BrianGarst.com

I know many liberty advocates are greatly disappointed in today’s Supreme Court ruling, where Chief Justice John Roberts joined the four liberal justices in upholding the individual mandate through the taxing power. But the world has not ended today. The truth of the matter is that not much has changed for our longterm fiscal outlook. It’s still decidedly negative, and would have been no matter what today’s decision held. Because of this, there’s still going to have be another political bite at the health care apple.

First, the way the case was decided shouldn’t be overlooked. The limit that was placed, such that it is, on the reach of the Commerce Clause is not insignificant. With a five member majority believing that Congress has reached the bounds on how far they can stretch the clause, they may begin to chip away at some past Commerce Clause decisions. We can certainly hope so, anyway.

But from a policy perspective, health care remains a mess just as it would have been had the law been struck down. It’s a worse mess now, for sure, but all the central problems with health care are the same regardless of either decision the court could have made: the third party payer problem, the excessive coverage mandates by the state (and now federal) governments, the limitations on interstate insurance purchases. Eventually, these problems will have to be addressed. Obamacare will inevitably fail to reduce the explosive growth in the cost of health care because it does not address these fundamental causes, and that will force the hand of politicians. That is assuming that Obamacare even survives before the mandate takes effect in 2014, which based upon today’s reactions may very well not happen.

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