Modern Healthcare

Splitting off

Challenge against ACA wasn’t always so clear

- Joe Carlson

Two years ago, Ronald Reagan’s former solicitor general, Charles Fried, felt so skeptical about constituti­onal challenges to the healthcare reform law that he vowed to make a meal of his own kangaroo-skin hat if the U.S. Supreme Court struck down the act.

Fried was hardly alone in dismissing the validity of the legal challenges. A large swath of legal scholars and pundits initially doubted the legal theories behind the challenges, which first surfaced in conservati­ve and libertaria­n debates and essays and bubbled into legal theory in more than two dozen federal courts across the country.

So much for the skeptics. Two years after it was filed, the litigation wound its way through the judicial system to become the subject of three historic days of oral arguments before the Supreme Court, which is expected to decide the law’s fate—and Fried’s dining options—by the end of this week.

How did it happen? Some supporters of the law accuse the Obama administra­tion of failing to control the public debate, which led to a weaker law and ultimately influenced the judiciary.

Supporters of the litigation say their arguments started out strong and gained strength over time as it became clear in court after

“Bad arguments don’t get any better for being repeated, but the political force behind them has accelerate­d.”

—Charles Fried, former solicitor general for Ronald Reagan, Harvard Law School professor

court that the government’s lawyers lacked a credible answer to the fundamenta­l problem of the individual mandate: that giving Congress the power to compel private citizens to purchase products could essentiall­y remove any meaningful limit on its authority.

Fried, for one, didn’t buy that logic in 2010 and doesn’t put stock in it today. “Bad arguments don’t get any better for being repeated, but the political force behind them has accelerate­d,” he said in a phone interview from Harvard Law School, where he is a professor.

Ilya Shapiro, senior fellow in constituti­onal studies at the libertaria­n Cato Institute, said the legal community’s skepticism was predictabl­e but wrong.

The legal and academic mainstream “are far-left liberals, and that they wouldn’t take seriously the idea that there are judicial limits on Congressio­nal power is not surprising,” Shapiro said. “What was argued to the Supreme Court is really not that different from the initial op-eds and the initial lawsuits that were filed on the reform law.”

Early critics of the reform law included many religious organizati­ons. For example, the conservati­ve Christian Thomas More Law

Center in Ann Arbor, Mich., filed a lawsuit against the reform law that went all the way to the 6th U.S. Circuit Court of Appeals in Cincinnati before it was defeated.

Lynchburg, Va.’s Liberty University— which was founded by Baptist Rev. Jerry Falwell and today is run by his son, Chancellor Jerry Falwell Jr.—filed a challenge that went to the 4th U.S. Circuit Court of Appeals in Richmond, Va., before judges tossed it out on procedural grounds.

And several private citizens represente­d by conservati­ve Christian legal activist Jay Sekulow’s law firm, the American Center for Law and Justice, saw their lawsuit get to the U.S. Circuit Court of the District of Columbia— only to receive an opinion that was favorable to the government.

But it was the lawsuit out of Pensacola, Fla., population 52,000, that has shaken the reform law to its girders.

Thirteen states, nearly all run by Republican governors at the time, filed suit in Pensacola alleging claims similar to those in the other suits, chiefly that the individual mandate to buy insurance was an infringeme­nt on personal liberty not allowed by the Constituti­on. The number of state plaintiffs climbed to 26.

The Nashville-based National Federation of Independen­t Business, looking for an opportunit­y to enter the fray, surveyed the litigation already in the court system and decided to ask permission to join forces with Florida’s lawsuit, then rode it all the way to the Supreme Court.

“We looked around and said, that one would be fine if they would have us,” said Karen Harned, executive director of the NFIB Small Business Legal Center. “A lot of the challenger­s at the time were, truthfully, more focused on the religious aspect, which isn’t really what we’re about.”

Some supporters say the White House’s failures led to a law more vulnerable to challenge and allowed those attacks to gain traction.

Bob Edgar, a former Congressma­n from Pennsylvan­ia and the CEO of the not-forprofit Common Cause, blamed the senate’s filibuster rules for causing “significan­t damage” to the law, as well as President Barack Obama’s failure to put forward his own proposal for a healthcare law that could have been vetted for constituti­onal issues.

However, Edgar also said an increasing­ly partisan judiciary perhaps was primed to be receptive to the extra-judicial political debate, and he noted that partisansh­ip among Supreme Court justices has been increasing in recent years, which he said was a troubling trend given that the court exempts its mem- bers from political conflict-of-interest rules. “But give them the benefit of the doubt,” Edgar said. “Maybe they will not want to embarrass themselves by passing judgment” along partisan lines.

Adam Winkler, a professor of constituti­onal law at UCLA Law School, was among those who blamed the administra­tion for not taking control of a public debate that he believes influenced even the famously insular Supreme Court, as evidenced by the fact that Justice Antonin Scalia asked during oral arguments why the Commerce Clause couldn’t also give Congress the power to compel purchases of broccoli.

“Last I checked, the government wasn’t requiring anyone to buy broccoli,” Winkler said. “That was part of the public debate.”

 ?? GETTY IMAGES ?? Lawyer Gregory Katsas, outside the U.S. Supreme Court, argued on behalf of the NFIB and 26 states challengin­g the reform law.
GETTY IMAGES Lawyer Gregory Katsas, outside the U.S. Supreme Court, argued on behalf of the NFIB and 26 states challengin­g the reform law.

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