.

  19. Re:But I have to have auto insurance... by svendsen · · Score: 2

    Federal Government doesn't force you to have auto insurance if you have a car. The state governments say if you want to drive your car on the public roads then you have to have insurance. I know lots of people with a) no cars and b) vehicles never taken on public roads (think real rural areas on massive amount of private land) who don't have auto insurance.

    This law basically says you have to have health insurance. Period. Big difference.

  20. This happened because of taxaphobia by istartedi · · Score: 5, Interesting

    If he had simply put a tax increase in the bill to pay for it, it would be totally constitutional. That was not possible from a political PoV, so they came up with the individual mandate.

    IMHO, the fatal flaw with the bill is that it doesn't (as a first step) try the low-cost solutions to fixing our system:

    1. Abolish the anti-trust exemptions for health insurers. Yes. You heard me. I bet you didn't even know that so-called "progressives" are so ready, willing and able to ignore one of the key ideas of the original Progressive Era, circa 1900.

    2. Price transparency. In most states you can't even check to see if you're being ripped off because price lists are secret!

    3. Eliminate provider networks. All insurers must pay the same rates from all providers, and must accept claims from any licensed practitioner.

    4. Uniform, standard billing codes.

    2, 3 and 4 would combine to reveal the regime in ways heretofore unseen, a veritable Wikileak of our current healthcare insanity. It would also help to eliminate over-billing of our current government programs.

    None of these very low cost alternatives got on the table. Instead, not only were the inneficient inscos not punished, they were actually rewarded with the individual mandate! It's just another example of how powerful interests have bought government.

    --
    For all intensive purposes, "whom" is no longer a word. That begs the question, "who cares"?
    1. Re:This happened because of taxaphobia by FriendlyPrimate · · Score: 3, Interesting

      If he had simply put a tax increase in the bill to pay for it, it would be totally constitutional. That was not possible from a political PoV, so they came up with the individual mandate.

      IMHO, the fatal flaw with the bill is that it doesn't (as a first step) try the low-cost solutions to fixing our system:

      1. Abolish the anti-trust exemptions for health insurers. Yes. You heard me. I bet you didn't even know that so-called "progressives" are so ready, willing and able to ignore one of the key ideas of the original Progressive Era, circa 1900.

      2. Price transparency. In most states you can't even check to see if you're being ripped off because price lists are secret!

      3. Eliminate provider networks. All insurers must pay the same rates from all providers, and must accept claims from any licensed practitioner.

      4. Uniform, standard billing codes.

      2, 3 and 4 would combine to reveal the regime in ways heretofore unseen, a veritable Wikileak of our current healthcare insanity. It would also help to eliminate over-billing of our current government programs.

      None of these very low cost alternatives got on the table. Instead, not only were the inneficient inscos not punished, they were actually rewarded with the individual mandate! It's just another example of how powerful interests have bought government.

      Wow....absolutely great post!

      I'll add to #2. IMHO, one of the reasons why healthcare costs so much is because the costs are hidden. Doctors should be required to tell you how much something is going to cost BEFORE ordering a test, prescribing something, etc... They should even be required to tell you how much a doctor's visit is going to cost when you make your appointment. Make the costs as visible as possible, and let us decide if it's worth it. If a cancer treatment costs $100,000 per year, and only has a slim chance of extending our life, tell us that and let us decide. There should be none of this "well figure out how to bill you later". And you get multiple bills in the mail, so you're never even sure you've paid the entire balance because something else could come next week. No other industry operates like this. Imagine if every time you took your car to be fixed, you weren't told how much it was going to cost. Instead, you'd only find out how much it cost after the bills for the service stopped coming in the mail at some point in the future.

    2. Re:This happened because of taxaphobia by winwar · · Score: 2

      "2. Price transparency. In most states you can't even check to see if you're being ripped off because price lists are secret!"

      That would be nice. If I take my car in for service, the shop is required to provide me with a quote. They are required to follow certain rules in regard to that quote. I wish that medical services had the same rules.

  21. Let's bring everyone on the same page by circletimessquare · · Score: 5, Insightful

    There's a lot of FUD out there about health insurance. So here's the facts:

    Country A: Health insurance is optional. So only the sick get health insurance. Their premiums are high, because they use their health insurance a lot. The young and uninsured meanwhile, a few of them need to go to the hospital too (broken arms, etc.: anyone can have a health emergency, even the very healthy). However, since the young and uninsured are usually poor, they can't afford the bills. They avoid them. Or declare bankruptcy. The hospital passes the unpaid bills onto the state and feds, and your tax dollars pay to keep the hospital from going bankrupt. Since no self-respecting society can turn away the sick, this already is universal healthcare, just paid for in the stupidest most expensive way possible. As well as destroying young people's credit and encouraging them to freeload and act irresponsibly.

    Country B: Health insurance is mandatory. So everyone pays premiums. The premiums are low, because only a small percentage of the insured population actually use the insurance. The young need insurance because they can get sick too, and no, it is not wrong to be using some of the money of the young to treat the older and sick. This is called morality in most societies: you care for the elderly and sick in your society. Only in an immoral society are you encouraged to not care for your elders and your weak.

    So why is the USA stuck in Country A status? Because insurance companies are making money hand over fist in the broken system, and don't want to lose their profits. They pay for FUD propaganda about government death panels, massive expense increases, etc., the naive and foolish believe the FUD, and the naive and foolish wind up supporting a system that hurts their health.

    And then there is the criticism of quality of healthcare between country A and country B. And it is true: crisis care in country A is superior to crisis care in country B. Why? Because crisis care, like heart attacks, is expensive, therefore generating revenues. See, country A is all about making money, not taking care of your health. Meanwhile, country B actually delivers a genuine higher quality healthcare, at a lower cost, because the emphasis is on preventative care: making sure you get screened, diagnosed, and put on a diet/ pills so you don't even get that heart attack in the first place... but that approach doesn't make as much money, see? It has to be about making money, not taking care of you?

    Look: car insurance is mandatory in the USA. If you understand the logic behind that, you understand why health insurance should be mandatory, and not some evil socialist plot to destroy America, blah blah blah, FUD and propaganda paid for by health corporations.

    --
    intellectual property law is philosophically incoherent. it is your moral duty to ignore it or sabotage it
    1. Re:Let's bring everyone on the same page by emacs_abuser · · Score: 3, Interesting

      You hit the nail on the head.

      The judge is an idiot.

      He's in a country where the hospitals are REQUIRED to treat the sick, regardless of their insurance status.

      A law requiring insurance is only logical, and fair.

    2. Re:Let's bring everyone on the same page by Arker · · Score: 2

      Having lived under both systems I dont think you are too far off, as far as you go, although there are salient disadvantages to to your B system you dont mention, they dont change the equation so radically as to make what you write garbage.

      However like everyone else you insist on ignoring the possibility of a system C, a free-market in health care. This is a "non-starter" politically because no wealthy PACs would get a free ride on it, of course, so I understand why they dont want to talk about it, but for us little people it would be a far better option than your false dillema of current-US-fascist system vs. current-EU-socialist system.

      Also, car insurance is not mandatory in the US. Lots of us dont have it.

      --
      =-=-=-=-=-=-=-=-=-=-=-=-=-=-
      Friends don't let friends enable ecmascript.
    3. Re:Let's bring everyone on the same page by Attila+Dimedici · · Score: 2

      The problem is that in neither Country A nor Country B is what you are talking about actually insurance. What you are talking about is a program whereby when you need medical care, someone else pays the cost. That someone else is everybody else, so basically, you are reccommending a program whereby all medical costs are shared out among the whole population. Of course this is the source of most of the problems with healthcare in the U.S., the end user has no incentive to control costs because either A: someone else is paying for it by pre-arrangement or B: someone else will end up paying for it because the user doesn't have the means to pay for it.

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    4. Re:Let's bring everyone on the same page by Bryan+Ischo · · Score: 2

      I lived in New Zealand for two years and my wife was a doctor in a hospital there (my son was born there - Waikato Hospital in Hamilton). I can say without any reservation that the sytem there was far and away better than the health care system of the USA. It's true that it wasn't quite as 'polished', but as you point out, this polish is paid for by users and exists only because polish helps sell the product. What it was, was more humane and more reasonable. My wife, as a doctor, was able to focus on patient needs instead of fighting insurance companies and she LOVED IT. She literally hates working here in the USA, and I feel really badly about that, and sometimes think that we should have stayed in New Zealand (however, you'll find if you ever live there that it's REALLY FAR from your friends and family in the USA; which for some people maybe is a benefit, but wasn't for us).

      I thought it was really interesting that all medical accidents, whatever the reason, and for all people, regardless of whether they are a citizen or visitor, are completely covered by their health care system. So if you are travelling in New Zealand and fall and break your arm - no problem, it's covered by the government. Which really means, it's covered by the people of New Zealand who realize that it is the most civilized way to treat themselves and those visiting them from overseas.

      What my wife and I concluded after living in their system for 2+ years was that, while it is not perfect, it is just tremendously better in just about every way than the USA health care system. It's true that NZ pay slightly higher taxes than the USA does (although when you add up the various taxes in the USA at the local, state, and federal level, there really isn't a tremendous difference with the NZ single national tax), but what they GET for their money is so much more worthwhile, such as: a working national health care system; free child development services (Plunket); and reasonable and fair retirement, among other things. Oh and when tax time comes around, they'll call you on the phone to see if you need help doing your taxes (which you won't, because their tax forms are ridiculously simple compared to those in the USA).

      Unfortunately, political discussion in the USA is so ruled by hysteria and partisanship that no good public policy will ever occur here; it is simply impossible for the system of government that we have in the USA to effectively and fairly govern its citizenship anymore. The USA is on its way down, and it will not recover. Mark my words. I wish it weren't true, but it is.

    5. Re:Let's bring everyone on the same page by Bryan+Ischo · · Score: 3, Interesting

      "the reason why the medical system is broken in the USA is because of the terribly unhealthy advice we give for diet from the USDA"

      False. I lived in New Zealand, where the obesity rates are comparable (maybe slightly less but not much so) than in the USA. Their national health care system worked just fine in these circumstances. It's true that the average cost to everyone was certainly higher because of people's poor personal health choices; but the costs were still reasonable.

      Let me tell you the few things that were markedly different between the way things worked there and the way they work here (in the USA):

      1. In New Zealand, the doctors focus on patient needs rather than on fights with insurance companies. My wife is a doctor and while working in New Zealand she spent 100% of her day with patients (well, as close as 100% as is possible in any job). Here in the USA she spends a *considerable* chunk of her time every day fighting with insurance companies (directly on the phone, or by proxy via stupid policies that she has to adhere to). This is a *cost* to the system because doctors are being paid a certain percentage of their very expensive time in the USA to deal with stuff that shouldn't even be a question, or at least wouldn't be in a national health care system.

      2. Doctors are respected in New Zealand and are treated with respect, much more so than in the USA. There are probably lots of reasons for this, but I think that part of it is expectation that people in the USA have that doctors should do whatever they want them to because they (the patient) are *paying* for the services (via their insurance costs). Doctors are happier and more effective when there is some respect for their knowledge and skill; it's easier to treat patients correctly when they *listen* to the doctor because the doctor has some authority, than when the patients potentially ignore doctor advice - or are even downright hostile to it.

      3. The hospital sytem in New Zealand is set up to effectively and efficiently care for patients of different needs because it's all managed and costs and needs can be anticipated ahead of time. Here in the USA my wife is constantly complaining about all of the stupid and time-(and MONEY-)wasting patient shuffling they have to do. She works at a private hospital and thus they have to (by law) accept any patient that walks in the emergency room, even if that patient can't pay. The government supposedly provides county hospitals that will take these patients once they are in stable condition for transfer, but in practice the county hospitals are not funded well enough and so they fight to take as few patients as possible. So you end up with all of this fighting between hospitals to try to offload 'deadbeat' patients to each other. All of this is overhead for the system and is just totally a waste. The private hospital ends up having to milk as much as it can from paying patients to make up for the deadbeats. So you end up with even more inefficiency because they have to have policies in place that make them the most money - for example, routinely running tests that may not actually be called for in all cases - just to balance out non-payers. So they end up doing 'busywork' (unnecessary tests) just so that they can get paid for something, which once again sucks a certain percentage of their productivity away.

      4. Doctors in New Zealand actually have authority over end-of-life decisions. Which means that when a 90 year old patient with severe dementia, no contact with reality, living only in the pain of end stage cancer and with no hope of survival, starts bleeding uncontrollably, the doctor in New Zealand can actually make the decision to allow the patient to die. In the USA this decision can *only* be made by the patient's family, who will, of course, ask for no expense to be spared in saving the life of their loved one. This easy for them because there is no actual expense *to them*, just to 'the system'. So in the USA you have a system where the people m

  22. Re:Great Job, Republican Judge by TaoPhoenix · · Score: 2

    You're close to flamebait but I'll try to dig you out with a reply.

    "Meaningful" means that of all reform passed, there is a subset of that reform which qualifies as health care reform. However, up to now it's been patchwork issues. "Meaningful" reform has been on some five Presidents' agendas and gotten torpedoed by Politics As Usual. The most famous proponent to get crunched was Hillary Clinton. This was just when the Repub's started hitting grand slams with the voters and vowed to crush anything she proposed.

    --
    My first Journal Entry ever, in 8 years! http://slashdot.org/journal/365947/aphelion-scifi-fantasy-horror-poetry-webzine
  23. Re:Great Job, Republican Judge by mark72005 · · Score: 2, Insightful

    "Meaningful" means, representing a substantial change for the affected people.

    This bill is by that definition, about as far from meaningful as it gets.

    If anything we are worse off than before. No more people are covered, some people have less coverage, and for all it is more expensive.

  24. Re:War on (some) Drugs? by Astro+Dr+Dave · · Score: 2

    The War on Drugs is a result of Wickard v Fillburn and more recently Gonzales v Raich. Both decisions were horrible. They allow the government to regulate almost any conduct which affects any interstate market -- including conduct that is purely local. But government regulation (setting rules for a market) is not the same as a mandate which forces people to engage in commerce. The health care bill is distinguished because it requires people to buy something.

  25. Re:But I have to have auto insurance... by AshtangiMan · · Score: 2

    The government cant force you to have auto insurance any more than it can force you to have a car. The only insurance you are required to have on a car is liability insurance in the event that you do decide to buy one. Just like if you decide to open a medical practice you are required to buy liability insurance.

  26. Re:So about auto insurance by Americano · · Score: 2

    First: That's a state law. The healthcare bill is a federal law. For auto insurance to fall afoul of the judiciary, it would have to be shown to violate the constitution of the *state* where the law mandates that purchase.

    Second: In *some states* you are obligated to by auto insurance as a condition of registering a car and being allowed to operate it. If you don't want to buy auto insurance, there's a very simple way to opt out: move to a city, take public transit everywhere, and don't own a car.

    Do you think for a second that auto insurance could be mandatory for everybody to purchase, whether or not they owned a car or were old enough / competent enough to be licensed to operate one?

  27. Two other Federal judges disagree by nickovs · · Score: 3, Informative

    It is worth noting that while this judge says that the individual mandate is unconstitutional, two other Federal judges (one in Michigan, and one from a different case in Virginia) have said that it is just fine. This will doubtless go all the way up to the Supreme Court.

    --
    If intelligent life is too complex to evolve on its own, who designed God?
  28. Good! A small victory for liberty by SirAstral · · Score: 2

    There is no provision in the Constitution that affords the central government the power to force citizens to purchase anything. They have authority to "Regulate" commerce but NOT FORCE people to participate in that commerce!

    The primary principle behind the US is liberty. Liberty to chose to do business with a cutthroat banker, doctor, or lying politician are all rights. The problem with today's generation is that they are willing to give up their liberty for temporary security! The phrase "Give me Liberty or give me Death" is an anathema to most people today. 9/11 proved that the majority of Americans are more willing to die than defend their liberty!

  29. Re:Great Job, Republican Judge by DrLang21 · · Score: 4, Insightful

    From a Libertarian's perspective, "meaningful" means all of those in addition to axing the health insurance industry. That system is the biggest part of the cancer that is killing us. Once healthcare providers have no choice but to make services affordable or run out of customers, they will find a way. As long as health insurance exists, they will have no need to make services affordable.

    --
    I see the glass as full with a FoS of 2.
  30. The Right to Choose by alphastrike · · Score: 5, Interesting

    Quoting Judge Hudson, "At its core, this dispute is not simply about regulating the business of insurance—or crafting a scheme of universal health insurance coverage—it's about an individual's right to choose to participate."

    The problem with his perspective, is that the eventual goal of universal healthcare is aimed at prevention. Not matter how incomplete the current health care bill is, the eventual goal is to decrease high cost of health care associated with late complications of TREATABLE diseases.

    If you are sick right now in this country and you walk into an emergency room, they are obligated to treat you. You can't not be turned down for care if you can't not pay, so long as the care is necessary. So if you can't pay and you have no insurance, somebody's gotta suck up the cost. Doctors, nurses and pharmacists arn't going to work full time jobs for free. Guess who has to pay? The taxpayers, through government giving hospitals checks so they don't go bankrupt.

    Now take Billy Bob, he is a 40 y/o truck driver, smokes 1 pack a day. He has no health insurance, so he doesn't see a doctor. No one tells him to quit smoking. He has hypertension, but he doesn't get treated because he feels fine and doesn't see a doctor. At Age 50 he develops diabetes, he feels crappy from time to time but he doesn't see a doctor(no insurance) At Age 58 he has an heart attack, get sent to the ER. They find he can't be cathed, and has to go through a bypass procedure. Except he is also is in chronic renal failure from chronic diabetes and hypertension. To save his life they do a bypass and his kidney is shot for good. He stays in the ICU for 2 weeks sick as a dog after his surgery, because
    he has COPD and his lungs won't work. Then he gets to go home but is living on dialysis. At age 60 he has a big head bleed from all the anticoagulants he takes for his heart. He goes back to the hospital and slow waste away after a Tracheostomy and PEG(Percutaneous endoscopic gastrotomy or feeding tube.) He dies six weeks later in a nursing home from pneumonia.

    Was his care good? Absolutely, top notch care, they did everything right. Except for the last 2 years his life sucked, and he died a miserable death. What's his cost of care? It's probably more than Billy Bob ever made in his entire life. And taxpayers are paying for it.

    So what's the alternative? Billy Bob has insurance, he sees a doctor. He can't quit smoking but at least he start taking his blood pressure pills and his diabetes pills. His first heart attack comes at age 68 but he is not as sick so his bypass goes much smoother. He get scared and finally quit smoking. Great, that's a lot more years on his life, that he can enjoy. A lot more years where he is contributing to society by driving a truck. And as a Tax payer...I like the fact that ten years of blood pressure pill and insulin still cost a hell of a lot less than Emergency Bypass+ICU+Diaysis+Trach PEG and nursing home. I think if Billy Bob had to pick, he'd pick this route as well.

    That is why everyone should have insurance. Now the other alternative is stop paying for Emergency Care. Grandma has an appendicitis? No insurance...let her die. You wife get shot in a drive by? No insurance...bleed to death. Your kid came out with some rare genetic disease that's gonna cost tens of thousands to fix? No insurance...good luck. You can crawl to the doorsteps of the ER, and they'll shut the door on you if you can't pay.

    But are we ready for this kind of society? I don't think we are...yet.

    So since I am a taxpayer, and I have to pay for people who can't pay...I rather pay less. So what is wrong with universal health care? Every dumb idiot out there who isn't covered and seeing a doctor, is making me pay more out of my pocket. Because when they are sick enough, they all come to the hospital.

    I disagree with Judge Hudson, it's not about an individual's right to choose to participate. It's about if I have to pay taxes, I like to pay less.

    1. Re:The Right to Choose by hsthompson69 · · Score: 2

      So what is wrong with universal health care? Every dumb idiot out there who isn't covered and seeing a doctor, is making me pay more out of my pocket. Because when they are sick enough, they all come to the hospital.

      Well, your example is very well stated, but I think it might be a bit different if you considered it from a different angle.

      The *real* problem here is people getting sick. People not paying for being sick (or costing more for being sick than they ever made), is a *symptom* of the problem, not the actually problem. Even in your alternative scenario, where Billy Bob gets preventative care, we've treated the *symptoms*, not the *causes* of his disease (and frankly, probably cost more in the long run, depending on the prescription costs).

      If we want *real* health care reform, we need to start attacking the causes of disease, not the symptoms. Smoking, definitely one of them, but the real problem, the whole host of "diseases of civilization" based on diabetes (obesity, diabetes, heart disease, cancer and alzheimer's are all related), is actually exacerbated by our current federal dietary guidelines. The source of this problem is insulin, and it is made worse by the carbohydrate intake that is currently recommended by our government.

      So right now, government is subsidizing corn production, telling us to eat more carbs which make us more sick, then subsidizing health insurance to take care of the sickness they created with their corn subsidies and poor dietary recommendations. Maybe if they just got out of the way things would be better.

      Check this video out for more details on the whole carbohydrate thing: http://webcast.berkeley.edu/event_details.php?webcastid=21216

  31. Re:Could someone kindly explain by Lloyd_Bryant · · Score: 2

    The house essentially creates the law, and must pass it. It then goes to the senate which can revise it. In practice these tend to go on at the same time. Once it passes the house and the senate, the president can pass or veto it (veto only makes it require a larger margin).

    Laws that authorize the spending of money *must* originate in the House (per the Constitution). All other types of laws can originate in either the House or the Senate.

    In the US (and other common law countries) laws can be ruled unconstitutional by the judiciary. Should a law be challenged and get high enough, it can essentially be repealed by the supreme court.

    Note that nowhere in the Constitution is this authority explicitly granted to the judiciary. It's not explicitly granted to *anyone*. But early in the country's history, the Supreme Court arbitrarily decided that it was the the job of the judiciary to judge the constitutionality of laws, and since it's been 200 or so years without anyone amending the Constitution to say otherwise it's pretty much generally accepted that the courts *do* have this power.

    --
    Don't tell me to get a life. I had one once. It sucked.
  32. Oh well, this bill was crappy anyway by melted · · Score: 4, Interesting

    What really needed to be done is:
    1. Single payer system for basic healthcare. You can't have surgeons and insurance company execs who drive Ferraris and reduced healthcare cost at the same time. No pain - no gain, something's gotta give. In the system where the normal pricing rules don't work (because prices aren't even advertised, and you won't bargain anyway when it's your health or life that's on the line), someone has to have the authority to fight the more extravagant examples of creative pricing (i.e. pharmaceuticals that cost 1/10th the price once you cross either of the borders)
    2. All premium services (i.e. shit you wouldn't die from if denied care) require separate insurance, with stiff premiums.
    3. A separate, progressive, mandatory federal income tax for healthcare (and yes, I know it would hit me disproportionally, since I make quite a bit).
    4. To reduce the tax burden, reduce Pentagon budget by 4/5ths or more and get out of fucking Afghanistan. Winning there is _not possible_. If we're so into spending money we don't have, let's at least spend it on things that matter.
    5. Put the Congress and the Senate on the same insurance plans as what their constituents have. Not gold-plated, diamond encrusted Cadillac plans they pay $0 for right now. Make them feel the pain of the common man.

  33. Re:Great Job, Republican Judge by poopdeville · · Score: 2

    Republicans like insurance, yes? And they like things to be as inexpensive as possible, yes?

    Then Republicans ought to love nationalized health care, as it reduces costs with the power of economic force. Statistics (you know, what people are, from an insurance company's perspective) become more predictable and thus cheaper as the pool of risk grows. Competition is counter-productive in this sphere, because it carves up the pool of risk, and increases the administrative burden. Insurance is not and cannot be a competitive industry. The market just does not satisfy the competitive market axioms.

    Somehow, this is lost on many Americans.

    --
    After all, I am strangely colored.
  34. Re:Great Job, Republican Judge by cgenman · · Score: 5, Insightful

    When they quite literally have you by your life, they can charge whatever they want. It's the definition of unbalanced contracts and negotiating from a position of weakness.

  35. And a Liberals perspective... by SuperKendall · · Score: 2, Interesting

    From a Liberals perspective, meaningful health care means you provide free health care to all, the resulting quality of which is so poor only the richest people can have decent health care because anyone who really wants good care pays out of pocket.

    Instead of a system where even poor people can buy catastrophic plans to have access to really good health care when needed, the middle class have excellent health care through reasonably priced policies, and you have a safety net of basic coverage for people that cannot afford anything.

    The last option of course makes the most sense. If you make something totally free to all the quality will suck as people abuse the system. We are not anywhere near the ideal system because of runaway costs in the system, but the real question is the ideal we should strive for, and a system that is free for all and good for none is not my idea of the best end-goal.

    Forcing people to buy health care is not a great idea if you take away choice as to what they can buy and make sure that all plans you can purchase are loaded with options many may not want.

    --
    "There is more worth loving than we have strength to love." - Brian Jay Stanley
  36. Re:Great Job, Republican Judge by Rockoon · · Score: 2

    100% agree.

    The problem is not the insurance companies taking a large cut of the pie, for their profit margins are actually quite reasonable..

    ..the problem is that there is no incentive for a person to shop around when they face the same co-pay regardless of how much the service costs.

    ..so health care providers can charge just about anything...

    When insurance companies tried to do something about it (via HMO's, etc..) the legislators had a field day and re-classified HMO's as something other than insurance (HMO's can't get an Insurance License.. instead they have to get a Certificate of Authority)

    We must remove the disconnect between those requesting service and those paying for it.

    --
    "His name was James Damore."
  37. Re:And that is why . . . by damn_registrars · · Score: 2

    increasing the number of Democrat voters by increasing the size of the insured pool

    That statement makes no sense, whatsoever. Why would people suddenly want to vote democratic if they just purchased insurance? More likely they would be angry at the democrats for forcing them into a broken system...

    all so Obama can declare to his supporters that he passed "the most meaningful healthcare reform in the country's history,"

    That is crap. Amongst Obama voters nothing that he has done so far has been as monumentally disappointing as the health insurance bailout act. Have you actually looked at the polls? In most polls that ask people how they view the bill, half of the people who oppose it, oppose it for not going far enough - where do you think those people came from (politically)? The people who are the most disgusted with the current system are the lower income brackets of traditionally liberal voters, who recognize that this bill doesn't do shit to help them.

    just in time for the 2012 reelection campaign

    He would be an idiot to try to appeal to his voting base with the health insurance bailout act. He will call it a "bipartisan compromise" and nothing more congratulatory than that. He knows that the people who supported him most enthusiastically in 2008 are mad as hell about this bill, and he won't piss on them if he wants to be re-elected.

    Why was big pharma left out of the dance?

    Because the bill didn't solve anything else at all, so why bother going after something else to not correct?

    How about tort reform?

    That is a great boogey man, and the health insurance companies are happy to see you brought it up. It means that there are still plenty of people who think that the insurance companies are doing an adequate (enough) job that they don't have to worry about seeing anything done to their own business model.

    If we're looking to cut costs, the drug makers and fucking lawyers would sure be at the top of my list.

    The insurance companies (and their ad campaigns) thank you for your cooperation. They look forward to your higher premiums in the very near future - and ever increasing for the rest of your life.

    --
    Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
  38. Re:Great Job, Republican Judge by Danse · · Score: 2

    You know, this wouldn't be a problem if we just exterminated all the liberals. Conservatives don't expect other people to pay for their health care. They pay for their own.

    Liberals - good for solving problems that wouldn't be problems if we didn't have liberals.

    Are you proposing that emergency care services be denied for anyone who doesn't have proof of current insurance or cash on hand when they arrive?

    --
    It's not enough to bash in heads, you've got to bash in minds. - Captain Hammer
  39. Look at the other side of it by dbIII · · Score: 4, Insightful

    Meanwhile people die because some bastards have been paid off to stop a health care plan that is far less ambitious than the Republicans were pushing under Nixon. You can bet he's not doing it because he's a "flaming crazy" but the only way to show that is to follow the money.

    1. Re:Look at the other side of it by dbIII · · Score: 2

      60% should get a FREE RIDE? really?

      Yes.
      After all you can't afford to build your own road to drive on to get to work can you? That's why people band together and have things like governments so that together they can afford to do things that an individual can not.

    2. Re:Look at the other side of it by Shadow99_1 · · Score: 2

      1% of people (in the US) take home half the nations earnings every year, with 80% of the population left with ~7% of it. This number actually gets worse each year (1% increases how much it gets, 80% lose it).

      So um yes... if 1% of the population would stop actually hording the fucking money then they could easily pay for 40% of the people. By themselves. This doesn't even need to bother the other 19% in between the extremes.

      --
      we are all invisible unless we choose otherwise
    3. Re:Look at the other side of it by jo_ham · · Score: 2

      The people who should pay taxes are the top 40% who make 75% of the income.

      60% of the people should be able to soak 40% of the people? Really?

      60% should get a FREE RIDE? really?

      YES. Absolutely, yes.

      The measure of a society is how it treats its most vulnerable members. There are those who say "tough luck, if you can't afford healthcare AND food, then I guess we'll be burying you in a pauper's grave" but you really want to live in a society like that?

      Some people are less fortunate than others, and the wealth gap between the rich and poor is continuing to widen. There is no reason why universal healthcare can't work, and work well, and cost everyone in the US *less* than it costs them now - even the rich people. The US spends twice the GDP per capita on healthcare than the next closest country, and that's not even including out of pocket insurance costs of its citizens. It's just crazy.

      There is a point where economies of scale and the removal of profit as a motivator actually works. While it may be abhorrent to some rich, middle class, comfortably living white dude that he might be "subsidising" his poor neighbour through universal healthcare because he makes considerably more money, he should get over it and realise that overall, he's paying less for his own care than under a private system, and as a bonus gets to help out his poor neighbour who now gets the same coverage as the rich guy, but would otherwise be uninsured under a private system.

      The US is the only developed nation that does their healthcare this way, and it is clearly broken. Take all the best bits of all the other developed nations' universal systems and you could be the envy of the world.

      You would have to get over yourselves and realise that there is at least *some* small amount of "help thy neighbour, and those less fortunate than yourself" involved. But hey, you guys always claim to be a Christian country right? You should be right on that.

      (disclaimer: values expressed not solely the domain of Christian or even religion in general, just used as an example).

    4. Re:Look at the other side of it by nbauman · · Score: 2

      Right. According to dozens of reliable surveys, a plurality or majority of Americans would prefer a Medicare-for-all or Canadian-style health care system.

      David Himmelstein, the co-founder of Physicians for a National Health Program, said that if a majority of the people want something, and their politicians tell them that the political system won't let them do it -- you don't have a democracy.

      (BTW, the economist Adam Smith said in Wealth of Nations that those who benefit more from society should pay proportionately more in taxes for the costs of running society -- in other worlds Adam Smith believed in progressive taxation. Unfortunately conservatives today don't know the difference between Adam Smith and Karl Marx.)

  40. Re:Great Job, Republican Judge by cayenne8 · · Score: 4, Insightful
    "When they quite literally have you by your life, they can charge whatever they want. It's the definition of unbalanced contracts and negotiating from a position of weakness."

    Well, a lot of the problem comes from the bastardization of the concept of INSURANCE when it comes to health care. Insurance should be there ONLY for catastrophic health events(ie heart attack, accident). Routine health expenditures, should be saved and budgeted for like any other necessity of life (food, shelter, beer...).

    If this were the case, then insurance wouldn't be so damned expensive. Also, if we went back more the "in my day" days...you'd have the independent Dr. out there again hanging his shingle out, and could charge reasonable rates, often based on what the person could pay. My uncle was an MD, I saw how this worked in practice. Medical costs weren't outrageous like they are now...IMHO, this is largely due to bean counters and other non-health leeches on the system ratcheting things up to the mess we have today.

    Why not go to insurance for more emergency usage, and expand the program for HSA's (Health Savings Accounts) for everyone, to save for their own routine medical/drug needs PRE-Tax, and unlike the FSA's, let everyone have a HSA that is not use it or lose it.

    Why should routine health care not be a personal responsibility like anything else in life?

    This also might break the strange connection between health insurance and work...which often today, ties one to a job for people that are worried about changing jobs and jeopardizing benefits.

    --
    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  41. Re:Great Job, Republican Judge by rhakka · · Score: 4, Insightful

    every single fucking dime they had before they died. that's how much.

  42. Amendment by ravenscar · · Score: 2

    Seems like an amendment could address the 'constitutionality' issues. Of course, those are hard to pass. Then again, there's a reason for that.

  43. Re:Great Job, Republican Judge by Darinbob · · Score: 2

    The problem is with trying to fit market principles into everything. Not every square fits into a round hole.

    In the case of health care, most people are trying to avoid a case where only some people can afford good health care. And that is what would happen if health care was purely left to the market. Maybe they're willing to let some customers die, as long as enough pay to make a profit. There's no incentive in a free market to provide a service to every single person regardless of ability to pay. And yet we as a society have for the most part decided that health care should be a right granted to everyone.

  44. Re:Great Job, Republican Judge by Johnny5000 · · Score: 2

    Ultimately, my problem with the entire argument is that everyone I know who doesn't have health insurance could easily afford it but for an unwillingness to correct blatant prioritization problems. The latest gadget is far more important than saving for future rainy days.

    You must not know a lot of poor people then.

    I actually know a lot of people without insurance who in no way could afford even the most basic catastrophic insurance. They're not blowing their money on the latest gadgets- it goes towards rent, food, and bills. There's none left over for rainy days.

    Additionally, a lot of them probably could benefit quite a lot from better healthcare coverage, since they often are dealing with depression, anxiety, etc. which make it difficult to get an education or hold down a decent job that might actually help get them out of poverty.

    --
    The libertarian solution to the failures of capitalism is to apply more capitalism til the failures are fixed.
  45. Re:Good! A small victory for liberty by Bruha · · Score: 2

    Were you there defending your liberty at the airports during thanksgiving?

  46. Re:Great Job, Republican Judge by Rob+the+Bold · · Score: 2

    When they quite literally have you by your life, they can charge whatever they want.

    If all your potential customers die because you charged more than they could afford, how much money have you made?

    Not everyone's gonna die before reproducing, even with overly expensive health care. That, and you could teach "abstinence only" sex ed to keep the number of births up.

    --
    I am not a crackpot.
  47. The cognitive dissonance is strong in this one by winwar · · Score: 2

    "We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness"

    You have some serious cognitive dissonance. How exactly does health care not become a right if people have a right to life? Perhaps you should ponder the concepts behind the quotes. While you are there, please note that the statement explicity holds that women are inferior (minorities implicitly), that it is an assertion, requires the existence of a Creator (no evidence, appeal to authority). In other words, it leaves a lot to be desired.

    "If, however, you believe that a RIGHT can be secured by the TAKING from another, then I suggest that you lock your kidneys up, because someone's right to LIFE might require them to TAKE your kidney, regardless of how you feel about it. If you can demand of me to give to another to secure a "right", then society has the same ability to do the same thing to you in ways that is most unpleasant."

    Strawman much? Be very careful of any open flames. And you had better be a pacifist. Because if you are not, then you support precisely what you are strawmaning against.

    "It cost money to produce, people to work for it, technology and skills to enhance it."

    One of the failings of libertarianism is the idea that somehow money is more important that liberty and life.

  48. I Love Your IDEA!!! by SeattleGameboy · · Score: 4, Insightful

    I love your idea - we should just follow the previous examples! We already have a nationwide network of hospitals for military - VA! All we have to do is to widen and let any citizen access them. Just like we did with highways and the Internet. A great suggestion!

  49. Re:Great Job, Republican Judge by makomk · · Score: 2

    Insurance should be there ONLY for catastrophic health events(ie heart attack, accident). Routine health expenditures, should be saved and budgeted for like any other necessity of life (food, shelter, beer...).

    Sounds good, but that has an interesting side-effect. It doesn't take much in "routine health expenditures" - especially once they've been suitably padded out by a broken healthcare system - before you're better off dead than alive from a microeconomic perspective. Your proposal will effectively enforce this. Once someone's routine healthcare costs plus other costs of living exceed their income (which is probably going to be severely reduced by medical problems), they'll run out of cash for treatment and die.

    Of course, the best part is the unpredictability. You can never be sure that the next day, you'll discover you have a health problem that means you're now worthless, or if a family member or a loved one will suffer the same fate.

    Remember, the entire point of insurance is that it spreads risk - the cost of any one person becoming seriously ill is spread across the many people. That spreading of risk is just as necessary for long-term conditions.