WASHINGTON — Chief Justice John Roberts did more than simply save Obamacare by ruling for the administration on Thursday — he etched the president’s signature policy into American law for a generation or more. And in a bitter irony for the political right, Robert’s ruling actually puts Obamacare on firmer ground than it would have been if conservatives never brought the suit in the first place.
A narrow decision could have simply upheld today’s health care subsidies by accepting the Obama administration’s interpretation of the health law’s tax rules. Roberts’ decision in King v. Burwell goes further, however, in a way many policymakers and critics have yet to fully grasp.
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The ruling not only upholds current healthcare subsidies — the first big headline on Thursday – it also establishes an expansive precedent making it far harder for future administrations to unwind them.
That is because Roberts’ opinion doesn’t simply find today’s subsidies legal. It holds that they are an integral, essentially permanent part of Obamacare.
In other words, for the first time, the Supreme Court is ruling that because Congress turned on this spigot for national health care funding, only Congress can turn it off.
That is bad news for potential Republican presidents, who may have hoped that down the road they might hinder Obamacare by executive action. Now their only apparent route to dialing back the policy is by controlling the White House, the House, and a 60-vote margin in the Senate.
Roberts establishes this precedent by essentially wresting power from the White House, and handing it back to Congress. While that might sound like a good thing for Republicans, who control Congress now, the case attacked the statute’s original meaning, so Roberts hands that power to the Democratic Congress that enacted Obamacare. That legal reasoning is the crucial backdrop for one of the most striking lines in the opinion, Roberts’ closing flourish that Congress passed the ACA “to improve health insurance markets, not to destroy them.”
When you think about it, “Congress” doesn’t just mean any Congress here. He is invoking the intent of the Democratic Congress of 2010, and locking its pro-Obamacare approach into the amber of federal precedent. (Everyone knows that more recent Republican Congresses, which voted to repeal the entire law, might be perfectly happy “destroying” health care markets erected by the statute.)









