Thursday’s Supreme Court decision upholding the national healthcare act handed President Barack Obama a victory and dealt constitutionalists a loss. But most importantly, the decision in NFIB v. Sebelius kicked the healthcare controversy back to elected politicians for solutions, and warned conservatives against placing all of their eggs in the basket of the courts.
In the case’s biggest surprise, Chief Justice John Roberts, a Reagan White House and Justice Department official and President George W. Bush appointment, not only joined the solid bloc of four liberal justices, but also wrote the majority opinion. He agreed with the four conservatives (Justices Scalia, Kennedy, Thomas and Alito) that the federal government could not use its power to regulate interstate commerce to compel individuals to purchase health insurance. But he then turned around and agreed with the liberals (Justices Ginsburg, Breyer, Sotomayor and Kagan) that Congress could enact the individual mandate under its power to tax, which is broader than its power to directly regulate.
Beyond the individual mandate, Roberts’s opinion contained something for everyone. A 7-2 majority decided that Congress had unconstitutionally coerced states when it threatened to cut off all Medicaid funding if they did not expand the program along federal guidelines. This is the first time since the fight over the New Deal that the court has enforced constitutional limits on Congress’s power to impose mandates along with federal funds. But he then concluded that finding this provision unconstitutional did not render the whole Obamacare statute unconstitutional — that the provision was in fact severable from the rest of the bill.
Conservatives consoled themselves yesterday with a few bits of silver lining. The court rejected the notion that the federal government could regulate inactivity. “The Framers gave Congress the power to regulate commerce, not to compel it, and for over 200 years both our decisions and Congress’s actions have reflected this understanding,” Roberts wrote. “There is no reason to depart from that understanding now.” This is the very argument that liberal congressmen and their legal experts mocked, best exemplified by then-Speaker Nancy Pelosi’s exclamation “are you serious?” in response to a question about the bill’s constitutionality.
The court’s refusal to bless the idea of a limitless Commerce Clause restored the central constitutional principle that the federal government has only limited powers. But it is mostly a symbolic victory that does little to limit the growth of our massive, unaccountable administrative state. As the challengers to Obamacare admitted during the oral arguments at the court, no other federal law depends on reading the Commerce Clause to include inactivity. Put another way, every other federal law in existence remains constitutional even after Sebelius. The federal government will continue to grow, add more billions to our federal deficit every day and limit more private freedoms with more regulations.
And what Roberts gave on the Commerce Clause, he quickly took away on the taxing power. He and the four liberal justices upheld the individual mandate as a tax because anyone who does not buy health insurance must pay a financial penalty. But Obamacare created a tax unlike any other before. The government has long imposed excise taxes, based on the sale of goods such as cigarettes or gasoline, or taxes based on income. Here, the Obama Congress forced a “tax” on anyone who refused to buy insurance. As the extraordinary joint dissent observed, the court has never classified as a tax a penalty for passively violating the law.