Watching the recent developments at the Supreme Court, as the justices considered the fate of the Affordable Care Act, it was easy to be discouraged. Several conservative judges seemed to be parroting right-wing talking points, ignoring their own precedents, and starting with an answer while working backwards.
But one of the most frustrating aspects of the oral arguments was the fact that several justices, most notably on the right, seemed deeply confused about key policy details, though they were convinced they knew what they were talking about.
The ignorance problem on the high court may have sweeping consequences.
A possible misunderstanding about President Barack Obama’s health care overhaul could cloud Supreme Court deliberations on its fate, leaving the impression that the law’s insurance requirement is more onerous than it actually is.
During the recent oral arguments some of the justices and the lawyers appearing before them seemed to be under the impression that the law does not allow most consumers to buy low-cost, stripped-down insurance to satisfy its controversial coverage requirement.
In fact, the law provides for a cheaper “bronze” plan that is broadly similar to today’s so-called catastrophic coverage policies for individuals, several insurance experts said.
“I think there is confusion,” said Paul Keckley, health research chief for Deloitte, a major benefits consultant. “I found myself wondering how much they understood the Affordable Care Act.”
This isn’t some random tangent. As Andrew Sprung explained very well over the weekend, the justices were told consumers over 30 are prohibited from purchasing purely catastrophic coverage, which isn’t true, and plaintiff’s counsel “was exaggerating the extent to which the law requires Americans to buy more coverage than they might conceivably individually need, or think they need.”








