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Jacob Sullum
Jacob Sullum
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Clause Escape: Are You Committing Interstate Commerce by Doing Nothing?

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During Supreme Court Justice Elena Kagan's confirmation hearings last summer, Sen. Tom Coburn asked her whether a law requiring Americans to eat their fruits and vegetables could be justified as an exercise of the federal government's constitutional authority to "regulate commerce ... among the several states." Kagan's stubborn resistance to answering Coburn's question suggested it was not as wacky as it may have seemed.

In fact, the Oklahoma Republican was merely applying President Obama's logic in defending the Patient Protection and Affordable Care Act's requirement that Americans purchase government-approved health insurance. According to Obama, the federal government can make you do something if your failure to do it, combined with similar inaction by others, has a "substantial effect" on interstate commerce. By rejecting that premise on Monday, U.S. District Judge Henry E. Hudson took a stand for the principle that Congress may exercise only those powers that are specifically enumerated in the Constitution.

It's about time someone did. Over the years, the Supreme Court, acceding to the legislative branch's power grabs, has transformed a provision aimed at eliminating internal trade barriers into an all-purpose excuse for nearly anything Congress decides to do.

In 1942, for instance, the court ruled that the Commerce Clause authorized punishing a farmer for violating federal crop quotas by growing wheat for his own consumption. Although the grain never left his farm, let alone crossed state lines, the court reasoned that such self-sufficiency, writ large, had a "substantial economic effect" on interstate commerce in wheat. In 2005, the court used similar logic to uphold federal prosecution of patients who grow marijuana for their own medical use.

Thus was the power to regulate interstate commerce deemed to cover activities that were neither interstate nor commercial. But as broad as those rulings were, Hudson wrote in response to a lawsuit by the state of Virginia, both involved people who chose to do something (grow wheat or pot) that "placed the subject within the stream of commerce."

The health insurance requirement, by contrast, applies to anyone living in the United States.

For Hudson, this lack of choice was decisive. "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," he wrote. "At its core, the dispute is not simply about regulating the business of insurance — or crafting a scheme of universal health insurance coverage — it's about an individual's right to choose to participate."

Hudson rejected the Obama administration's argument that the inactivity of people who don't buy medical coverage is illusory because they are de facto choosing to pay for their health care in some other way. "This broad definition of the economic activity subject to congressional regulation lacks logical limitation and is unsupported by Commerce Clause jurisprudence," he wrote. "The unchecked expansion of congressional power to the limits suggested by the (insurance mandate) would invite unbridled exercise of federal police powers."

In Obama's view, the failure to buy medical coverage can be treated as a federal offense because that failure, aggregated across millions of people, has a substantial effect on the interstate market in health care. But the same thing can be said of the failure to exercise, the failure to get enough sleep, the failure to brush your teeth, the failure to wear a coat in cold weather and the failure to eat a proper diet.

Which brings us back to Coburn's question about a federal fruit-and-veggie mandate. Although he presented himself as a strict constructionist worried about Kagan's "expansive view of the Commerce Clause," Coburn brags about writing the Partial-Birth Abortion Ban Act. Guess which provision of the Constitution supposedly justifies that egregious overextension of federal power. Like the medical marijuana case, this contradiction shows that a properly limited federal government is not necessarily something that conservatives welcome or that progressives should fear.

Jacob Sullum is a senior editor at Reason magazine. To find out more about Jacob Sullum and read features by other Creators Syndicate writers and cartoonists, visit the Creators Syndicate Web page at www.creators.com.

COPYRIGHT 2010 CREATORS.COM


Comments

2 Comments | Post Comment
There is already a Federal mandate to buy insurance in the Medicare prescription benefit. Last year, due to a billing issue with my insurance carrier, I was without coverage for several months. I then received a letter from the Medicare bureaucracy that unless I could prove that I had had prescription coverage during those months, they would deduct a penalty from my Social Security benefit. In other words I had to pay for coverage I didn't have and didn't want for those months.
Comment: #1
Posted by: partsmom
Tue Dec 14, 2010 8:01 PM
The argument that the government could mandate eating fruits and vegetables because at some point down the road a person will be less healthy and burden the health care system with costs, and thus "indirectly affect interstate commerce" is a false analogy to be applied here. This is because we do NOT need to speculate whether people who choose to go without health insurance nonetheless demand and receive health care because it happens everyday. The law mandates that a hospital provide health care regardless of whether the person seeking care is insured or has otherwise shown the ability to pay. As for the argument that upholding the mandate will essentially allow congress to regulate anything under at the guise of interstate commerce is groundless because both Lopez and Morrison set up clear boundaries as to when an activity is or is not too attenuated to be held to have an affect on interstate commerce. While the activities sought to be regulated in Lopez and Morrison, guns near schools and violence against women, were argued to have an affect on commerce because of studies which showed that both activities could have some affect on the victims' ability and desire to engage in "commerce", the proponents could not point to any concrete hard data showing a link between fear of gun violence or domestic abuse and it's dollar impact on interstate commerce. There is no such deficiency here, as Judge Vinson himself acknowledges when he notes that insured persons demanding and receiving health care in hospital emergency rooms cost the health care system $43 billion in 2008 alone. Thus, clearly a mandate that person eat broccoli would fail under Lopez and Morrison because it is likely that there exists no data showing a clear connection between the decision to not eat broccoli and how much that decision costs the health care system.
Comment: #2
Posted by: Paul Kemnitzer
Wed Feb 2, 2011 8:17 PM
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