The Supreme Court Declares Private Health Insurance Requirement Constitutional

Published in El Mundo
(Spain) on 28 June 2012
by Pablo Pardo (link to originallink to original)
Translated from by Natalia Barnhart. Edited by Mark DeLucas.
The Supreme Court of the United States has come to a decision about Obama’s polarizing health care law: The individual mandate, which requires Americans above a certain income level to sign up for health insurance, is constitutional.

U.S. President Barack Obama risked part of his re-election prospects on this decision. The 69 million votes that were cast in 2008 were irrelevant to the nine people — three women and six men; three Jews and six Catholics; four Democrats and five Republicans — that issued the ruling about the constitutionality of the U.S. health care reform. After a brief meeting of about 45 minutes, they ultimately validated that Obama had emerged the winner.

Barack Obama’s presidency was not the only thing at stake. The economic future of the United States was too. The country spends approximately 19 percent of its gross domestic product on health care. This means that it spends as much in relation to its economy as Spain spent on the housing sector in 2007.

Health care expenses are growing twice as fast as GDP, and threaten to bury the American economy.

The focus of the judges’ decision has been the “universal mandate,” which requires Americans to sign up for a private health insurance plan starting from a certain level of income. It also forces businesses to contribute to employees’ plans in certain cases.

Altogether it is a hefty win for the president. Furthermore, it includes other issues that are also at stake, although they are of less political significance. Among these is the expansion of the public-private health care system for the elderly, known as Medicare.

Another issue is that insurers must provide medical assistance to people less than 26 years old who live with their parents. In practice, this means that parents’ insurance plans cover their children.

The “pre-existing conditions” limitation is a truly mixed bag. Previously, hospitals and insurance companies had shielded themselves to avoid paying for medical treatment.

Leading up to the decision, what was clear was that three judges — Alito, Scalia and Thomas — were going to vote against. Four — Kagan, Sotomayor, Ginsburg and Breyer — in favor. There remained the president, Chief Justice John Roberts, a Republican who has an ideological and personal clash with Obama, as a possible vote against. He ultimately decided to vote in favor of the law.

The primary unknown was Anthony Kennedy, a conservative who sometimes votes with the Democrats. In the oral arguments, Kennedy questioned the defense more aggressively than usual, but that did not necessarily imply that he was set to vote against.


El Tribunal Supremo de EEUU ha tomado ya una decisión sobre la polémica Ley de Sanidad de Barack Obama: el mandato individual que obliga a los estadounidenses con determinados recursos a contratar un seguro médico es constitucional.

El presidente de EEUU, Barack Obama, se jugaba en esta decisión parte de su reelección. Los 69 millones de votos que logró en 2008 no significan nada para las nueve personas, —tres mujeres y seis hombres; tres judíos y seis católicos; cuatro demócratas y cinco republicanos—, que han emitido su dictamen, tras una breve reunión de alrededor de 45 minutos, sobre la constitucionalidad de la reforma sanitaria de EEUU, pero finalmente le han valido para que Obama salga triunfador.

En juego no estaba sólo la Presidencia de Barack Obama. También, el futuro económico de EEUU. Este país se gasta en Sanidad aproximadamente el equivalente al 19% del PIB. Eso supone tanto en relación a la economía como lo era en España el sector inmobiliario en 2007.

Los gastos sanitarios crecen el doble que el PIB, y amenazan con sepultar a la economía estadounidense.

La clave de la decisión de los jueces ha sido el 'mandato universal', que obliga a los estadounidenses a contratar un seguro médico privado a partir de un cierto nivel de ingresos, y que también fuerza a las empresas a contribuir a ese seguro de sus empleados en determinados casos.

Al final, triunfo mayúsculo del presidente. Además, se incluyen otras cuestiones, de menos trascendencia política, pero también en juego. Entre ellas, la expansión del sistema de Sanidad público-privado para la tercera edad conocido como Medicare.

La obligación a las aseguradoras a proveer asistencia médica a los menores de 26 años que vivan con sus padres, lo que significa que, en la práctica, los seguros de los progenitores cubren a los jóvenes.

Y la limitación de las "enfermedades preexistentes", un verdadero cajón de sastre en el que las empresas de hospitales y de seguros se escudan para eludir prestar tratamiento médico.

Por ahora, lo que estaba claro es que tres jueces, —Alito, Sacalia y Thomas—, iban a votar en contra. Cuatro, —Kagan, Sotomayor, Gingsburg y Breyer—, a favor. Quedaba el presidente, John Roberts, un republicano que tiene un enfrentamiento ideológico y personal con Obama, como un posible voto dudoso, y que finalmente se ha decidido a votar a favor de la Ley.

Aunque la principal incógnita era Anthony Kennedy, un conservador que a veces vota con los demócratas. En las audiencias del caso, Kennedy hizo preguntas más agresivas de lo normal al defensor de la reforma, pero eso no implica necesariamente que vaya a votar en contra.
This post appeared on the front page as a direct link to the original article with the above link .

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1 COMMENT

  1. I am from the United States and I abhor this law. Imagine having the government force me to buy something. I would rather be in debt than have big government coerce me and tell me what to do with my money. My ancestors fought big government, and as an American citizen, I hate government.