Friday, October 8, 2010

A District Court Judge Finds the Individual Mandate Constitutional

Here's huge -- and relevant -- news. A district court judge has ruled that the individual mandate in the recently passed health care law does fall under the authority of Congress under the Commerce Clause. Pay attention 2301s:

From Ezra Klein:

A district court judge has ruled the individual mandate is constitutional, reports N.C. Aizenman: "Other federal courts have already dismissed some challenges to the law on technical grounds - ruling, for instance, that the plaintiffs lacked standing. However, the decision issued Thursday by Judge George Caram Steeh of the Eastern District of Michigan is the first to reject a claim based on the merits, marking a notable victory for the Obama administration...Steeh found that 'far from 'inactivity,' by choosing to forgo insurance, plaintiffs are making an economic decision to try to pay for health-care services later, out of pocket, rather than now through the purchase of insurance, collectively shifting billions of dollars...onto other market participants.'"

- Here's the opinion...

...and a key quote from it:

“In assessing the scope of Congress’ authority under the Commerce Clause,” the court’s task “is a modest one.” The court need not itself determine whether the regulated activities, “taken in the aggregate, substantially affect interstate commerce in fact, but only whether a ‘rational basis’ exists for so concluding.”



There is a rational basis to conclude that, in the aggregate, decisions to forego insurance coverage in preference to attempting to pay for health care out of pocket drive up the cost of insurance. The costs of caring for the uninsured who prove unable to pay are shifted to health care providers, to the insured population in the form of higher premiums, to governments, and to taxpayers. The decision whether to purchase insurance or to attempt to pay for health care out of pocket, is plainly economic. These decisions, viewed in the aggregate, have clear and direct impacts on health care providers, taxpayers, and the insured population who ultimately pay for the care provided to those who go without insurance. These are the economic effects addressed by Congress in enacting the Act and the minimum coverage provision.

- From the NYT.
- Here's a decision from a previous case where the law was dismissed on procedural grounds.

Now it will go on to higher level appelate courts further consideration. Pay attention 2302s!