The
issues being the legitimacy of the Affordable Care Act, and whether gay couples
ought to be able to marry just like others in our society.
THE
LATTER ISSUE got put into circumstances last week that will force the Supreme
Court to address the issue – despite their desire expressed in recent months to
avoid having to take a stance.
While
the Supreme Court on Friday said it would hear the case involving a challenge
to the subsidies that make it possible to provide health insurance to people at
a cost they can afford.
Before
I go further, I should point out that I am amongst the people who have health
insurance these days because of the federal initiative that is the key point of
President Barack Obama’s legacy. Being a freelance writer means I work for no
one specifically who is willing to provide me a health insurance policy as a
benefit.
I
qualify for a tax break that covers about 40 percent of the cost of my health
insurance policy. The rest of the cost comes out of my own pocket.
YET
THE SUBSIDIES that allow for me to receive a financial break on buying my own
health insurance are the subject of a lawsuit. The federal Court of Appeals
based in Richmond, Va., has ruled they are legitimate. Which has critics of
health care reform taking their matter to the Supreme Court in Washington, D.C.
That
same court has previously ruled that the general concept of Obama’s health care
reform initiative is constitutional. But they also have issued rulings that
have restricted it.
The
opponents of making health insurance more readily accessible would love it if
they could knock down the subsidies, because it is the same basic strategy that
people who oppose the idea of abortion being a legitimate medical procedure use
in their political fights.
They
push for so many restrictions on abortion that, for all practical purposes, it
becomes next to impossible for many women to obtain. Which is why that
referendum question last week in Illinois about whether insurance policies
ought to include coverage for abortion – and the overwhelming “yes” vote – is significant.
IF
THE IDEOLOGUES could make it too expensive for many to get health insurance,
that certainly would go a long way toward disabling the Affordable Care Act. It
would become a toothless beast.
We’ll
have to see if Chief Justice John Roberts, Jr., once again sides with the less
conservative members of the high court, who he thought back in 2012 were too
inclined to reject health care reform solely on ideological grounds.
It
also will be interesting to see what happens with regards to the concept of gay
marriage – which last week had the federal Court of Appeals based in Cincinnati
overturn lower court rulings that would have upheld the concept in Michigan and
Ohio, along with Kentucky and Tennessee.
We
in Chicago are part of a different federal court district – one that has
supported the gay marriage concept. We in Illinois also have a Legislature and
governor who have signed the change into our law.
BUT
IT MEANS this is now officially an issue where the nation becomes a
checkerboard of policies – even though the dividing line between support and
hostility toward gay marriage no longer is State Line Road between the East
Side neighborhood and Hammond, Ind., but now is Michigan City, Ind., and the
land to the north.
The
high court earlier this autumn went counter to what legal experts expected and
decided to ignore the issue. I suspected then the high court’s ideologues did
not want to be in a position of having to legitimize the marriage concept, so
they chose to do nothing.
Instead,
the appeals court created a difference, and now the nation’s high court is
going to have to figure out the consistency in policy for the United States as
a whole. This clearly is not a “state” issue, even though the ideologues would
like it to be because the “checkerboard” concept would add all the more
confusion to the matter.
Which
means the Supreme Court will have to be called upon in a pair of issues to
ultimately decide the same thing – whether to clarify, or further confuse, the
populace of our society.
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