Medical Musings: Supreme Court ruling on mandate is good for plastics and good for America


In a fascinating interpretation of Constitutional law, the U.S. Supreme Court this morning upheld the most important aspects of the 2010 Patient Protection and Affordable Care Act. This is a surprise, at least to me, and shows that the majority of justices, led by Chief Justice John Roberts based their deliberations on real constitutional issues—and not on politics.

Please read this decision before you have any instant reactions. It's readable, very well written, and extremely interesting. It's really at the heart of what a democracy is all about. The Executive Branch proposed a law; Congress considered the legislation and modified it; and the Supreme Court made sure the law complied with the U.S. Constitution. If you condemn this process, you don't believe in a constitutional democracy.

The decision states: "We do not consider whether the Act embodies sound policies. That judgment is entrusted to the Nation's elected leaders. We ask only whether Congress has the power under the Constitution to enact the challenged provisions."

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