In simple terms, the government can mandate that people be
forced to buy health insurance from the small group of companies that
monopolize the market. The Court avoided
the issue of addressing the Commerce Clause by ruling that it was merely a tax
instead. The decision was split on party
lines. Conservative Justice Anthony
Kennedy asserted that in additional to the other three conservative jurists;
their preference would have been to strike down the entire law. This is the
first time in US history that the courts have supported a requirement for
American citizens to enter a contract with private corporations to purchase a
product or service. Many like Dr. Ron Paul fell that the law is a clear
violation of Article 1, Section 8 of the United States Constitution. He states that regulating “commerce cannot
include the power to compel commerce.”
In the long run, it is yet to be known how this decision may
impact African Americans. There will be
both good and bad. However, the law’s
requirement that some individuals will have to pay a financial penalty for not
obtaining health insurance as being a reasonable tax may be damaging to many,
in particular given the massive disparity in income, net worth and unemployment
among African Americans. As it currently
stands, ACA requires that all citizens must have health care coverage or face a
penalty of 2.5 percent of their income. In addition, the court limited the Medicaid
provision which would have expanded coverage to those under the age of 65 who
earn less than $30,000 a year for a family of four. This would have expanded coverage to an
additional 16 million Americans.
This is a major victory for the Obama administration and his historical legacy. The question remains however, it is yet to be determined if the Affordable Care Act will be affordable to lower income and minority populations, or the inability for many to pay fines for services they cannot afford, will result in prison terms as mandated by the law.
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