Avik Roy explains how Obamacare became worse in its second year. There's a lot there and none of it is good news for the effects of the healthcare bill.
Yesterday's hearing on the limits of the Commerce Clause represented a victory for Randy Barnett. It was also a victory for those who support a government of limited, enumerated federal powers.
Samuel Alito understands that the purpose of the individual mandate isn't to make sure that those who are uninsured are paid for if they get sick, but to get their payments into the system to pay for older, insured people whose health care costs need to be paid for.
Alito: But isn't that a very small part of what the mandate is doing? You can correct me if these figures are wrong, but it appears to me that the [Congressional Budget Office] has estimated that the average premium for a single insurance policy in the non-group market would be roughly $5,800 in—in 2016.And with the part of the law that guarantees issue of insurance regardless of preexisting condition, the law created an incentive for people not to buy insurance until they needed it. That is why they needed the mandate and it's just deceptive to pretend that they wanted it to pay for healthcare for those who didn't buy insurance, especially the great majority of those who are uninsured - the healthy young.
Respondents—the economists have supported—the Respondents estimate that a young, healthy individual targeted by the mandate on average consumes about $854 in health services each year. So the mandate is forcing these people to provide a huge subsidy to the insurance companies for other purposes that the act wishes to serve, but isn't—if those figures are right, isn't it the case that what this mandate is really doing is not requiring the people who are subject to it to pay for the services that they are going to consume? It is requiring them to subsidize services that will be received by somebody else.