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The Courts Government Medicine United States

Supreme Court Upholds Key Obamacare Subsidies 591

HughPickens.com writes: Retuers reports that the U.S. Supreme Court has ruled 6 — 3 in favor of the nationwide availability of tax subsidies that are crucial to the implementation of President Barack Obama's signature healthcare law, handing a major victory to the president. It marked the second time in three years that the high court ruled against a major challenge to the law brought by conservatives seeking to gut it.

"Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them," wrote Chief Justice Roberts in the majority opinion (PDF). He added that nationwide availability of the credits is required to "avoid the type of calamitous result that Congress plainly meant to avoid." The ruling will come as a major relief to Obama as he seeks to ensure that his legacy legislative achievement is implemented effectively and survives political and legal attacks before he leaves office in early 2017. Justice Antonin Scalia took the relatively rare step of reading a summary of his dissenting opinion from the bench. "We really should start calling the law SCOTUScare," said Scalia referencing the court's earlier decision upholding the constitutionality of the law.
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Supreme Court Upholds Key Obamacare Subsidies

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  • Prime Scalia (Score:3, Interesting)

    by damn_registrars ( 1103043 ) <damn.registrars@gmail.com> on Thursday June 25, 2015 @01:46PM (#49987917) Homepage Journal
    Even for Scalia - who has a reputation of holding no punches - this is intriguing stuff in his dissent (which is nearly as long as the verdict itself - pages 27 to 47 of 47 total are all his):

    That is of course quite absurd, and the Court's 21 pages of explanation make it no less so.

    You would think the answer would be obviousâ"so obvious there would hardly be a need for the Supreme Court to hear a case about it.

    I particularly enjoy seeing him jump on the conspiracy bandwagon with this tasty morsel:

    But normal rules of interpretation seem always to yield to the overriding principle of the present Court: The Affordable Care Act must be saved.

    (Understatement, thy name is an opinion on the Afford- able Care Act!)

    This little circular snippet is fun as well:

    Who would ever have dreamt that âoeExchange established by the Stateâ means âoeExchange established by the State or the Federal Government â?

    Considering he is a known fan of constitutional amendments where "state" means "federal government". Of course, here it doesn't matter because .... well, whatever.

    The Court's next bit of interpretive jiggery-pokery

    For its next defense of the indefensible

    Well, it is good to know that he clearly didn't have any strong opinions on the matter before the case made it to the bench. After all, a predetermined judiciary is what justice is all about in this country, is it not? I would say that he was posturing himself for a new career with Fox News, but there is no good reason for him to do that, being as he already has a job for life.

    • by Anonymous Coward on Thursday June 25, 2015 @01:51PM (#49987991)
      “Words no longer have meaning if an Exchange that is not established by a State is ‘established by the State.’ Under all the usual rules of interpretation, in short, the Government should lose this case. But normal rules of interpretation seem always to yield to the overriding principle of the present Court: The Affordable Care Act must be saved.” If SCOTUS can twist these words what stops them from twisting ANY words?
      • If SCOTUS can twist these words what stops them from twisting ANY words?

        Except that if "State", only means individual states, then many of the constitutional amendments - including the second - fall apart on the federal level.

        • by Etcetera ( 14711 ) on Thursday June 25, 2015 @02:07PM (#49988227) Homepage

          If SCOTUS can twist these words what stops them from twisting ANY words?

          Except that if "State", only means individual states, then many of the constitutional amendments - including the second - fall apart on the federal level.

          That's why in laws (especially 2400 page monstrosities like this one) they have sections on Definitions to specifically say whether "State" means "50 States", "50 States + US Territories like Puerto Rico", or "50 States + Territories + District of Columbia", etc.

          In this case, the law was originally drafted to deal with State-level exchanges. A Federal exchange was an afterthought one they didn't expect/hope would be used. (And according to Gruber, was intentionally left out of this clause.) Whatever the case, the courts should be rewriting when it's a clear cut, cut-and-dried case of an error. As long as there's a plausible rationale for why the text is the way it is ("To discourage States from relying on the Federal exchange, at the cost of the Federal funding that we'd otherwise be giving to the citizens of that State to help with the insurance fee we're forcing them to pay"), we should be relying on the text.

          Typos can indeed lead to ludicrous conclusions that can be corrected judicially. This was not one of them.

        • by gtall ( 79522 ) on Thursday June 25, 2015 @03:21PM (#49989225)

          The act uses the term "the state", not "a state". The opinion of authors was that if they had a chance to rewrite it, they'd make it clear "the state" referred to the federal government. Scalia himself has reasoned cases on Congressional acts that said the entire act must be looked at to get the meaning of the terms. He cannot very well turn around now and claim the narrow interpretation he wants simply because he doesn't like the act.

      • by polyphemus ( 473112 ) on Thursday June 25, 2015 @02:09PM (#49988261)

        Viewing these words as a mistake is the simplest interpretation of the law. The other option is to re-interpret lots of other sections, and change the law to be at odds with how the people writing it meant for it to be interpreted.

        The writers of the law clearly wanted to establish state exchanges for any state that wanted them, and a federal exchange for any state that didn't want to roll its own, and that all of these exchanges do the same thing. This might not be apparent in that little snippet, but it's very much apparent in the text of the law [healthcare.gov] itself.

        It's not as though the SCOTUS majority is pulling meaning out of nowhere for just this passage. Quite the contrary, they'd have had to re-interpret a lot of text to infer that the law was written so as to exclude subsidies for the federal exchange.

      • by Anonymous Coward on Thursday June 25, 2015 @02:12PM (#49988303)

        The court doesn't need to twist anything. They use week established rules of construction. This is necessary because a single textual document will never convey every nuance.

        "We begin with the familiar canon of statutory construction that the starting point for interpreting a statute is the language of the statute itself. Absent a clearly expressed legislative intention to the contrary, that language must ordinarily be regarded as conclusive.:" Consumer Product Safety Commission et al. v. GTE Sylvania, Inc. et al.,447 U.S. 102 (1980).

        But the language of the statue has to be understood as a whole.

        For example, noscitur a sociis ("a word is known by the company it keeps"):
        When a word is ambiguous, its meaning may be determined by reference to the rest of the statute.

        That's exactly what the Court did here, and is exactly what most reasonable humans do in establishing the meaning of any word or words.

    • by Virtucon ( 127420 ) on Thursday June 25, 2015 @01:55PM (#49988043)

      Yup he did the "Jane you ignorant slut!" speech.

    • Scalia has a fairly good point. The problem is that there are official definitions used by congress and when Congress says "State" they are SUPPOSED to mean "state governments, not the federal government". Those definitions apply to this particular law, but not every legal document, so don't apply to the Constitutional amendments.

      I am totally in favor of Obamacare and am happy SCOTUS ruled this way, but I do believe this was one of the stronger anti-obamacare arguments.

      P Basically, this is a clear vic

      • Re: (Score:3, Informative)

        If the trouble lies with the wording of one part of the law, surely Congress should amend it so it clearly reflects their intent. That's what a functional legislative body would do. And it could happen easily were it not for one party that insists upon acting like petulant children instead of rational and responsible leaders.

        At the very least shouldn't Congress act in the best interests of the people they were elected to represent?

        • Re: (Score:3, Insightful)

          by cdrudge ( 68377 )

          If the trouble lies with the wording of one part of the law, surely Congress should amend it so it clearly reflects their intent. That's what a functional legislative body would do.

          Well, since we don't have a functional legislative body, we're fucked.

          At the very least shouldn't Congress act in the best interests of the people they were elected to represent?

          No. They should act in the best interests of the corporations that paid them to be represented. What the best interests of the people comes secondary if

          • by Jhon ( 241832 )

            "Well, since we don't have a functional legislative body, we're fucked."

            Congress choosing not to act is in fact a valid choice. Don't like it, vote them out.

      • Re:Prime Scalia (Score:4, Informative)

        by laird ( 2705 ) <lairdp@gm a i l.com> on Thursday June 25, 2015 @03:41PM (#49989483) Journal

        The question isn't the meaning of "state," it's whether the drafters of the law meant that "exchange established by the state" included the states that establish an exchange, and implemented it by integrating the state's systems with the federal exchange, or only the states that built an exchange completely on their own. Given that the law was written originally envisioning that all state exchanges were implemented by integrating into a single federal exchange, and the idea of states implementing their own exchanges was added late in the process (at the insistence of Republicans), it's quite clear that the people writing the law had no problem with the idea that states would establish exchanges, physically run by the federal infrastructure.

        2/3rds of the Supreme Court agreed.

    • by sribe ( 304414 )

      Considering he is a known fan of constitutional amendments where "state" means "federal government". Of course, here it doesn't matter because .... well, whatever.

      Exactly. If you take this challenge to ACA completely literally, it would mean that if a state hired a contractor to build an exchange for them, the exchange would not qualify...

  • it is the fact that 3 judges actually sided with the idea that this was not legal based on wording.
    It means that these 3 did not look at, nor care, about intentions. In addition, even looking at the wording, and taking it to this extreme, shows that these 3 are working hard to legislate via the bench.
    These 3 judges are some of the WORST that America has ever had who puts their politcs over the constitution or what our framers wanted.
    • by rickb928 ( 945187 ) on Thursday June 25, 2015 @02:05PM (#49988197) Homepage Journal

      But the language of the law is clear. 'State'...

      If that doesn't mean 'state' then the court has set precedent to let lower courts decide what laws mean.

      And that is not how this nation is intended to work.

      The revolution is winning.

      • In this case the framers of the document are still all mostly around, it is not like trying to figure out the intent of an amendment or law that is 200 years old as it applies to technology that is only a few years old. Nobody during floor debate argued about this interpretation issue. It is purely an issue of ambiguous language and a shifting of power to the nutjob party that prevents even a typo to be corrected to clear this up to make the intent unambiguous.

    • by Anonymous Coward on Thursday June 25, 2015 @02:07PM (#49988229)

      It's a basic principle of statutory interpretation that legislatures define laws by their written text. If the text is vague, you can fill in the blanks by guessing at the intent, but if the text is clear, the text is the meaning of the statute. Since legislation is usually the product of intense horse trading, statutes rarely have any sort of coherent intent and they are often full of contradictions.

      That being said, that wasn't the case here. The statute was plainly worded and the whole "only states that set up exhcanges get subsidies" mechanism was bragged about for the first two years after it was signed into law. They only changed their tune when they realized that the structure collapsed if you take away the subsidies (which also control the mandates, etc).

      Bascially, the administration asked for Chevron deference, which means "the statute is so vague, we have no idea what it means, so the IRS can make a rule that is directly the opposite of the text". Even this was a stretch.
      The supreme court turned around and rewrote the statute for them, saying "the statute isn't vague, it means exactly the opposite of what it says, there's no need for the IRS to even do anything or pretend to need Chevron deference."

      • by ZombieBraintrust ( 1685608 ) on Thursday June 25, 2015 @02:19PM (#49988387)
        The plain language of the statute states the

        the Federal Government will establish “such Exchange” if the State does not

        that tax credits “shall be allowed” for any “applicable taxpayer,”26 U. S. C. 36B(a), but only if the taxpayer has enrolled in an insurance plan through “an Exchange established by the State under [42 U. S. C. 18031],”

        Anyone fluent in English understands that this means the Federal Government can create exchanges.

      • by Alomex ( 148003 ) on Thursday June 25, 2015 @02:49PM (#49988811) Homepage

        It's a basic principle of statutory interpretation that legislatures define laws by their written text.

        LMFTY: It's one basic principle in English Jurisprudence, known in legal circles as "the plain meaning rule". The other two are: "the golden rule" and "the mischief rule".

        The golden rule allows a judge to depart from a word's normal meaning in order to avoid an absurd result.

        The mischief rule sets the court to determine the "mischief and defect" that the statute in question has set out to remedy, and what ruling would effectively implement this remedy.

        When America was founded those three principles were firmly in place. Over the years the courts and the laws themselves have been moving away from that tradition, creating the (in)famous loopholes that are the bread and butter of corporate law practice.

      • You'll need some kind of cite for that "was bragged about..." bit. Everything I've read is that it's just not true; that none of the states (for example) realized that by not setting up an exchange that they would be at a disadvantage.

    • You are exaggerating just as bad as a Fox News anchor.

      There are several competing concepts of law. The three judges in question are a believer in strict literal meaning of the words, rather than the intent.

      This is not the WORST that America has ever had, it is a fairly common point of view exposed by conservatives. It is wrong, but not the worst.

      The worst are the people that don't care about intent or literal meaning - those that just try to compromise and/or shift the law to what they want it to be.

    • by DarkOx ( 621550 ) on Thursday June 25, 2015 @02:16PM (#49988353) Journal

      Bullshit! Words need to have meanings and laws need to have concrete meanings to whatever degree is possible. Its the whole reasons things are struck down all the time as 'void for vagueness.'

      If congress is allowed to retroactively decide what they intended, never mind what the wrote than we might has well go back to a monarchy and whatever the King thinks today goes. A system of laws is absolutely useless when anything can mean whatever government wants it mean. You and I just suffered a blow to any real protection any real possibility of justice. This is just one more example of turning the rule of law into a bad joke. The SCOTUS, POTUS, and Congress should be ashamed of themselves.

      There is plenty of evidence in the form of Gruber to suggest that congress did indeed intend to write what they wrote to cajole states into compliance. Sates called their bluff and now congress gets a pass.

    • So when you go to interpret a law, you can't count on what it says anymore?

      If the law intended for the federal government to subsidize all plans on exchanges established by the states OR the federal government, why didn't it say so?

  • A small part of me (Score:5, Insightful)

    by Overzeetop ( 214511 ) on Thursday June 25, 2015 @01:53PM (#49988007) Journal

    A small part of me wanted to see this go down, just to watch the shitstorm that resulted and see the Republicans claim that it wasn't their fault.

    • Re: (Score:2, Insightful)

      by WindBourne ( 631190 )
      The ONLY way that that could happen is if the constitution was thrown out.
      As it is, it is obvious that Scalia, Alito, and Thomas do not give 1 shit about the constitution and hope to simply legislate from the bench.

      Basically, those 3 are some of the worst justices that America has had. I would not be surprised to see 1 or more of these were on the take.
      • Basically, those 3 are some of the worst justices that America has had.

        I agree with that part, for sure. Scalia in particular is not just a hack but also has a huge ego to go with it. He is himself an argument for not making these lifetime appointments.

        I would not be surprised to see 1 or more of these were on the take.

        I would argue it is actually most likely the opposite. The ACA was written by a bunch of congresspeople who were on the take (why else would they have written and passed the largest corporate handout in the history of government?). I expect this retaliation from Scalia and friends is their expression of anger that they wer

        • by thaylin ( 555395 )

          Because there was not much of an alternative. How to you do this without doing how the ACA setup or going single payer? Single payer was not going to happen, so conservatives forced this method on them.

          • Because there was not much of an alternative. How to you do this without doing how the ACA setup or going single payer? Single payer was not going to happen, so conservatives forced this method on them.

            So.... In fact you are *blaming* conservatives for this construct? Look, the issue is the ACA has no business being a law at the federal level, it is an issue, similar to many in the past, which should have been addressed at the state level. The eventually failure of the ACA will not be because the conservatives had any impact on it's drafting, but because the American people realize that the ACA was NOT what they where told it was.

            • First the average American doesn't know what a deductible means.

              Second, the ACA was drafted as the Republican plan back when the Democrats were trying to figure out how to make the whole system single payer.

              The ACA has no business as a federal law just like there should be no standing US army, no EPA, no FCC, no interstate highway system, and no national parks. They were added because (1) there was a need and (2) the states can't get their shit together - mostly the latter.

      • Friendly reminder, Thomas's wife is head of an anti ACA PAC.

  • availability of the credits is required to "avoid the type of calamitous result

    In other words, the majority's decision was based not on the law itself, but on its effects and/or would-be effects.

    that Congress plainly meant to avoid

    Not one Congressman has read the law in full — not before it was passed, not after. It is too long and too complicated.

    Though it is acceptable for courts to turn to legislative intent [wikipedia.org] sometimes, that's specifically reserved to cases, where the laws language is unclear.

    That

    • by thaylin ( 555395 ) on Thursday June 25, 2015 @01:59PM (#49988111)

      availability of the credits is required to "avoid the type of calamitous result

      In other words, the majority's decision was based not on the law itself, but on its effects and/or would-be effects.

      In correct. In other words. The law was clearly drafted with a given intent that the plaintifs want the court to ignore, however intent of the law is an important part of the SCOTUS's interpretation of all laws.

      that Congress plainly meant to avoid

      Not one Congressman has read the law in full — not before it was passed, not after. It is too long and too complicated.

      Though it is acceptable for courts to turn to legislative intent [wikipedia.org] sometimes, that's specifically reserved to cases, where the laws language is unclear.

      That was not the case here — as written, the law clearly only allows subsidies for residents of those states, that have set up "health exchanges" of their own. Whether that was the intent of the law-makers or not is irrelevant. The court's decision is wrong.

      What is written is not what is meant by intent, what is meant by intent is what the law was meant to accomplish. In this case if you remove all context from those few lines you can make it look like the intent was not to provide subsidies to these states (if you ignore that the word state has dual meaning in legislation), however when you look at the full bill, or heavens forbid, talk to the drafters of the law, you can see that the intent was to provide the credits either way.

    • Not one Congressman has read the law in full â" not before it was passed, not after. It is too long and too complicated.

      If you don't believe that any congressperson has read it, do you then believe Scalia in his dissent when he says that he has read it?

      the reader of the whole Act will come across a number of provisions beyond Â36B that refer

      This comes from page 5 of Scalia's dissent. Do you believe that he somehow found time to read the entire document in the time they had between arguments and writing of the judgement, even when they had other cases to decide on as well?

    • by Etherwalk ( 681268 ) on Thursday June 25, 2015 @02:05PM (#49988195)

      availability of the credits is required to "avoid the type of calamitous result

      In other words, the majority's decision was based not on the law itself, but on its effects and/or would-be effects.

      Yes. In the real world SCOTUS looks closely at what impact their decision will have. "not based on the law itself" is a ridiculous criticism--they are being *asked* what the law is, and part of deciding what the law is when there is any ambiguity or potentially counterintuitive result is to figure out what are the consequences if the law is way X vs. way Y.

      That's why SCOTUS often considers "administrability" when they are making decisions. It's a fundamental part of how the court operates. Would you rather they kill people Congress didn't intend to kill or that they say "this is a typo and in the context of what you are doing, it's pretty damn clear you would have intended this to mean X if you had bothered to read the law you wrote."

      There is zero ambiguity here in terms of what Congress intended; it's clear that a law was poorly drafted. This is a not a maybe-they-meant-Y situation, this is a "hey, they accidentally used a sentence that probably says Y."

      • by JBMcB ( 73720 )

        There is zero ambiguity here in terms of what Congress intended; it's clear that a law was poorly drafted. This is a not a maybe-they-meant-Y situation, this is a "hey, they accidentally used a sentence that probably says Y."

        Two points on that:

        1. There were HUNDREDS of lawyers involved in combing over every letter of that law. You really think someone left one of the key parts of the bill sloppily worded like that?

        2. The counter argument to the subsidy intent was that the federal government wanted to force the states to create their own exchanges. To incentivize that, the states would only get the subsidized plans if they did set up their own.

    • availability of the credits is required to "avoid the type of calamitous result

      In other words, the majority's decision was based not on the law itself, but on its effects and/or would-be effects.

      that Congress plainly meant to avoid

      Not one Congressman has read the law in full — not before it was passed, not after. It is too long and too complicated.

      Though it is acceptable for courts to turn to legislative intent [wikipedia.org] sometimes, that's specifically reserved to cases, where the laws language is unclear.

      That was not the case here — as written, the law clearly only allows subsidies for residents of those states, that have set up "health exchanges" of their own. Whether that was the intent of the law-makers or not is irrelevant. The court's decision is wrong.

      The text is essentially a hunk of code describing how to execute the law.

      The controversial section is a bug.

      Do you think the courts should faithfully execute the buggy code, crashing part of the country in the process, or do you think they should fix or ignore the bug and allow the law to execute successfully?

      • by Etcetera ( 14711 ) on Thursday June 25, 2015 @02:20PM (#49988413) Homepage

        The text is essentially a hunk of code describing how to execute the law.

        The controversial section is a bug.

        Do you think the courts should faithfully execute the buggy code, crashing part of the country in the process, or do you think they should fix or ignore the bug and allow the law to execute successfully?

        Well, according to one of the law's architects, it was a Feature, not a Bug: https://www.youtube.com/watch?v=34rttqLh12U&feature=youtu.be [youtube.com]

        What’s important to remember politically about this is if you’re a state and you don’t set up an exchange, that means your citizens don’t get their tax credits—but your citizens still pay the taxes that support this bill. So you’re essentially saying [to] your citizens you’re going to pay all the taxes to help all the other states in the country. I hope that that’s a blatant enough political reality that states will get their act together and realize there are billions of dollars at stake here in setting up these exchanges. But, you know, once again the politics can get ugly around this. (via NB [newsbusters.org]

        So to answer your question: Yes.

    • by sribe ( 304414 ) on Thursday June 25, 2015 @02:28PM (#49988509)

      That was not the case here — as written, the law clearly only allows subsidies for residents of those states, that have set up "health exchanges" of their own.

      That's simply not true. There is ONE SINGLE CLAUSE TAKEN IN ISOLATION WHICH SAYS "ESTABLISHED BY THE STATE", but there are other clauses which clearly spell out in more detail the requirements of the exchanges and the relationship between state and federal, but the nutjob right-wing desperadoes who have failed in every other attempt to overturn ACA chose to pin their hopes on SCOTUS taking a single clause out of context...

  • Opportunity Lost (Score:3, Informative)

    by schwit1 ( 797399 ) on Thursday June 25, 2015 @01:54PM (#49988037)
    This article [michiganca...ential.com], mostly about the impending Supreme Court decision on whether individuals in states with no state-run health exchanges can receive federal health insurance subsidies, contained this significant little bit of information about the overall failure of Obamacare:

    Sixteen states and the District of Columbia established state-based exchanges. But more than half of these exchanges are already inoperable or are facing budget shortfalls. Even after spending $4 billion in federal grants, the track records of state-based exchanges have been nothing short of calamitous. In fact, at least three state-based exchange efforts — Maryland, Oregon and Massachusetts — are now the subjects of federal investigations.

    This astonishing track record bears repeating: Only 16 out of 50 states chose to create state health exchanges, even though the law stated that by not doing the citizens of the remaining 34 states would not get federal subsidies (the whole point of the Supreme Court case). Yet, of those 16 that did create exchanges, more than half have failed to work or have gone over budget, after wasting more than $4 billion in federal funds. On top of that, three are now under investigation.

    • by FranTaylor ( 164577 ) on Thursday June 25, 2015 @04:00PM (#49989713)

      Yet, of those 16 that did create exchanges, more than half have failed to work or have gone over budget, after wasting more than $4 billion in federal funds. On top of that, three are now under investigation.

      Gosh, corruption in government! You are shocked, shocked! Maybe we should eliminate every part of government that wastes money! Can we start with the DOD? But NO, you want to start on the part that keeps people healthy.

  • /. must be looking for page hits again...
  • is stupid enough to leave the health of its citizens up to the vagaries of the profit motive? How many assets does a a nation have that are more valuable than a healthy population?

  • Mixed feelings... (Score:5, Insightful)

    by ERJ ( 600451 ) on Thursday June 25, 2015 @02:34PM (#49988597)
    Ultimately I believe that the court ruled incorrectly here. The way this should have been handled is that the court should have ruled based on the law as written. The thing is, if our political system wasn't so messed up it would have never reached the supreme court. Congress would have simply fixed the law itself to clarify the actual intent and life would have gone on. Although it is pretty clear what the intent was in this circumstance I think it is dangerous to allow for that broad of discretion for the judicial branch.
    • by Thagg ( 9904 )

      Get 534 of your colleagues together, and write a 500,000 line program.

      Will there be any bugs? Can there *not* be any?

  • As a Republican... (Score:3, Insightful)

    by Anonymous Coward on Thursday June 25, 2015 @02:42PM (#49988715)

    ... I'm not a fan of Obamacare. In fact, that's putting it lightly. However, I think the court got it right on this one. Trying to get a part of the law thrown out on a technicality in an effort to get the law to implode on itself and hurt the American people is not the right way to get the law repealed.

    The way to get the law repealed is for Congress to repeal it. If they don't have the majority yet to do it, then we need to win people (and seats in Congress) over to our side.

    Note: my criticism does not not apply to the earlier challenge which, while perhaps weaker, was more legitimate in questioning the legality of the law on constitutional grounds. This challenge amounted to "nuh uh because you wrote State but you should have written State or Federal, hah!" Be glad you don't live in a world where courts always rule strictly on literal interpretations. That would be a really, really shitty world.

  • obamacare is obviously grotesque

    but what it does is plainly acknowledge that american healthcare is an grossly inefficient piece of shit. our system is insanely expensive and people avoid basic healthcare. because of the misguided notion that capitalism has anything to do with a basic right. there is no competition in healthcare, it is a *natural monopoly* (look it up, retards). all we will ever get in the system that makes believe there is competition, because free market fairies and unicorns, is rent seeking parasites funneling money off for no added benefit, and paying congresscritters top keep it that way. and of course propagandized fox news morons believing the scaremongering ignorance that they shovel out should we try to get a better system

    all of our social and economic peers spend A TENTH OR LESS WHAT WE SPEND, AND HAVE FAR BETTER HEALTH OUTCOMES. ask any canadian, british, french, german, japanese, australian: our system scares the hell out of them, they shake their heads in horror at what americans have to put up with. it's not about "freedom" unless you wish to be free from quality low cost healthcare (if you don't want to buy health insurance, you're basically saying you want to be a freeloader and avoid your bill... an irresponsible ignorant douchebag, not a freedom fighter)

    republicans kick and scream. and offer nothing better

    because they don't want to admit that they are ideologically bankrupt on the question. instead of admitting they are wrong, they have no problem with americans having extremely expensive, shoddy healthcare, and dying too early and broke. there's your "death panels": lower middle class? fuck you, go bankrupt and die

    again, obamacare is horribly imperfect, but it's the first step and a basic acknowledgment of how broken our system is

    and now we must take the other 1,000 steps we need to take to reach single payer universal healthcare, the only fucking answer that makes any fucking sense on the subject of a functional healthcare system

    i'm sorry so many americans are so fucking stupid and ideologically blinded that they would rather have extremely expensive healthcare or just plain die, rather taen understand or admit the fucking obvious. but you morons won't hold us back from what is obvious to anyone moderately intelligent on the topic and not propagandized by right leaning media lies

  • by Holi ( 250190 ) on Thursday June 25, 2015 @04:00PM (#49989711)
    Let's watch a bunch of non-lawyers argue which ignorant lack of understanding of the law shows why the Supreme Court is wrong.
  • by caseih ( 160668 ) on Thursday June 25, 2015 @04:16PM (#49989887)

    I find it interesting that the principles of the affordable care act were almost entirely conceived of and proposed by the Republican part back in the 90s in response to the Clinton health care reform initiative which failed. And no matter what they claim, a Republican administration in Mass (Romney) largely implemented much of the ACA on a state level and it worked very well indeed. Why it would suddenly become so repulsive to Republicans I do not know.

    During the time of the passage of the ACA, my coworker, who was going through cancer treatment and other health issues read the bill in its entirety and he felt it was not at all perfect but it was better than what we had. A lot of the FUD going around (still is) was just that. He was comfortable with the bill as passed, even if the majority of congress critters seemed to not be familiar with it. I'm glad the supreme court upheld it. It the Republicrats want to get rid of it, they need to do it the proper way, and replace it with something better. No, going back to the status quo will not work. If they would propose a better, more equitable plan, I would support it. But so far they seem to be offering absolutely nothing. If they manage to get the White House, it will be over a campaign promise to roll things back to the good old days and then do absolutely nothing. The last part sounds good actually.

    During the FUD and absolute crap going around during the passage of the ACA, many people talked about socialized systems in other countries (who was it that said they'd move to Canada to get away from the ACA?). The irony of all that is that between the VA, Medicare, and Medicaid, the US gov't runs the largest socialized healthcare system in the world. And it's one of the most expensive. Maybe the gov't should merge them all together into one program, and then require all federal employees, including elected officials and the president and all his advisors to use it as their primary health care insurance provider and system. You can bet all the problems would clear up in a a matter of months! And it just might end up being a really good program.

  • by Software ( 179033 ) on Thursday June 25, 2015 @04:29PM (#49990013) Journal
    Most of the comments here seem to be saying that the case was decided incorrectly because the text of the law was clear and the intent doesn't matter. However, there are lots of other cases where the text of the law is equally clear and yet SCOTUS has ruled that intent matters. Let's start with the First Amendment. It's obvious that slander laws run afoul of the plain text of the First Amendment. Which part of "Congress shall make no law..." is unclear? None at all. Yet SCOTUS has ruled slander laws are allowed, as well as laws preventing inciting a riot (e.g., yelling "Fire!" in a crowded theater).

    For another example near and dear to conservatives' hearts, consider the Second Amendment. The Roberts court has ruled (District of Columbia vs. Heller, 2008) that the Second Amendment establishes an individual right to carry arms, despite the fact the amendment only mentions carrying arms in the context of a militia.

    With the current case, the intent of the law was clear (and most of the drafters are still around to ask), so that's what SCOTUS used. Judges aren't just implementations of parsing algorithms that spit out yes or no results based on the text of the laws.
  • by hwstar ( 35834 ) on Thursday June 25, 2015 @06:39PM (#49991029)

    This ruling is actually very good for individual freedom. I'm happy to see that the supreme court made an intelligent ruling. I'm 54 and semi-retired. I have pre-existing conditions and if we went back to the way things used to work, I'd have to become employed full time again, or emigrate to the UK where I also
    have citizenship.

    I hate everything American employment stands for. Age discrimination, employment-at-will, invention agreements, covenants not to compete, and binding arbitration to name a few.

    • the nutty thing is, many americans believe freedom basically means no fucking rules whatsoever. which is not a state of freedom, but a free-for-all where a few win big and most lose. or the ability to freeload: they broke their arm, they go to the emegency room, then avoid the bill or declare bankruptcy because they want the "freedom" to not pay health insurance and pass the bill onto the rest of us

      many americans believe freedom is "freedom" from consequences for irresponsibility. they are merely announcing that they don't understand what real freedom is

      actual, real freedom means the ability to live a life genuinely *free* of pocketbook crippling or early life ending disease or infirmary

      and to arrive at that, you have to have insurance. to not have that is not freedom, it's freeloading. because if you are injured or sick, you *will* go to the hospital because the pain is more powerful than your shallow teenaged "principles", and we *will* treat you, because we're not a cruel social darwinistic society, despite the fact some ignorant sadistic assholes wish it was

      basically the status quo of the pathetic american healthcare system is the product of immature morons who don't even really understand what freedom is even as they whine and shout about it most loudly. the usa needs to have a single payer universal healthcare system like canada, uk, germany, etc.: all our common sense peers, yesterday

      that we don't is only a sign of how fucked up we are because of propagandized immature morons who don't understand basic economics (healthcare is a natural monopoly) nor true freedom

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