Tuesday, November 20, 2012

'Necessary,' 'Proper,' and Health Care Reform

Andrew Koppelman

Chief Justice John Roberts argued, in NFIB v. Sebelius, that the Affordable Care Act exceeded Congress’s commerce power. The individual mandate to purchase insurance was not authorized by the Necessary and Proper Clause, he reasoned, because it involved a “great substantive and independent power.” He did not explain how one could tell what constituted such a power. This limitation was worked out in more detail by amici, and Roberts may have been gesturing toward their argument.

An essay that I have just posted on SSRN looks to the antecedents of Roberts’s argument to try to make better sense of what he said. This strategy fails. There is no way to make this argument look good. It is a placeholder for a raw intuition that the law’s trivial burden on individuals was intolerable, an outrageous invasion of liberty, even when the alternative was a regime in which millions were needlessly denied decent medical care.

The essay focuses on one aspect of a complex case.  The whole story is elaborated in my forthcoming book, The Tough Luck Constitution and the Assault on Health Care Reform, forthcoming in February from Oxford University Press.

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