The PPACA in Wonderland
American Journal of Law & Medicine, Vol. 38, 2012
19 Pages Posted: 19 Jan 2012 Last revised: 20 Mar 2012
Date Written: January 19, 2012
The question whether the Patient Protection and Affordable Care Act (“PPACA”) is “unconstitutional” is thorny, not simply because it presents intriguing issues of interpretation but also because it starkly illustrates the ambiguity that often accompanies the word “unconstitutional.” The term can be, and often is, used to mean a wide range of things, from inconsistency with the Constitution’s text to inconsistency with a set of policy preferences. In this article, we briefly explore the range of meanings that attach to the term “unconstitutional,” as well as the problem of determining the “constitutionality” of a lengthy statute when only some portions of the statute are challenged. We then, using “unconstitutional” to mean” inconsistent with an original social understanding of the Constitution’s text (with a bit of a nod to judicial precedents),” show that the individual mandate in the PPACA is not authorized by the federal taxing power, the federal commerce power, or the Necessary and Proper Clause and is therefore unconstitutional.
Keywords: constitutional, Obamacare, Necessary and Proper, Commerce Clause, taxing power
JEL Classification: K19, K32, K39, K49
Suggested Citation: Suggested Citation