If ACA subsidies are gutted by Supreme Court, what will Ducey do?

Crossposted from DemocraticDiva.com

ACA

While many legal experts express confidence that the upcoming King v Burwell Supreme Court decision will be in favor of the Affordable Care Act, the Court did cause alarm by agreeing to hear it in the first place. Here is what is at stake:

At the heart of the King case are the tax subsidies offered by the federal government to those who cannot afford their own insurance. These subsidies are critical to achieving Obamacare’s goal of insuring even the least well off. At present, those eligible for subsidies can get them whether they purchase on the federal exchange or a state one. That could change on account of a glitch in the ACA, which can be read to say that you can only get a subsidy if you signed up on a state-managed exchange. If the Supreme Court signs off on this interpretation, the federal government cannot subsidize insurance for the less well-off in any state that has declined to set up its own exchange.

In King v. Burwell, a unanimous decision by a panel of the U.S. Court of Appeals for the 4th Circuit sided with the Obama administration, rejecting the challengers’ argument that the provision of the ACA that authorizes tax credits for insurance purchased on an exchange “established by the State under section 1311” doesn’t authorize tax credits for insurance purchased on an exchange established by the federal government. Supporters of the ACA call this a mere “drafting error.” Opponents claim this is a clear case of statutory interpretation: The law says “state” exchanges, and that is what was intended. If this interpretation prevails, more than four million people lose those subsidies.

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U.S. Supreme Court grants review in King v. Halbig: ‘Five words’ threaten the Affordable Care Act

ObamacareOn Friday afternoon, The U.S. Supreme Court granted certiorari in King v. Burwell  to decide how far the federal government can extend its program of subsidies to buyers of health insurance under the Affordable Care Act. See SCOTUSblog, Court to rule on health care subsidies .

The five words at issue are in a provision that requires the ACA’s insurance subsidies to be calculated based on premiums for individuals enrolled through an “Exchange established by the State under 1311” (ACA § 1401); the question is whether the IRS properly interpreted the ACA to allow those subsidies also to be available on federally operated exchanges (which now are the majority of exchanges). (Abbe Gluckman, Yale Law professor).

As Joey Fishkin observes at the Balkinization Blog, “As a matter of statutory interpretation, the plaintiffs’ argument in King v. Burwell [and Halbig v. Burwell] —that the ACA as a whole clearly requires no subsidies to go to anybody in a state with a federal exchange—is sufficiently implausible that I think it is fair to characterize it as fundamentally a political argument.” States’ rights—to block the flow of federal funds to their citizens?

This has the fingerprints of Justice Antonin Scalia all over it. Scalia is a proponent of Textualism, “holding that a statute’s ordinary meaning should govern its interpretation, as opposed to inquiries into non-textual sources such as the intention of the legislature in passing the law, the problem it was intended to remedy, or substantive questions of the justice and rectitude of the law.”

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Top 20 Reasons Why Republicans Want to Repeal Obamacare (video)

elysium-NLIn Elysium, Matt Damon’s 2013 post-apocalyptic drama, the 1% are safely ensconced on a idyllic floating space station (Elysium). In contrast, the 99% toil in poverty and grime and suffer from police oppression on Earth, which has been destroyed by pollution and over-crowding.

Early on in Elysium, Damon, a former thug who works in a giant factory with no safety equipment, workplace regulations, or human resources protections, has an industrial accident and is exposed to a lethal dose of radiation. Fellow workers hear his screams from the radiation chamber and try valiantly to get him out, but the supervisor tells them to leave him in there and go back to work “because he’s already dead”. After the exposure, they drag Damon out (literally) and take him to the factory clinic. When the CEO sees him, he tells the supervisor to send Damon home before he soils the sheets. At several junctures in the movie, the dire, dirty conditions on Earth are juxtaposed with the gleaming perfection of Elysium, but the contrast in healthcare is the most stark. On Elysium, people have high-tech, full-body scanners that can cure all diseases. On Earth, people are left to die.

At one point, the CEO says to a worker whose daughter is dying, “This isn’t Elysium. We can’t just heal her.” This movie is the Koch Brothers’ wet dream and our nightmare. If the Republican Party could get away with it, this is where we will be by 2154 (the date of the movie) or sooner. Getting rid of the Affordable Care Act and social safety net programs are the first steps.

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“Reasonable” anti-choice law led to AZ Dept of Health demanding to inspect a woman’s home

Crossposted from DemocraticDiva.com

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I recently had this little dudebro who supports Ethan Orr (R-Tucson) for reelection to LD09 House mansplain to me how Orr’s motivation for voting for HB2284 this past session, which would allow surprise warrantless inspections on abortion clinics, was “reasonable”, as if those of us who were angered by it were being hysterical overreacting bitches.

Welp.

NARAL AZ, and its Executive Director Kat Sabine, are being represented by the ACLU in their complaint against the Arizona Department of Health Services. Here is their press release:

Arizona Health Officials Cannot Use Inspections for Intimidation, Harassment

FOR IMMEDIATE RELEASE
Thursday, Nov. 6, 2014

CONTACT: Steve Kilar, ACLU of Arizona, 602-773-6007, skilar@acluaz.org

PHOENIX – Following a threat by the Arizona Department of Health Services (ADHS) to search the home of a reproductive rights leader, the ACLU of Arizona is demanding records that will help establish whether intimidation tactics are routinely being used by the department against reproductive health service providers.

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Live Blogging Election Results

In an hour, the polls will close. The big question is: Will dark money from the Koch Brothers and their multinational corporate brothers win or will the people win? Will millions of dollars — more than $25 million to buy each Senate seat for Republicans and more than $15 million in Arizona for Republicans — take this … Read more