{"id":1061,"date":"2011-11-18T09:02:21","date_gmt":"2011-11-18T14:02:21","guid":{"rendered":"http:\/\/www3.law.harvard.edu\/journals\/hlpr\/?p=1061"},"modified":"2015-10-02T15:25:46","modified_gmt":"2015-10-02T15:25:46","slug":"10-minutes-to-midnight-for-health-care-reform","status":"publish","type":"post","link":"https:\/\/journals.law.harvard.edu\/lpr\/2011\/11\/18\/10-minutes-to-midnight-for-health-care-reform\/","title":{"rendered":"10 Minutes To Midnight For Health Care Reform?"},"content":{"rendered":"<p style=\"color: #505050\"><em>Jake Laperruque<span style=\"font-weight: bold\">\u00a0<\/span><\/em><\/p>\n<p style=\"color: #505050\">This week the Supreme Court ended significant speculation by agreeing to address the Constitutionality of the Patient Protection and Affordable Care Act in 2012.\u00a0 Already a huge amount of commentary has been drawn to the questions of whether the law\u00a0<a style=\"font-style: inherit;color: #3f6dcf\" href=\"http:\/\/web.archive.org\/web\/20111120225120\/http:\/\/www.nytimes.com\/2011\/11\/16\/opinion\/health-insurance-and-the-broccoli-test.html?_r=1&amp;src=me&amp;ref=general\">could<\/a>\u00a0\u2013\u00a0<a style=\"font-style: inherit;color: #3f6dcf\" href=\"http:\/\/web.archive.org\/web\/20111120225120\/http:\/\/www.nytimes.com\/2011\/11\/16\/health\/policy\/insurance-mandate-may-be-health-bills-undoing.html?_r=2&amp;pagewanted=1&amp;ref=us\">or will<\/a>\u00a0\u2013 be overturned.\u00a0 But with a case that is so inherently tied to politics (<a style=\"font-style: inherit;color: #3f6dcf\" href=\"http:\/\/web.archive.org\/web\/20111120225120\/http:\/\/thehill.com\/blogs\/healthwatch\/legal-challenges\/193413-thomas-kagan-resist-calls-for-recusal\">even amongst the justices<\/a>), it\u2019s worth examining the political ramifications of the impending decision.<\/p>\n<p style=\"color: #505050\"><span id=\"more-7752\" style=\"font-style: inherit\"><\/span>There must be some potential benefits for the Obama Administration to have the Court review the health care reform law, as the Justice Department\u00a0<a style=\"font-style: inherit;color: #3f6dcf\" href=\"http:\/\/web.archive.org\/web\/20111120225120\/http:\/\/www.washingtonpost.com\/politics\/justice-dept-asks-supreme-court-to-review-health-care-law\/2011\/09\/28\/gIQAjCPK5K_story.html\">requested<\/a>\u00a0to have the case taken.<\/p>\n<p style=\"color: #505050\"><!--more--><\/p>\n<p style=\"color: #505050\">If the Supreme Court overturns the law, it could significantly benefit the President\u2019s reelection bid.\u00a0 Right now the economy is clearly the most important issue and Americans disapprove of President Obama\u2019s handling of the economy by a\u00a0<a style=\"font-style: inherit;color: #3f6dcf\" href=\"http:\/\/web.archive.org\/web\/20111120225120\/http:\/\/www.reuters.com\/article\/2011\/11\/08\/us-usa-campaign-poll-mood-idUSTRE7A712C20111108\">wide margin<\/a>.\u00a0 If his campaign focused on other issues he would likely be seen as neglectful and out of touch with the public.\u00a0 Yet if the national conversation shifted naturally \u2013 such as through the Court striking down health care reform \u2013 Obama could benefit from the change in conversation.<\/p>\n<p style=\"color: #505050\">Further, health care is strategically advantageous for Obama against Mitt Romney,\u00a0who appears\u00a0<a style=\"font-style: inherit;color: #3f6dcf\" href=\"http:\/\/web.archive.org\/web\/20111120225120\/http:\/\/www.youtube.com\/watch?v=0iK7tlo5QGI\">more<\/a>\u00a0and\u00a0<a style=\"font-style: inherit;color: #3f6dcf\" href=\"http:\/\/web.archive.org\/web\/20111120225120\/http:\/\/www.youtube.com\/watch?v=WW_nDFKAmCo\">more<\/a>\u00a0likely to be the Republican nominee.\u00a0 Romney can\u2019t effectively attack Obama on health care due to his adoption of a similar plan in Massachusetts, so increased focus on this is likely to alienate tea party voters who may stay home rather than support Romney.<\/p>\n<p style=\"color: #505050\">Additionally, the significance of health care being struck down would make the Supreme Court itself a campaign issue, allowing Obama to further draw attention away from the economy, and towards social issues such as the preservation of\u00a0<em>Roe v. Wade<\/em>.\u00a0 This could cause a large gender gap, which was\u00a0<a style=\"font-style: inherit;color: #3f6dcf\" href=\"http:\/\/web.archive.org\/web\/20111120225120\/http:\/\/www.usnews.com\/opinion\/articles\/2008\/11\/06\/data-points-gender-gap-in-the-2008-election\">highly important<\/a>\u00a0to Obama in 2008.<\/p>\n<p style=\"color: #505050\">On the other hand, if the Court upholds the health care law, it will also benefit the President.\u00a0 Although a decision supporting the Constitutionality of the law will likely capture less public attention than one overturning the law, it will still achieve the same effect. To some degree, if the Court upholds the law it allows the Obama campaign to reap a more limited version of the benefits described above.\u00a0 More importantly, Obama\u2019s chief domestic policy would be validated, something that would be less likely to occur if the Court took up the case several years down the road without the political and public pressure that it will have in the midst of the 2012 election.<\/p>\n<p style=\"color: #505050\">It\u2019s also worth noting that there is a third possible outcome \u2013 the Court could punt the issue.\u00a0 Part of the review of the health care reform law will focus on the Anti-Injunction Act, which prevents a law imposing taxes from being overruled until those taxes go into effect.\u00a0 If the Anti-Injunction Act is applied to the individual mandate, a ruling on the case could be delayed until 2015.\u00a0 If this occurs, the review will likely have little impact on the election and President Obama will find both the fate of his most important domestic achievement and his own political future very much unknown.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jake Laperruque\u00a0 This week the Supreme Court ended significant speculation by agreeing to address the Constitutionality of the Patient Protection [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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