Features Jul 4, 2012 at 4:00 am

Obamacare, the Supreme Court Decision, and the End of Freedom as We Know It

George Pfromm II

Comments

1
Roberts is no idiot, and knows that directly overruling the law would have been a absurd stain on his court's already horrible record. Citizens United will easily stand as one of the most absurd and tortured decisions in the history of the court, directly ushering in an age of anonymous kleptocratic influence on the outcome of elections for a generation or more. One theory I haven't heard is that his decision was partially done out of remorse. I think he is genuinely concerned about the health of the democracy, beyond the legitimacy of the court, and he is looking for his role in avoiding a broad institutional meltdown in the federal government.
2
Good luck with expecting anything from Mitt Romney, Paul---all I see coming out of his silver-spoon fed mouth is shit.
3
The real problem with Justice Roberts ruling has relatively little to do with Obamacare, and will last and haunt America a long time even if it is repealed. At this point, it really doesn't matter whether Obamacare stays or goes. What people forget is that when the Supreme Court makes a ruling, it becomes part of the unwritten constitution of the United States.

Many countries, including Britain, have only an unwritten constition, and in every country, even America, the unwritten constitution is how the nation is actually governed, even if molded by the written. What Justice Roberts has just done is added an amendment to our (unwritten) constitution stating "the Federal Government can make any law it wants provided it punish you with a fine...err... tax." Because the power to tax is a federal power, and because the only constitutional limit on taxes was effectively eradicated by the 16th Amendment, and because whatever behavior that tax is targeting apparently is outside of the scrutiny of the 10th Amendment, there is no longer any limit on Federal power. As the history of Ancient Greece proves, democracy, although somewhat useful, is not enough to constrain the predatory power of the state.

"Many opponents of Obamacare believe that your health should be intrinsically tied to your income, and that the wealthy few have more of a right to a long, healthy life than all other Americans."

Forcing people to buy healthcare (what Obamacare actually does, not what certain idiot commentators think it does) does not amount to believing they have ANY kind of right, let alone that kind.

"Remember the September Republican debate when the audience cheered the death of a hypothetical uninsured man?"

And for the exact same reason as why atheists enjoy portraits of catholic priests defecating. They are sick and tired of hearing "well the hospitals have to take whoever comes, therefore we must force you to do something because we cannot STOMACH doing what is right ourselves." We cannot be tyrannized by the feelings of contradictory hypocrites. Either you "care" enough to pay the price for their irresponsibility or misfortune, or you don't, period. No more of this "have our cake and eat it too by enslaving you."
4
I totally agree with Paul Constant that the news media so far have let Romney off the hook on telling voters what his health care plan is to replace the Affordable Care Act. But it's hardly impossible for reporters to suss it out. Noam Levey did a good piece in the LA Times, and I did a good piece in Medscape. Check these out.
http://articles.latimes.com/2012/apr/23/…
http://www.medscape.com/viewarticle/7645… (free login required)
--Harris Meyer, Yakima
5
"Sooner or later, someone will ask him [...] And then he's going to have to open his mouth, and something is going to have to come out."

This is pure genius and gets right to the eye of this storm of hot wind. Conservative stances and arguments just get creepier and creepier. I'm completely bewildered that this upcoming race is being reported as close. How can any rational human being support the conservative platform? Every time they have been in power and had a chance to implement their small government agendas, it has ended in horrible disaster. Why would you keep trying to employ the same solution to a problem when it demonstrably doesn't work? When did rational discourse get replaced with shouting?
6
@3, Is our society so insulated, protected and spoiled that we can no longer distinguish government taxation from tyranny? This act was passed by a majority of our fairly elected representatives. Had it been passed without representation, then we could talk "tyrannical". If it had been a onerous tax increase, it could be tyrannical. That is not the case.

The Affordable Care Act does not force a person to buy insurance . Don't want it, don't buy it. You won't be jailed. You'll simply pay a slightly higher tax. It is not a new precedent. For comparison, I sold my home last year and now rent. With no mortgage deduction, I am paying higher taxes. I'm not forced to buy a home, but if I do, I get a tax reduction. Very similar to the health care act. I don't buy insurance, I pay more taxes.

Tyranny requires something like random arrests with no access to a lawyer or court, jailed indefinitely and without charge, involuntary servitude, arrested for your speech, religion, writings, etc. We are nowhere close to that.

The Federal government is as limited today as it was in 1935 (Social Security), 1965 (Medicare), and 2006 (Prescription drugs). Why the hyperbole?



7
@3: What is the difference between being required to buy health insurance and being taxed the normal way and having the government provide it? It would cost you money, either way, and people would have health insurance. I'd prefer the latter idea as well, but my money already goes to all sorts of things I don't like (ahem military spending), and I'm not bitching.
8
Do these self-described sparks of liberty believe that the Constitution requires 50 million Americans—more than seven million of them children—to be uninsured?

Yes, yes they do. The entire premise of modern conservatism, even in it's most intellectually and socially respectable guises, is that the problem with socialism is that it leaves the common man insufficiently cowed and humbled..
9
(Well, that's on the high end. On the low end there's a metric fuckton of straight-up Nietzschean ressentiment at the idea that someone, somewhere, lower on the totem pole might somehow become slightly less cowed and humbled than one's self.)
10
@3: You are arguing common law vs. civil law. At least be honest in that argument. Feel free to explain how you think civil law should be implemented in the US and exactly how compatible it is with our Constitution. And while you're at it, feel free to explain the pros and cons of such a switch (you could start by stating how you think most of Europe's, Asia's, and Latin America's civil law system is better than the common law system implemented in the US and UK).

As far as the 'unwritten' law, it is called case law. It is a key attribute to the the common law system. It forms precedents and ensures the same circumstances aren't treated differently by different courts. But it is hardly unwritten. Why do you think the Supreme Court writes such a long dissertation for each decision?
11
@6

I support the ACA. I find it absurd and cruel healthcare in America is a function of employment and monetary assets. The hysteria over the mandate and a gross loss of freedom is hyperbole, pure and simple. Clutching at pearls. Tyranny is not found in the requirements of the ACA. It does exist elsewhere, however. So when you write

Tyranny requires something like random arrests with no access to a lawyer or court, jailed indefinitely and without charge, involuntary servitude, arrested for your speech, religion, writings, etc. We are nowhere close to that.


I am reminded of this:

Secret 'Kill List' Tests Obama's Principles and Will
http://goo.gl/uZ4bZ

And this:

The Power to Kill
http://goo.gl/twbcy

It is no longer so easy to brush charges of tyranny respecting our government aside. I realize we're in a--albeit undeclared--war on terrorism, but to paraphrase Churchill, if this is how our government now operates, what are we fighting for? But we are discussing the ACA...
12
As an outsider, I both marvel and am saddened by this new meaning of "freedom", considering that it's ... uh ... apparently dead. As is America.

Conservatives constantly talk about personal responsibility when it comes to anything, including health care. Of course, it's easy to pay for it when one is wealthy. ::hears sounds of throats being cleared:: Okay, okay. Conservatives couch it in more egalitarian terms, so it then becomes a matter of the individual finding a good job that provides health insurance. Conservatives pat themselves on the back for not losing the emphasis on the individual.

However what they conveniently become amnesiac about is the fact that individuals (times several million) can become enslaved to jobs they loathe, simply because they're afraid to lose that single benefit. I have a friend in the US (used to live in Canada) who is precisely in that predicament. At least she can derive some comfort in knowing that she and her husband have adequate medical coverage. But at what continued strain to her emotional health.

Is this a healthy example of "freedom"? Or is it a worry that continues to sap people, adding to their life's burden. People can be slotted into numerous socio-economic categories, but their health should not be. Intelligent people (and governments) understand intuitively that one cannot have a thriving nation when health is neglected.
13
I'm not gonna dare wade into this, other than to ask: Why is the "Report" button available in this article, but seemingly nowhere else?
14
The right is certainly better at branding.

"Obamacare" is used in this article nine times. (Yes, Mrs. Beuller...nine times.) Never is the "Affordable Care Act" used. That's because "Obamacare" is a sticky idea. Because it's been repeated enough times that it's been adopted as "what to call what that is."

"Obamacare" is a Fox-ism, designed to make it simple for their viewers "if you don't like Obama, then you certainly don't want him in charge of your health care..." just as Romneycare is a left-wing retort to that--"if you hate Obamacare, you should know that your guy was for the same stuff."

The ACA is a compromise--I doubt it's what President Obama truly wanted...I doubt, even, that it will work to do what it intends to do.

But, in the war for hearts and minds...the strongest idea usually wins. The right has pretty much put all of its chips on the idea that people don't like President Obama very much--and anything that he likes, they're opposed to... Their theory seems to be, the public doesn't have to actually like Mitt Romney or care what he'd do if elected--he just has to be "not Obama."

So, the challenge on the left is...how to reposition the public to "it's not about the person, it's about what's the best thing to do."

More complicated idea, that. Harder to brand.
15
Because this is a feature article from the Stranger's online edition, not a post on Slog. Paul just posted a link to it on Slog.

All the features have the Report button on the comments; none of the Slog posts do.
16
dear jeremy john son and conservagtives:

there is no limit to federal power in the areas dedicated to the feds, as in interstate commerce. why? because look in the fucking constitution jack, it doesn't have one. it does not say "however, the regulation of commerce cannot affect people not active in interstate commerce." it does not say "there is a relation between th feds and individuals in which federal power is subject to some ill defined limit on intrusiveness". doesn't say it, so it's not there. the commerce clause granting power to feds to overrule state regulations ....can't be more limited than state regulations and conservatives admit those are plenary. you're simply arguing against having a government, that is a national government, which is stupid and contrary to the whole point of the constitutio which was to remedy the defective articles of confederation. you're a confederalist. you lost give it up. the practical limits in electing congress or in killing the economy if we had 100% taxes or if some asinine congress said you must eat a ton of broccoli every minute mean these things won't happen. stop the scaremongering. in america you have far more freedom and a little mandate to buy insurance WHEN PEOPLE LIKE YOU MOSTLY DO SO ANYWAY just isn't the humongous loss of liberty you fancy for ideological ax grinding reasons. and your position, in which an unelected court tells congress "where to draw the line, that tax is good, that one bad, that regulation of the interstate insurance market good, that one bad" ? that means you just gave the humongous power to the court that's not even elected! talk about tyranny dude. get a grip.

mandating purchase of insurance is as "unfree" as mandating you hook up to the local sewer system. just like the yahoos who don't spread their shit all around the rest of us, people without insurance then make us either kill them by not giving them care or make us pay more for their care -- that's the limit on freedom you should fear. that you and I can't make insurance work properly, we have no freedom to buy good insurance, when there's all these freeloaders. if your not buying bbroccoli today meant that later on I'd be forced to subsidize your panicky pleas for broccoli without which you'd die (analogy to you at the hospital ER door, begging for care not having bought insurance) then fuck yeah we could fucking mandate you pay for your broccoli in advance just like we mandate you deposit your feces in the town sewer system. stop whining about being responsible jack. grow the fuck up. join the rest of the industrialized world, are you going to tell me germany france switzerland and oh about 25 other countries with some kind of mandatory buy in for health care are all totalitarian states with gulags? what are you smoking? the bankruptcies caused by inadequate swiss cheese insurance or no insurance are 2/3 of all bankruptcies, you don't think that affects interstate commerce? what does, this is 17% of the economoy we're talking about and not one dollar of it is even local like the local wheat in the wheat grower case.
17
"Remember the September Republican debate when the audience cheered the death of a hypothetical uninsured man?"

No. I remember when a handful of audience members at a republican debate offered a smattering of applause, which was then blown way out of proportion by almost everyone.
18
@17 -- You remember wrong.
19
Great stuff Paul keep it up.
20
@17
"No. I remember when a handful of audience members at a republican debate offered a smattering of applause, which was then blown way out of proportion by almost everyone."

So what would have been a correctly proportioned response?

Particularly since none of the Republican candidates on the stage said anything about it.
21
"Many opponents of Obamacare believe that your health should be intrinsically tied to your income, and that the wealthy few have more of a right to a long, healthy life than all other Americans."

That seems pretty consistent with the idea that wealthy people have more rights to free speech than other Americans, which has been the law since it was decided that money is free speech.
22
The real problem here is the advisors of the Romney campaign.

This was the perfect chance for him to do a 180 and claim total credit for national Romneycare along with touting Bush appointed Roberts.

At some point he's gotta jettison the yahoos if he wants to break free of earth orbit and take it to the Moon.

Also, people are going to turn on the Rushes and Nugents because they realize they are not the ones whose healthcare will be affected by a mandate...they are only paying the 2.5% or so premium tax so their fans can get insurance.

Big backfire if they keep up with this stance (and thats just facts talking, loyalty etc).
23
Note to wingnuts:

It's die for your freedom, not die from your freedom.
24
@23

Your anti-American sentiment is shocking!

"The tree of liberty must be refreshed from time to time with the blood of [unimportant words redacted] tyrants."


--Thomas fucking Jefferson!

25
@23

The radical right loves this one. But just as both left and right-wingers all-too-often do with the Judeo-Xtian and Muhammadan holy books (and I sure as hell ain't no follower of the cranky desert gods), it is a passage taken out of context.

From Jefferson scholar Douglas L. Wilson in 1996:

People who are aggrieved have a right to protest, but do they have a right to rebel? The "tree of liberty" letter is presumably Jefferson's moment to say so, but he does not. He speaks rather to the question of ignorance. "The people cannot be all, and always, well informed. The part which is wrong will be discontented in proportion to the importance of the facts they misconceive. If they remain quiet under such misconceptions it is a lethargy, the forerunner of death to the public liberty."

http://goo.gl/3hAOc
26
@24

Oops.

--Gov. Rick fucking Perry
27
Wow!! The collective Liberal mind is truly diseased. Many of the collective is well spoken and educated but every last one of you is bat shit crazy.
28
@27

Welcome to SLOG.

You'll go far here, lad/lassie.
29
Yawn. You can always tell the calibre of a man by the enemies he chooses. Just point at elected officials and handlers of the party opposite you -- fellow citizens all -- and brand them evil.

America is so free you can actually get paid for writing articles about how your fellow citizens are taking away you're freedom (when they aren't). This is play and frolick, not writing. There are entities who would love to destroy your freedom and they have taken actions to prove it.

But forget about them. It's so much more fun to frolick over the extremely soft safe Wiffle Ball of evil Republicans.
30
As a Canadian, I am fascinated by the fear of universal health care in many Americans, and also much saddened by it. Stories about how HMOs routinely try to avoid treating their supposed patients horrify me. Neither need I go in fear of losing my house the day I need to be treated in hospital.

It's not as if we didn't start from about the same place. Our systems diverged over 50 years ago. The practicality of universal health care was initially somewhat distrusted, but since the Medical Care Act was passed in 1966, it has become a cornerstone of Canadian life. It's not a perfect system (nothing is), but it does theoretically provide a high basic level of care for all Canadians, and succeeds for most.

As far as costs go, American per capita costs are about 1.8x ours, even though about 15% of your population has no insurance. Surely some of the rampant costs of medical advertising and lobbying could be reined in, and re-invested in actual care?
31
If you want the real skinny on RIP America, please watch: http://youtu.be/GVz_yJAxVd4
32
I love the attention getting title. The health care reform, which was a complicated passage of multiple bills and has been coined Obamacare is the start of a process to improve health care for us all. The latter part is the REAL point here, at least the current administration has tried to address health care for the "have nots", whom by the way are not necessarily uneducated and shiftless as the Republicans would have you believe.
healthpolicymaven
33
@17, Cheering does not mean a standing ovation. It can be a standing ovation, but it can also be a handful of audience members clapping.

Great article, Paul.
34
"Some say he allowed Obamacare to pass as a smoke screen for a minor statement it allowed him to make on the Commerce Clause, which could open up a larger legal assault on federal powers. Others claim Roberts was worried about the legacy of his court, which is perceived as highly partisan. Others think he's a traitor or a secret Democrat. Still others think he was just doing what he believed to be the right thing."

OR: Roberts always rules in favor of big business and this bill is a HUGE boon to insurance companies. Why wouldn't CJ Roberts love a precedent that makes it constitutional for the US Government to FORCE a citizen to buy something from an abusive industry?
35
I agree with Paul Constant that Romney and the teabaggers are promoting a crackpot agenda in the name of "freedom" and "liberty". They too are now realizing that they will not win the election over this issue and are switching to talk about "jobs".

Not addressed in the article is the unfortunate fact that the Affordable Care Act retains the corrupt and prohibitively expensive regime of healthcare insurance and delivery in the USA, with minor tinkering to make it available to more people. The right thing to do would be to decouple health insurance from employment and make it single payer, investing more in prevention and healthy living and less on pharmaceuticals and artificially extending life in terminal situations.
36
"They too are now realizing that they will not win the election over this issue and are switching to talk about "jobs".

And this is exactly what will keep the Dems home come election day, thinking the fight has been won. That, coupled with the fading novelty of electing tue first black president, will make this election closer than some think.
37
"They too are now realizing that they will not win the election over this issue and are switching to talk about "jobs".

And this is exactly what will keep the Dems home come election day, thinking the fight has been won. That, coupled with the fading novelty of electing tue first black president, will make this election closer than some think.
38

Yes, heath care is extremely important. But I know of more than a few folks who think more about putting food on the table for their families than going to the doctor. I agree-jobs will be the number one issue.
39
As someone who came across this article quite by accident (the page on which it appeared was used as packing material for a recent EBay purchase of mine), I want to say "two thumbs up" to the author for a very well written critique of the opponents of "Obamacare". As a Canadian, I've watched with some amusement how conservative Americans get so bent out of shape that requiring someone to pay for health insurance is somehow an infringment of his/her democratic freedoms. Fundamentally it is no different from Social Security, which also requires individual citizens to contribute to a government program designed to protect them from financial inpecuniary, in this instance, in their old age. Living in Canada, I enjoy the benefits of a health care system (which I pay for through my taxes) which allows me and my family the peace of mind of knowing that unexpected health expenses which we may incur won't end up bankrupting us.

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