When the Supreme Court hears a new case against Obamacare on Wednesday, the arguments will be very different than past litigation about President Obama’s signature domestic achievement. This case is not about the Constitution, or health care regulation, or even the limits on the president’s authority.
This case is just about how Congress expresses itself.
The nation’s highest court must decide whether the Democratic Congress of 2010 created Obamacare as a national policy providing health care funding for the whole nation, or whether it only meant to grant health care funding to Americans in certain states.
In other words, did the Democrats design Obamacare as “health care for all,” or “health care for some”?
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Whatever one thinks about the wisdom of Obamacare, obviously its legislative intent was health care for all. That is what Democratic lawmakers said at the time they passed the law. It’s what they say now. It is also what most Republican lawmakers have said.
Indeed, that national approach is what makes Obamacare controversial – most politicians agree it is an expensive national program, they just disagree over whether that’s a good thing. (Liberals generally cheer more government health care spending; conservatives do not.)
For years, even the law’s biggest critics have emphasized its federal structure. They argue Obamacare is too big, too expensive and too dominated by the federal government. They do not usually argue, however, that Obamacare is too small, or too cheap, or too flexible in its deference to state governments that want to duck the law’s requirements.
That is what makes this week’s arguments so odd.
On Wednesday, the challengers in King v. Burwell must convince the Supreme Court that Obamacare is actually much smaller than everyone thought; that it restricts rather than expands national health care funding; and that the Democrats in Congress intended to essentially kneecap their new policy when they wrote this law.
That case is built on the argument that Democrats actually wrote the law to provide health care funding – through new subsidies – only for Americans living in states that created their own health care markets. Under this theory, all other Americans who want health care insurance get no subsidies. (“Health care for some.”)
Again, while that approach doesn’t fit with most people’s understanding of Obamacare, the challengers cite a line in the law that could be interpreted for that outcome.
In what looks like a drafting error, one sentence in the Obamacare statute authorizes subsidies for health care markets “established by the State,” without referencing the intended subsidies for markets established by the federal government.
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“Congress could not have chosen clearer language to express its intent to limit subsidies to state Exchanges,” argues the challengers’ brief.
Based on that interpretation, they’re asking the justices to cut off the money currently flowing to eight million Americans in 34 states who use the federal exchanges.









