In light of this week’s good news on the legal front of the war against ObamaCare, Medical Progress Today, a project of the Manhattan Institute, asked a collection of leading health policy experts for their opinions on whether ObamaCare can still stand if the individual mandate is removed.
“Yesterday liberals were crowing that even if the mandate is eventually declared illegal, it’s no big deal because the rest of ObamaCare’s new system would remain intact. Yet they’ve argued for years that the mandate is essential to health reform, because the mandate is at the heart of the regulatory machine. ObamaCare without a mandate would mean individuals wouldn’t have to pay into a system until they were sick, driving up costs even faster and ruining what’s left of health insurance markets.”
“Attorneys for 20 states fighting the new federal health care law told a judge Thursday it will expand the government’s powers in dangerous and unintended ways. The states want U.S. District Judge Roger Vinson to issue a summary judgment throwing out the health care law without a full trial. They argue it violates people’s rights by forcing them to buy health insurance by 2014 or face penalties. ‘The act would leave more constitutional damage in its wake than any other statute in our history,’ David Rivkin, an attorney for the states, told Vinson.”
ObamaCare expands Medicaid by 16 million new enrollees, but current beneficiaries get poor quality care and face long wait times to find doctors. Providers frequently refuse to treat Medicaid patients because the reimbursement rates are so low. “Once the new law is fully in effect, roughly one in five Americans will carry a Medicaid card. But the combination of rapid beneficiary growth with benefit and provider cuts threatens to render their cards useless.”
“Rising entitlement spending is already driving the federal budget off a cliff. But Obamacare would add fuel to the fire with the largest entitlement expansion since the 1960s. So it takes a special kind of audacity for Obamacare’s apologists to continue to insist that the new law will cut the projected budget deficits. Evidence clearly shows otherwise.”
“Today’s hearing in Pensacola built on Monday’s ruling out of Richmond: Judge Roger Vinson is likely to hold the individual mandate unconstitutional. And such a decision would be the most significant development possible at the district court level because the Florida case involved 20 states, with more joining the lawsuit when new governors and attorneys general assume office in January. It is unprecedented for this number of states — again, soon to be a majority — to sue the federal government and it shows the singular and extreme nature of the government’s assertion of raw power here.”