Since I've written so much about the ACA mystery house that Congress and the Prez erected to extend availability of health care to significantly more of us, I suppose I must comment. Thoughts, in no particular order:
- Now we know, if we didn't already, that our system of government has become something of a revolving monarchy. Yesterday one judge got to decide for the country who has a chance and who dies among millions of people. (Yes, I know, some days we have other kings -- Presidents and maybe spooks and generals. And last decade we had a VP acting as king. We do monarchy these days.) Didn't we once fight a revolution against that sort of unaccountable power? Oh, no, I misunderstood -- we fought a revolution so rich people wouldn't have to pay taxes to the king …
- Why did yesterday's king do what he did, endorse something he obviously detests? There are theories. Maybe he wanted to immunize his court from the charge of being nothing but a Republican obstacle to the progress of the nation? Maybe he harkened back to his days a legal flack for insurance companies and hospitals -- the health care corporations that stand to profit from the ACA? Or , just maybe, he recognized that if he weren't Chief Justice of the Court he wouldn't be able to get health insurance himself, being 57 and having experienced a small seizure?
- What will the limitations the court imposed on extending Medicaid do in the real world? Apparently "states rights" are so sacrosanct that seven judges were willing to allow miserly states to opt out of providing help to poor people for acquiring health care. If the obvious candidate states opt to maintain their ideological purity and reject Federal help to extend care, some 2 million people in Texas and nearly as many in Florida will still be without access to doctors in the next decade. That's okay with seven Supremes. Somebody has to compromise you know -- our monarchs will compromise them.
- Mitt Romney the Republican candidate can now spend the campaign running against Mitt Romney, the Massachusetts governor. Let's hope his grudging Tea Party fan boys find this confusing.
- I will boldly predict that the health care law decision will play little role in deciding who gets elected President. People already hate it, love it, or tolerate it. But mostly, no one believes in it. Whoever thought it was a smart idea to enact something that would not begin to help people for four years condemned this initiative to long term controversy. Perhaps this was someone who never had to worry about getting health care -- like all our elites?