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Experts Say Both Sides Win With Health Care Decision

Academic experts weigh in on what the Supreme Court's decision to uphold the Affordable Care Act in its entirety means for citizens and the political parties.

 

With the U.S. Supreme Court Thursday upholding the Affordable Care Act as constitutional, elected officials and hopefuls alike should be pretty satisfied, according to one Wisconsin professor.

"The general status quo is that Republicans are against the health care law and Democrats are for it," said Charles Franklin, an expert in political science from the University of Wisconsin-Madison and director of the Marquette University Law School poll project. "So, really, the high court's decision should make both sides politically happy because they can stick to their talking points."

For the Obama Administration, they can say they did the right thing because the law passed constitutional muster, he added. Mitt Romney, whom President Barack Obama will face in November, can continue to run on a total repeal of the law, he said.

Ryan: Time to 'Repeal and Replace'

U.S. Rep. Paul Ryan (R-Janesville) is doing just that as he faces a challenge from Democrat Rob Zerban in the 1st Congressional District. Calling the law a bad policy despite the Supreme Court decision, Ryan is betting on residents' opposition to the law to vote out supporters of the measure.

"Today’s decision strengthens the case for repeal and replace. With the right leadership in place, I am confident we can advance real health care solutions for the American people," Ryan said in a statement. "It is now in the hands of the American people to determine whether this disastrous law will stand.”

Zerban disagrees, saying insurance companies and citizens benefit from the individual mandate because a larger pool of participants means more money and liability to spread around.

"The more people covered means more money going into the same pool," he said. "Adding a healthier population is also good news for everyone because the liability gets spread out as well."

Repealing Law is a Long Shot

As for whether or not Republicans in Congress can overturn the health care law, Marquette University constitutional law professor Ed Fallone said the high court's decision means the only option now is to go through the democratic process.

"Congress has the power to change statutes that it previously passed so this, too, could be changed," he said. "Republicans' first strategy was to use the courts, but now they have to get the votes to repeal."

Fallone thinks that will be stretch because the president would have to be defeated and in addition to a majority in the House, Republicans would also need a sufficient majority in the Senate to overcome a Democratic filibuster.

"It's highly unlikely a legislative repeal would succeed," he added.

As for what could happen after the November elections, Jonathan Jaffrey, a law professor from UW-Madison, agrees with Fallone that a legislative repeal will be difficult.

"Republicans have already voted to repeal the act, and it didn't get very far," he noted. "And if Republicans go get control of Congress and/or the White House, then it becomes a question of replacement. How will they take away health insurance for 32 million Americans and what will they put in its place?"

Results from the last Marquette poll show that nearly a third of respondents fully supported keeping the law intact while 38 percent wanted it completely overturned and 19 percent just wanted the individual mandate removed.

Franklin said the Democrats' challenge now will be using the more popular measures of the bill — like allowing adult children up to age 26 to remain on their parent's insurance and removing obstacles to insurance like pre-existing conditions — and turning that into support for the entire thing.

"Overall, we've seen that people support helping young adults with insurance and taking away the pre-existing clause for insurance companies that allowed them to deny coverage," he added. "So now the Democrats need to play up those positive aspects to get more people behind the bill as a whole."

What both parties avoid with the high court's ruling is having to craft strategies around pieces of the legislation, Franklin said.

Republicans don't have to worry about running against popular measures like the up-to-age-26 provision and the pre-existing condition directive, and Democrats don't have to deal with trying to orchestrate a legislative fix in an atmosphere of extreme partisanship.

  • Do you agree with the Supreme Court's decision to uphold the health care reform law?

    (Voting has been closed for this question)
    • Yes, there was no question this was constitutional.
        259 (38%)
    • No, there are too many problems with the current law.
        369 (55%)
    • Not sure. I like some parts of law but not others.
        41 (6%)
    Total votes: 669
  • Your vote will only count once. This is not a scientific poll. View Results Vote!
Related Topics: Affordable Care Act, Planned Parenthood of Wisconsin, Supreme Court, and repeal and replace

SkinnyDude

4:33 pm on Thursday, June 28, 2012

America Lost . If Higher costs, Less care and less options is winning I am on the wrong planet. Single payer system kills quality, options and rations care. It happens everywhere with that system. For example, Canada ranks Hospitals a grade of A if you get your Heart surgery within one year. WOW......sure hope the doc doesnt give ya 3 months to live.

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mainstreet

6:52 pm on Thursday, June 28, 2012

Hopefully this will awaken the silent majority of this country as the recalls did here in WI. It could be a VERY interesting November.

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Craig

8:37 pm on Thursday, June 28, 2012

The real winners are the health insurance companies. They get to charge the Government for the premiums. When individuals have rate increases- they bitch and shop around. When Corporations have rate increases they do the same and pass the cost to the employee. When the Government is involved- they just pay the bill and there is no common sence.
$900 hammers anyone?

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Lyle Ruble

7:34 am on Friday, June 29, 2012

@Craig...I don't care if you can shop around, the net impact is continually rising double digit increases of healthcare. Why do you think so many people take the risk and don't buy insurance? I don't know if you have ever had the opportunity of negotiating with the government, but it is a brutal process. The $900 hammer is an exception not the rule.

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Bob McBride

7:55 am on Friday, June 29, 2012

Lyle, as you know, the $900 hammer isn't the result of the government being so free flowing with the bucks that they don't know they're paying $900 for a hammer, it's the result of them speccing a hammer that has to be custom designed, plus the cost involved in the paper shuffling and other ridiculous stipulations tacked on to virtually any government contract as a result of special interest, EEOC, safety and a myriad of other regulations.

Insurance companies aren't going to lose money in this deal. The additional costs associated with coverage for pre-existing conditions and other stipulations of ACA will be passed on to the consumer, one way or the other.

This is a poorly formulated program. It's at least as likely that it turns out increasing costs overall and, ultimately, ends up with less people covered (when companies discontinue insurance coverage for employees) and more expensive policies overall, as it is that anything good is going to come of it in the long run. This has the very real potential of becoming one of those "half measures (that) availed us nothing".

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Lyle Ruble

8:14 am on Friday, June 29, 2012

@Bob McBride...You're right and the $900 hammer is calculated so the contractor makes up for losses in other areas of the contract. I agree that insurance companies are going to find ways of maintaining profits. The big problem with AHA is that it falls far short of doing what it is intended to do and can only be viewed as a step forward to a full on NHS plan.

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Craig

9:23 am on Friday, June 29, 2012

Lyle: You hit the nail on the head ;-P
This is a half assed version of NHC. Insurance Companies will be pouring money into this election. The issue here is we have medical costs rising along with insurance costs rising. Obamacare doesn't remove the middleman (insurers), who take a chunk of profits. It is clear they plan to raise rates to make up for accepting those with pre existing conditions.
Regarding shopping around for health coverage: If you buy your coverage privately, there is often a large savings when switching....after a couple years the rates go way up. Then you have to start the process all over again to find a lower cost company. Of course eventually you wind up with a health issue and can't change companies because of a pre exisiting condition.

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CowDung

10:33 am on Friday, June 29, 2012

How can they not raise rates if they are being mandated to cover pre-existing conditions and have no caps on the lifetime amount of benefits paid?

I almost think that this plan is intended to drive the insurance companies out of the business so that we'd have to go to a single payer system...

Jay Sykes

9:33 am on Friday, June 29, 2012

The Democrats and the Republicans may each now have a way to fire up their base, but this decision does nothing positive for the economy. We just kicked the can out to the first Tuesday in November;maybe even later. Normally a SCOTUS decision would provided some certainty, not with this decision and the next election cycle within site.

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Greg

10:23 am on Friday, June 29, 2012

Are insurance companies big corporations? Let's see who they send money to for this election.

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patchreader 123

10:37 am on Friday, June 29, 2012

A win for both parties? More accurately, it is a loss for the Constitution - our Constitution.

The ACA could not have been held constitutional under the Commerce Clause, as there was no possible way to define the non-purchase of services as interstate commerce.

No legal precedent exists for holding it constitutional under the Taxation Clause. The non-purchase of services does not qualify as one of the taxations currently permitted under the Constitution, namely direct, excise or income taxation.

Now, through an incoherent decision by Chief Justice Roberts, we have a dangerous legal precedent for using the Taxation Clause to further erode our civil liberties. Such a precedent, handed down by this nation's highest court, will survive any possible repeal by Congress of the ACA.

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patchreader 123

10:58 am on Friday, June 29, 2012

Meanwhile, Congress passes and the President signs into law in February of this year, the FAA Modernization and Reform Act. This new law essentially opens the U.S. skies to domestic surveillance drones (the same drones used by our military over-seas) without any concern for U.S. citizens’ privacy rights.

Add to this, the Citizens United SCOTUS Decision of 2010 - which effectively erodes the voting power of U.S. citizens not having large sums of money to contribute to the election campaigns of our elected or prospective elected officials.

Thus, while the vast majority of the U.S. public is distracted by engaging in party-line, divisive partisan argument, all fueled by our main stream media, our civil liberties are slowly eroding before our eyes.

Johnny Blade

3:50 pm on Friday, June 29, 2012

So government workers in black robes approved a law put in place by government workers ... Hmmmmm

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Johnny Blade

3:52 pm on Friday, June 29, 2012

Amen Patchreader ... these dolts don't care as long as they get the handout .. The government learned this from the Mob, get them under your thumb and you can control them like lemmings

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robert heule

4:08 pm on Friday, June 29, 2012

Johnny, regardless of what you think of the Supreme Court Justices, to call them government workers is an insult to the Court in general. As much as I would like to see Clarence Thomas and Antonin Scalia leave the Court, I wouldn't refer to them as you did, even though your terminology may be technically correct.

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