Federal judge Henry E. Hudson of Richmond, Va., ruled yesterday that the Affordable Care Act’s requirement that most Americans obtain health insurance was unconstitutional. In his forty-two page opinion, Hudson took issue with the provision known as the “individual mandate,” writing, “Neither the Supreme Court nor any federal circuit court of appeals has extended Commerce Clause powers to compel an individual to involuntarily enter the stream of commerce by purchasing a commodity in the private market.” The crux of the case, the question of the Commerce Clause, is nicely outlined in this graf from the Times’s front page story on the decision today:
The case centers on whether Congress can use its powers under the Commerce Clause to compel citizens to buy a commercial product—namely health insurance—for the purpose of regulating an interstate economic market. Absent that authority, the administration argued, Congress could use the taxation powers granted by the Constitution to justify the insurance requirement, because the fine for not obtaining coverage will be assessed as an income tax penalty.
Most of the major daily coverage this morning has been sharp, outlining Hudson’s decision, ruminating on the future of the law, and placing the ruling in context—Hudson is an unabashed, potentially “activist” conservative; two previous, similar cases, one in Detroit and one in Lynchburg, Va., have upheld the law; and the case is one of twenty or so that have been filed, challenging the Obama health care law. And mostly reporters have avoided the temptation to overplay the decision as an end to Obamacare, instead outlining it, rightly, as something of a speed hump.
Still, each has given the case its own twist. The coverage ranges from significant doom and gloom—most pronounced perhaps across the pond in Richard Adams’s Guardian blog post (“Obama’s healthcare reforms are looking sick”)—to the more measured—The Washington Post is even-handed in its assessment that the ruling provides mixed holiday blessings for both political parties.
McClatchy’s story, “Virginia Judge rules health care law unconstitutional,” is a good place to start if you’re after the basic nuts and bolts. Margaret Talev and Michael Doyle’s report is comprehensive and nuanced. First, there’s the context, and a brief sketch of the players and their leanings:
Some 20-odd cases have been filed overall challenging the law.
White House officials and advocates of the law emphasized that Hudson’s ruling is no more important than two recent rulings by federal judges that upheld the mandate. In October, U.S. District Judge George Steeh in Michigan ruled the insurance mandate fit within congressional power under the Constitution’s Commerce Clause. On Nov. 30, U.S. District Judge Norman Moon in Lynchburg, Va. ruled the same.
The Commerce Clause explicitly states that Congress can “regulate commerce among the several states,” although the Supreme Court has struggled for years to decide what activities this covers.
“There is a rational basis for Congress to conclude that individuals’ decisions about how and when to pay for health care are activities that in the aggregate substantially affect the interstate health care market,” Moon declared in his 54-page opinion.
Steeh and Moon were both appointed by President Bill Clinton. Hudson is a nominee of President George W. Bush.

Lost in all this is that the federal govt, via the Supreme Court, will have the final say on whether the federal govt has breached its constitutional limits.
Why don't the power-watchers of the press ever focus on this sad historic reality? Perhaps it's because they are too busy focusing on the superficial partisan aspects (conservative district judge, etc.).
But Thomas Jefferson was right: if it is accepted that the federal govt is the final arbiter of the bounds of its own power, then who should be outraged to find that the federal govt is constantly assuming new powers?
#1 Posted by Dan A., CJR on Tue 14 Dec 2010 at 05:57 PM
Amen, Dan. If the federal gov't gets away with this, what's next? Chills me to the bones as I am a MA resident who has been living under the MA plan which was the model and marketing tool for Obamacare.
It has been very troubling that MA nationals such as John Kerry, Mke Capuano et al touted the plan in MA as a grand success while constituents told them otherwise. And to boot, they had to have known the MA Gov. Deval Patrick was trying to keep this bloated cluster boink afloat during the nat'l debate by making several sets of 9c cuts to important state programs, cutting the budget of the MA Connector which subsequently dumped 28,000 people from their subsidized insurance plans and so much more.
I have friends who are paying costly penalties - up to $1,098 in 2009 for being uninsured. And those who buy the insurance including the subsidized if they are found eligible, can barely afford the premiums nevemind using the coverage.
People have to intentionally lower their incomes to get nailed with a cheaper penalty or get into a subsidized plan b/c it's all income-based which actually is discrimination.
The MA plan and Obamacare are both coercion and collusion. Period. Be very afraid if this ruling is overturned.
#2 Posted by dianne, CJR on Tue 14 Dec 2010 at 07:45 PM
The government though has no right to compel any individual to take up health insurance , it perceives to be doing some good for its citizens.
It has also promised that the insurance scheme though found to be incompatible for many today, is going to be of benefit for the future baby boomers generation. It is also focused to cover more than 80% population.
We only have to watch what obamacare has got for the people.
http://www.chrisranjana.com/health-care/health-care.html
#3 Posted by health chrisranjana.com developers, CJR on Wed 15 Dec 2010 at 01:26 AM
This all may be a moot point. We will not see the bill overturned, but defunding is a real possibility.
We need reform. I think we all agree. But at what cost? As a 3-year veteran of the health care business, I would like to see increased utilization of major medical plans
and extra funding for state high risk pools. These would be a great start.
#4 Posted by Ed Harris, CJR on Wed 15 Dec 2010 at 10:12 AM
1. Auto insurance mandate !
Under historical interpretations of the Constitution, Congress can dictate the economic activity of citizens so long as that activity will have profound, large-scale effects on the national economy.
2. Health insurance protects you PLUS all !
** Inaction cost, $9trillion over the next decade, ((Some of CBO analysis : While the costs of the financial bailouts and economic stimulus bills are staggering, they are only a fraction of the coming costs from Social Security, Medicare, and Medicaid. Over the next decade, the Congressional Budget Office (CBO) projects that each year Medicaid will expand by 7 percent, Medicare by 6 percent, and Social Security by 5 percent. These programs face a 75-year shortfall of $43 trillion--60 times greater than the gross cost of the $700 billion TARP financial bailout)).
Among the thirty-three industrialized countries in the world, only America has no universal health care. Why do all the leading countries require participation in a universal plan? Because every other country understands that health care is not only a basic right, it is also a necessity, a sane policy protecting the country from plagues and epidemics but also from bankruptcy by providing modern and uniform health care for its people.
#5 Posted by hsr0601, CJR on Thu 16 Dec 2010 at 03:35 AM