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Next step for the 'Obamacare' individual mandate

US District Court Judge Roger Vinson's ruling Monday on the health-care law points out the possible consequences of the individual mandate -- which he found unconstitutional. If the mandate stands up in higher courts, Americans could be forced into using preventive medicine.

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Journalists overlooked a key footnote in Monday’s court ruling striking down the new health-care law as unconstitutional. US District Judge Roger Vinson may have intended his legal aside to be incidental. But Congress shouldn’t.

The footnote points out a logical consequence of the law’s mandate that requires individuals to buy private health insurance or face a hefty penalty. President Obama claims the mandate is legal under the Constitution’s Commerce Clause because the uninsured generally have poorer health, making the economy less productive.

Based on that reasoning, anyone in the future who doesn’t use mandated health insurance could also be forced into preventive medical care, Judge Vinson points out in the footnote. Congress could decide, he writes, to “regulate the ‘economic decisions’ not to go to the doctor for regular checkups and screenings to improve health and longevity, which, in turn, is intended and expected to increase economic productivity.”

His larger point is that Congress has no legal authority to control a person’s decisions not to buy a private service or good. A decision is not activity, and if government starts to regulate every person’s thought process as economic activity, then Congress could have unlimited powers. There would be no need for a power-limiting constitution.


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