Republican rhetoric is clear: activist judges should overturn the democratically enacted healthcare reform legislation. And if you listen to what they say, they seem to believe that the courts may grant them their wish. But their
actions are saying something different:
How much confidence does the lead filer of the lawsuit against the individual mandate have that it will prevail? Virginia, whose attorney general and governor are leading the charge, at the same time is taking definitive steps to make sure that federal health reform is implemented effectively within it's borders.
Yesterday, Gov. Bob McDonnell announced the members of a new Virginia Health Reform Initiative Advisory Council, which according to a press release will “provide recommendations to the Governor towards a comprehensive strategy for implementing health reform in Virginia.” A spokeswoman for the governor says he is "very confident" the lawsuit against the individual mandate will succeed, but for now, “We've got to make sure that we're prepared for the mandate to go through – that we put it through in ways that are best for Virginians.”
It's understandable why Virginia would go forward with preparations to implement healthcare reform legislation notwithstanding the fact that the state is suing to overturn the law. After all, the legal merits of health reform are quite clear, as explained by
Jack Balkin:
There are two arguments for the constitutionality of the individual mandate. One is that the mandate is a regulation of interstate commerce; successful reform requires bringing uninsured individuals into the system because of the costs they impose on the system. Individuals who refuse to purchase insurance actually self-insure and therefore cumulatively affect commerce and Congress has the power to reach their conduct in order to make insurance reform work. The second argument is that the mandate is structured as a tax and gives individuals a choice whether to pay taxes or purchase health insurance.
This is all to say, Virginia's effort to get the courts to step in isn't terribly likely to succeed. What is more, on a political level, while it may fire up the Republican base to wage battle in the courts against health reform, overall opinion towards the legislation is improving markedly: polling from the
Kaiser Family Foundation last month found rising support for the health bill, with 50 percent viewing it favorably and just 35 percent viewing it unfavorably. Even
Fox News polling (.pdf) has consistently shown just 36 percent of registered voters nationwide favor repealing healthcare reform. So while the GOP may talk a good game on repeal, quietly the party moves forward in acceptance of Barack Obama's signature legislation.
Although I was certainly caught up in the exciting moment when HCR passed, I have to admit (like others) to feeling a bit uncomfortable about the idea of making the patronizing of a private company mandatory. A while back people were saying that due to massive unpopularity, the mandate part of the bill wouldn't last or might actually lead to a public option in the long run. Any chance of that happening now that we have some more critical distance?
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