Missouri

Attorney General Chris Koster filed an unorthodox and highly

nuanced legal brief in the lawsuit against the national health-care

law. It argued both sides of the legal issue.

At one

point, Koster argued that Congress exceeded its previously

recognized power under the U.S. Constitution’s Commerce Clause when

it passed the mandate requiring everyone to buy health

insurance.

At another

point, Koster said that the court still might approve the

health-care mandate under the Commerce Clause, if it made clear

that health care was the only arena where Congress could go that

far.

At still

another point, Koster said that the health-care mandate might be

constitutional under Congress’ taxing power.

Despite

fancy legal footwork, legal experts were unimpressed by the

friend-of-the-court brief filed this week in a Florida case before

the 11th U.S. Circuit Court of Appeals.

“It

appears that the attorney general is trying to split the baby with

this amicus brief, hoping to satisfy those who demanded that he

take a position against the Patient Protection and Affordable Care

Act’s constitutionality while also signaling his support for the

underlying policy,” said Dave Roland, director of litigation for

the libertarian Freedom Center of Missouri, in an email.

“The brief

looks like an adept political maneuver, allowing the attorney

general to claim to have opposed the Affordable Care Act while

signaling to health-care law’s supporters that he is really on

their side.”

Bruce La

Pierre, a constitutional law expert at Washington University Law

School described Koster’s argument as “simplistic, to be

kind.”

The simple

answer to the health-care law, wrote La Pierre in an email, is to

“leave it all to the political process. Why are political

conservatives suddenly so enamored with judicial activism and

striking down the results of the democratic political

process?”

Koster

argued that the Supreme Court never has upheld as broad a reach of

the Commerce power as the one required to uphold the health-care

law. The court would have to go further even than it did during the

New Deal. In the leading New Deal precedent, the court ruled that

the government could order an Ohio farmer not to plant wheat for

home consumption on half of his 23-acre plot of land. Even that

small amount of wheat would affect the stream of commerce, the

court ruled.

After

arguing for many pages that the law exceeds the Commerce Clause,

Koster switched field to suggest that the court could use the

Commerce Clause to approve the health-care mandate if it only did

it this once. “A bright-line exception could be constructed to

aggressively limit this court’s decision solely to the health-care

arena,” he writes.

Carving

out this single arena could be supported because “the congressional

regulation is in the area of health care, in which nearly all

individuals are certain to enter interstate commerce because of the

need for medical treatment at some point in their life.”

This

echoes the arguments of the law’s supporters.

Koster had

another suggestion for how the court might uphold the law. He

argued that the law could be justified under the legislature’s

power to tax, which is almost unlimited. He pointed out that the

mandate is part of the Internal Revenue Code, making it a tax

provision.

Koster

noted that Missouri voters overwhelmingly approve Proposition C in

2010 barring enforcement of an individual health care mandate in

the state.

But La

Pierre pointed out that a Missouri law in conflict with a valid

federal law must fall. “Missouri’s law in conflict with ACA?” he

wrote. “Yes, and if ACA is constitutional, then Missouri’s law is

invalid under the Supremacy Clause. It is preempted. Missouri’s law

is irrelevant to the determination of the validity of the

ACA.”

“font-family: Verdana;”>U.S.

“font-family: Verdana;”>Rep. Wm. Lacy Clay issued a statement about

Koster’s action, saying that he “

“mso-bidi-font-weight: bold;”>has chosen to sacrifice affordable

and accessible healthcare for all Missourians in exchange for

political expediency.”

“font-family: Verdana; mso-bidi-font-weight: bold;”>Clay said

Koster did not offer solutions to correcting the actions of

insurance companies that “gouge consumers” and exclude those with

pre-existing conditions.

“font-family: Verdana; mso-bidi-font-weight: bold;”>A year before

Koster was elected as attorney general, the former state senator

left the Republican Party to become a Democrat.

“font-family: Verdana; mso-bidi-font-weight: bold;”>“The Attorney

General should remember Harry Truman’s advice about Democrats who

sometimes act like Republicans,” Clay said. “The former president

was fond of saying, “If you give the voters a choice between an

imitation Republican and the genuine article, they will choose the

real one every time.”

“mso-bidi-font-style: normal;”>

“font-family: Verdana;”>Edited with permission by

www.stlbeacon.org

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