The Hot New Argument for Obamacare—Fascism

The Supreme Court is about to hear King v. Burwell, a case that threatens to seriously undermine Obamacare. As the plaintiffs of the case have pointed out, the text of the law doesn’t allow the federal government to provide health insurance subsidies to people who purchase insurance through the federal exchange. The authors of the law likely didn’t count on states refusing — and in some cases trying and failing — to set up their own Obamacare exchanges. Despite the plain language of the law, critics continue to dismiss this argument as absurd, even though Obamacare architect Jonathan Gruber has been caught on tape saying this is how the law is supposed to work.

Naturally, the left is panicking about the possibility that the Supreme Court could end up gutting Obamacare. The arguments are starting to take on a whiff of desperation, as evidenced by this article at Mother Jones, “America’s Largest Health Care Company Tells Supreme Court That Anti-Obamacare Argument Is ‘Absurd.‘” Here’s how the piece begins: “If getting rid of Obamacare is such a good idea, why isn’t corporate America getting behind King v. Burwell, the Supreme Court case designed to demolish the Affordable Care Act?”

So a major insurer, which has hundreds of millions of dollars in profit depending on these Obamacare subsidies, opposes getting rid of said subsidies. This is not exactly surprising — what is surprising is that left-wing publications are now openly arguing that support from corporate America validates the law. Later on, the Mother Jones piece even explains that insurers made a Faustian bargain with the government in the hopes that they would profit from the law in the long-term:

HCA has an obvious interest in this case, for the plaintiffs in King are threatening the company’s sizable bottom line, as well as the grand bargain promised by the Obama administration and the law’s drafters in the effort to get it passed. In its brief, HCA says that Obamacare has already cost it more than $600 million in revenues between 2010 and 2014—and that’s just in the 15 states that haven’t created their own exchanges and where HCA has at least one facility. The decreases were part of the deal forged by the drafters of the ACA. The plan was for hospitals to agree to cuts in federal reimbursement for treating the uninsured, but in exchange they would benefit from an influx of newly insured patients.
HCA says that it has only recently begun to see new revenue come in. (Of the roughly 134,000 patients with federal exchange-based insurance who visited an HCA facility last year, 62 percent had never been there before. This suggests that the new insurance program was definitely driving business to HCA’s hospitals and clinics.) If the Supreme Court kills off the Obamacare subsidies, HCA says it will have to absorb about $350 million in initial losses and far more in the future.

Now there’s a word for applauding the collusion of corporate and government interests in taking over huge sectors of the economy while ignoring market competition and rule of law. In fact, it’s pretty much the textbook definition of fascism:

Where socialism sought totalitarian control of a society’s economic processes through direct state operation of the means of production, fascism sought that control indirectly, through domination of nominally private owners. Where socialism nationalized property explicitly, fascism did so implicitly, by requiring owners to use their property in the “national interest”—that is, as the autocratic authority conceived it.

What’s further astonishing about the Mother Jones piece is the way that it attempts to bait Chief Justice John Roberts into supporting Obamacare:

An HCA lawyer didn’t return a call for comment, but that argument—emphasized by HCA in its brief, which mentions the lack of business community support for the King plaintiffs—may be aimed squarely at Chief Justice John Roberts Jr. Lawyers for the King plaintiffs have publicly opined that the conservative justices on the court will relish this opportunity to kill the ACA. But these attorneys may be miscalculating when it comes to Roberts, who provided the fifth critical vote to save Obamacare the last time the ACA faced a major challenge in the Supreme Court.
Roberts is a conservative, but he’s also a former corporate lawyer. During his tenure, he has consistently sided with corporate America and the Chamber of Commerce in all sorts of cases. An ideologically driven case like King might provide good fare for the court’s conservatives—but Roberts may draw the line at ruling in these plaintiffs’ favor when they are threatening the profits of big business. At least, that’s what one of the nation’s biggest health care companies is now hoping for.

So to sum up, so little is thought of Roberts that it’s expected he will be easily persuaded by the argument that corporate profits matter more than the law. After his last vote supporting the individual mandate, I wouldn’t want to predict how Roberts will vote in King v. Burwell. However, I don’t think publicly attacking the honor and intellect of the Chief Justice as a corporate shill is going to carry the day.

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