WASHINGTON — The Supreme Court on Monday joins the nation’s vitriolic debate over the landmark health-care law and the limits of federal power. And though thousands of pages of legal arguments about the Constitution’s history and the court’s precedents have landed on justices’ desks, the outcome may also hinge on less tangible factors.

Public opinion. The nation’s volatile political climate. The court’s self-consciousness about its own partisan divide. And the pivotal role it plays in deciding the nation’s thorniest social issues.

Experts say all of those go into the mix as justices consider the extraordinary step of striking down, for the first time since the New Deal, a monumental domestic program proposed by the president and passed by Congress.

The three days of arguments that begin Monday are the inevitable result of a legal battle that began the moment the Patient Protection and Affordable Care Act became law two years ago. And the court’s conclusion will land in the summer heat of a presidential campaign in which each of President Barack Obama’s Republican challengers have made opposition to the law an unshakable pledge.

Such a charged political atmosphere is not the court’s favored environment. The justices are protective of their charge as neutral arbiters of the law, what Chief Justice John Roberts described as umpires calling balls and strikes.

But some see other factors at work in the court’s decisions, and they say there should be nothing surprising or even particularly negative about that.

“You don’t have to view them as junior varsity politicians to see that their political views and economic predilections have some influence on what they do,” said Jeff Shesol, whose most recent book chronicled the New Deal battles between the Supreme Court and President Franklin D. Roosevelt.

Certainly the presidents who appointed the nine justices — Ronald Reagan, George H.W. Bush, Bill Clinton, George W. Bush and Obama — took ideology into consideration in making their selections.

Roberts and the court have gone to some lengths to show the nation the seriousness and evenhandedness of their inquiry.

They have scheduled six hours of argument over three days, the most in 45 years. They will examine the law in detail, even parts that no judges below them have found constitutionally questionable. And while cameras are still forbidden, the court has changed its rules to release audiotape and transcripts of the arguments each day.

Roberts even made something of a pre-emptive strike this year when he defended his colleagues against criticism that some come to the arguments with agendas.

“We are all deeply committed to the common interest in preserving the court’s vital role as an impartial tribunal governed by the rule of law,” Roberts wrote in his annual report on the state of the judiciary.

But the case sets up a classic problem for the court: when to defer to the political branches as the elected representatives of the people, and when to blow the whistle when those politicians have intruded on the Constitution’s protection of the people.

The Obama administration points to the arc of decisions stretching back to the New Deal in which the court has said the Commerce Clause and other constitutional provisions provide Congress authority to deal with national economic problems.

The uninsured consumed about $116 billion in health-care services in 2008, Solicitor General Donald Verrilli told the court in the government’s brief. The amount was absorbed by providers or passed along to others in increased health insurance premiums, about $1,000 a year per family.

“Because health insurance is the principal mechanism for meeting these unpredictable and often expensive liabilities, it was reasonable for Congress to invoke that same mechanism to address the problem of uncompensated care,” Verrilli wrote.

Paul Clement, representing Republican officials in 26 states who have challenged the law, warns the court that the mandate “rests on a claim of federal powers that is both unprecedented and unbounded.”

Only by “checking” the government now, he wrote, can the court make clear that this “uncabined authority is not among the limited and enumerated powers granted the federal government.”

A Washington Post-ABC News poll showed that two-thirds of respondents want the court to invalidate the entire law or the mandate that all individuals purchase health insurance by 2014.

But those who have chronicled how public opinion affects the court said such immediate concerns have little impact on the justices.

“I hope the justices aren’t sitting around reading public opinion polls,” said Barry Friedman, a New York University law professor and author of “The Will of the People: How Public Opinion Has Influenced the Supreme Court and Shaped the Meaning of the Constitution.” “Something has gone seriously off the rails if that is true.”

The court has shown it is unafraid to buck public opinion to protect constitutional principles, particularly in free-speech cases. But Friedman believes the court eventually aligns itself with public opinion on controversial issues, such as civil rights and gun ownership.

Shesol, the author of the Roosevelt book “Supreme Power,” said there are obvious parallels to the Supreme Court’s consideration of the progressive New Deal legislation.

Both concern the scope of federal authority and how “the national government is empowered to deal with national problems,” he said.

But the stakes were considerably higher in Roosevelt’s time, and public opinion shifted overwhelmingly to endorse the necessity of the New Deal programs, Shesol said. The string of Roosevelt’s programs reviewed by the court gave the justices a way to adjust to that new reality.

Lee Epstein, a political scientist and lecturer at the University of Southern California Gould School of Law who studies public opinion and the court, says the case will not have lasting impact on the court’s reputation no matter the outcome.

“I think it’s one of those cases where they have the freedom to do what they want,” she said.

But she noted the court’s partisan divide, which fits neatly into its usual ideological lineup. Roberts and Justices Antonin Scalia, Anthony Kennedy, Clarence Thomas and Samuel Alito were appointed by Republican presidents, Justices Ruth Bader Ginsburg, Stephen Breyer, Sonia Sotomayor and Elena Kagan by Democrats.

Since those appointed by Democrats seem likely to uphold a broad reading of government’s powers, a 5 to 4 decision would highlight the partisan divide.

When Epstein considers the court and reads the arguments in the case, she said she sees a conflict between the justices’ personal ideologies and what the court’s precedents seem to forecast.

“The political-scientist side of me sees it 5 to 4” to strike the law, she said. “The law professor side of me sees it 6 to 3 to uphold.”

Somewhat presciently, as Washington lawyer Adam White noted recently in the Weekly Standard, Obama talked as a senator about how Supreme Court justices might decide difficult cases.

He set as examples cases where “the constitutional text will not be directly on point” and cases looking at “whether the Commerce Clause empowers Congress to speak on those issues of broad national concern that may be only tangentially related to what is easily defined as interstate commerce.”

In such tough cases, he said, “the critical ingredient is supplied by what is in the judge’s heart.”

Unfortunately for Obama, as his signature domestic achievement goes before the Supreme Court, that missing ingredient was the reason he gave for voting against the confirmation of Roberts.

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47 Comments

  1. And all the while, Hillary Clinton sneaks behind the Leopard silk curtains in the Oval Office and never tells anyone that it was Obama who incorporated his homogenized health care program designed by Hillary Clinton as the original writer and author of this mess. 

    How many here remember the time at the University of Maine in Orono when Hillary Clinton came to push this health care bill she concocted at the time to be established under her husband’s administration? Obama’s plan is just a carryover.

  2. “The uninsured consumed about $116 billion in health-care services in 2008, Solicitor General Donald Verrilli told the court in the government’s brief. The amount was absorbed by providers or passed along to others in increased health insurance premiums, about $1,000 a year per family.”

    If a farmer growing wheat is covered, I’m pretty sure $1,000 a year per family is enough to get Commerce Clause coverage. 

    1.  People don’t realize that when the uninsured are treated, we all pay for it. Although this bill is far from ideal, the Republicans never added a single serious thought for consideration. All they did was encourage their partisans with pitchforks and Tea bags to turn out and disrupt meetings the Dems were holding. Even after all this time, they have not offered up a serious proposal to try to cover a majority of the uninsured.They are truly the party of ‘No’. No to compromise, no to reform, no to anybody who thinks differently.

      1. Yeah, and hospitals and doctors I’m sure had to start charging higher rates when mainecare stopped making all those payments under Baldacci, so in a way it actually has been costing more for the insured for the state government to cover people in Mainecare. A big chunk of this cost has been going toward the cost of prescription drugs and care that a lot of people don’t need, too many Mainers fall victim to doctors who carelessly prescribe xanax, muscle relaxers, vicodin, percocet, and oxycodone and then get caught up in the lifestyle of being dependent on it. I know far too many people whose lives and families were compromised by these drugs, much more so than have actually been helped. Why are we paying to supply people with something that cripples them so badly? No one pays attention to this issue, and I think it’s time that people start talking about it. It is these costs that end up dwarfing the cost of indivuals needing a dramatic one time surgery to save their lives when they don’t have insurance.

      2. So somehow this Obamacare boondoggle is the Republicans fault? Barry had to bribe and buy the votes to get this passed. Remember the Cornhusker Kickback? The Louisiana Purchase?Bart Stupak? SEIU threatening dems? Pelosi saying we need to pass it to find out what is in it? NOBODY read the bill and if they had they wouldn’t have understood it. The American people are against this bill and not because of the Tea Party. The more they find out about it and how much it is going to cost the less popular it becomes. 
        Speaking of the party of no…..isn’t it the democrat party who hasn’t passed a budget in the senate in more than 1000 days? The last time Barry sent put one up for consideration it didn’t receive a single vote from either party. No? Yes heck no. Hopefully the Supreme Court will say no no heck no shortly.

        1. I did not blame Republicans for the bill. To the contrary, I wrote that they are the party of no. Does not “No” mean they had nothing to do with it? By choice, but they were completely absent.

          To update you on you allegations about the Cornhusker kickback and all that. None of that was in the final bill. So you can climb down off your perch.

          Why isn’t the budget passed? Because the Republicans will filibuster any budget the Dems. offer. They have said they will not negotiate, and that it is their way or the highway. Same way they’ve done to most of the judge appointments. The small deal they made last week was because the lack of judges is slowing the flow of court cases in this country. The Republicans have said they are waiting until after the elections, hoping their man gets in. They see nothing wrong with holding the country hostage on this too because they can’t get their way. The act as if this country has only one political party, and it is them.

          Also, to correct some more of your ignorance, the president does not send a budget to the Senate. Where did you get that notion. Can you point that part of the government out in the Constitution? I’m done teaching you. go learn something by yourself.

          1. I think you have displayed enough ignorance for both of us so if you are the teacher there will be no learning! And there still hasn’t been a budget in more than 1000 days. This years version offered up by the pres will get no votes on either side of the isle.

  3. Well this ought to keep the judges busy for a while. Just like the actuaries at UNUM will be so they can figure out how much more you need to pay for coverage. If Obamacare was so great, it would require insurance companies to cover and not make these ridiculous increase premiums. The only increase would be for the minimum needed to cover Obama’s inflation rate. Hey I am all for it, except I want a fair shake too. Insurance costs are already way too high, this thing will just make it worse. And I am all for the utopian liberal lets give peace a chance and smoke a doobie and have everyone covered but you do not budget for my household so shut up.

  4. The sooner this nation gets itself to a one payer system the sooner the quality of our healthcare will come to match the higher quality and affordability we see in other industrialized nations. The President’s Affordable Care Act (Largely a copy of Romney Care) has been and is a good step in the right direction even if it does tick off corporate types in the insurance and drug industries. To those fat cats all I can say is sorry boys, I care more about my family than I do about your profits, Mercedes, and mansions.

          1. so true. The bill got cut to pieces because of Republican propaganda, grandma and death panels.

          2. Read the article in this very paper about the former vice president and tell me that medical rationing and the factor of age in deciding who is entitled to what treatments is not a real concern.

        1. You pay for mine and I will pay for yours if you like. Or perhaps you can spend your money how you like and I will not try to get my hands into your pockets.

      1. Translation:  some of us don’t want to pay even a single dollar even though it would save our fellow Americans’ lives and create a better, healthier society.

          1. 36 Obama aides owe $833,000 in back taxes.279000 federal employees and retirees owed $3.4 billion in back income taxes.

          2. No they camp out in tents in public parks, burn american flags and defecate on police vehicles in the name of social progress in this country.

    1. You need to focus on facts:  PUBLIC OPINON has a problem with the Health Care Reform Act.  Opposition in this case is not driven by “Corporate Types”.  The latesy McClatchy-Marist Poll found 35% of respondents want the entire law repealed and 21% want the insurance mandate thrown out.  Furthermore the majority of waivers that the administration has granted have gone to labor unions representing 544,000 workers while waivers granted to business (many of them small) represent just 70,000 workers.

      1. You need to realize that we live in a Republic and the majority of our elected officials voted this bill into law.  The Supreme Court doesn’t decide if public opinion is right or wrong, it decides if a law is allowed by the constitution.

        1. We are not in disagreement.  I was simply addressing StillRelaxin’s assertion that opposition to the Health Care Reform Act is centered among “corporate types” and in reality the opposition is much broader based.   You are absolutely correct: the Supremes will rule on the constitutional merits of the case and not on public opinion.

          1. Maybe you should think a little deeper and ask why public opinion is the way it is.  What are they watching, who are they listening to, and so on.

            Anybody listening to, for instance, the Tea Party claim about “death panels” is being influenced by nonsense. And the Tea Party is largely funded by the billionaire anti-Medicare Koch brothers.

          2. I have been programmed by Fox News in the same way you have been programmed by Rachel Maddow. That is why we both need the government to think for us I guess.

            Did you read the article about the former vice president and how he was too old to get a heart transplant? Interesting article to read.

    2.  Hey, I’m all for skimming off the top of those Fat-Cat profits to pay for healthcare, but that is not what is going to happen. Instead, it will be us worker bees who’ll pay for it.

    3.  One we get through this decision and Obama gets re-elected in November, we’ll have a good shot at getting the whole deal – single payer!  I can already hear those neo-cons howling (and it makes me smile).

    4.  Dreamworld.  Greedy dreamworld. 

      1.  Your “one payer” (obviously you mean someone other than you)  systemwill be as awful as the department of education.  And your health care will be as bad as public education. 

      2. This bill does not improve quality or increase access. 

      3. Those “fat cats” made their own success.   Try it. 

      4. It’s unconstitutional. 

  5. The sooner this nation slips into complete communism the better off we will all be.Then we will all be taken care of from cradle to grave and we won’t be plagued by any of that personnel responsibility stuff.Then we can become a modicum of mediocrity , nobody will rise above and the only power the individual will have is the ones the goverment says they can have.Yea can’t freakin wait .

    1. The sooner you realize that communists don’t force people to buy private health insurance policies, the more rational your arguments may become.

    2. I remember in the 60’s when the percieved threat was Brainwashing from the Communist,

      From your comments now I see where the real washing was coming from!

    3. And maybe we can live that way for 75 years or so like the communist nations of eastern Europe until we realize what a hell we have created for ourselves. Maybe we can stand in line together and talk while waiting for a single piece of toilet paper and our one cup of cooking oil?

      Or maybe we will truly be prosperous like the wonderful communist paradises of Cuba or North Korea.

      I agree, I cant wait!

  6. This is one instance where I’m hoping the not so Supreme Court overrules this mandate. THEN we can go after a true Public Option making its defeat a victory in disguise.

  7. I am for his policy as my Insurance coverage is high due to the fact Im paying partially for the guy that doesnt have any. Its been that way along time. Its about time the ones that have been getting low rates cause they arent insured.

  8. The current form of health insurance provided to us by the criminals of the health insurance industry are flawed in so many ways it can’t be considered insurance. Auto insurance rewards you when you drive safely by lowering your rates. Health insurance there is no financial reward for keeping yourself fit and out of the hospital. Your rates go up regardless of whether you use it or not. The criminals at Anthem continually raise their rates. We had a 15K deductible with these thieves and never used it but our rates went up all the time. I’m still not sure how anyone in their right mind could consider this fair and worthwhile. Therefor we dropped the Anthem crooks and now live without insurance and pay our healthcare out of pocket because it’s better than being robbed. So those of you who oppose Obamacare, hats off to you, because it’s you who will bring about a true Public Option. Thank-you-very-very-much!

  9. Please call this bill the “Forced Insurance bill.  It has nothing to do with caring for health, nor quality health care.

    Mandating health insurance coverage for well people is like mandating car insurance for people who don’t own them and don’t drive.

  10. Well the counsel for Oblamer already was the laughing stock of the SC when he tried calling the mandate a tax and then not a tax in the finest John Kerry impersonation put forth in years. This bunch of junk is going down as fast as they can hear the case. The SC even came out and said there will be no delays in ruling on the case. Translation for you moonbats: Government control of healthcare is going to be found unconstitutional. You can take it to the bank when the SC is laughing  at Oblamers hack lawyer.

  11. How is the VA healthcare system operating? How about Medicare? Are we in a position to allow more involvement by the Federal Government into healthcare.

    The arguements about the government one day beginning to decide who is worthy of what treatments is a concern to me. It became a concern after reading an article in this very paper about the former Vice President.

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