Follow along with the video below to see how to install our site as a web app on your home screen.
Note: This feature may not be available in some browsers.
And when I say "nobody", I specifically include the very lawyers who are bringing this new challenge and the four dissenters in the 2012 case:It is impossible to convey just how fantastically wrong this argument is. Outside of a couple of stray remarks by Gruber - more on that below - literally nobody believed that Obamacare was designed to deny tax credits on the federal health exchange. Reporters who covered the law full-time are completely certain about this. Staffers who wrote the law have carefully explained how the language wound up as it did. Their contemporaneous emails confirm that they believed this at the time and have not changed their story. Even Gruber himself has repeatedly stated that the federal exchanges give tax credits, too.
Lots and lots of people followed the Affordable Care Act really closely. If the federal exchanges were intended not as a backup but as a punishment, denying their customers tax credits, it would have been a huge deal. People would have known about it. The Obama administration would have publicized the threat. This enormously consequential policy decision would be the subject of thousands of news stories and public comments. The news would not be confined to one economist speaking about it a couple of years later.
Jon Chait has appropriately ridiculed the challengers' disingenuous arguments by reference to an episode of "Seinfeld" in which George Costanza plays Trivial Pursuit with "the bubble boy". The bubble boy gets a history question that would decide the game: Who invaded Spain in the 8th century? "The Moors," responds the bubble boy. "The Moors invaded Spain." But the card has a typo. "Nope," says Costanza. "The card says 'Moops'." This was a laugh line on Seinfeld, but Costanza's absurd insistence the "the Moops" invaded Spain is more defensible than the challengers' claim that there can't be any subsidies on the "Exchanges" that the feds set up on behalf of the states. Costanza had just one word one a card, while they must pretend that the ACA consists of only four words.What's less known, however, is that in the 2012 constitutional case, these same challengers filed briefs describing Obamacare to the court in precisely the way they now say the statute cannot possibly be read. Namely, they assumed that the subsidies were available on the federal exchanges and went so far as to argue that the entire statute could not function as written without the subsidies. That's a far cry from their argument now that the statute makes crystal clear that Congress intended to deny subsidies on the federal exchanges.
. . . The challengers have spent more than a year arguing that no reasonable reader of text could construe the statute in any way other than denying federal subsidies to insurance purchasers on exchanges operated by the federal government. But what about their statements from 2012 -- statements then echoed by Justices Scalia, Kennedy, Thomas and Alito in their joint dissent to the Supreme Court's ruling in the constitutional challenge, NFIB v. Sebelius? Here are a few; judge for yourself.
The 2012 briefs filed on behalf of the same plaintiff, David Klemencic (among others), by the same counsel as the current challenge, made the case that it is nonsense to read the statute as not offering the federal-exchange subsidies. Indeed, the plaintiffs went so far as to say the entire Affordable Care Act should have been struck down without the subsidies-because the act would not be able to function as written without them.
From the brief:
From their reply brief:The Federal Government only subsidizes coverage purchased within an exchange, thus giving insurance companies a reason to sell there despite the distinct regulatory burdens imposed on plans offered through the exchanges. The exchanges cannot be severed from the provisions already addressed. Without the subsidies driving demand within the exchanges, insurance companies would have absolutely no reason to offer their products through exchanges, where they are subject to far greater restrictions. Premised on the mandate, the insurance regulations, and the subsidies, the insurance exchanges cannot operate as intended by Congress absent those provisions.
And in fact, this comports with precisely how Justices Scalia, Kennedy, Thomas and Alito described the statute in their 2012 joint dissent -- as nonsense without the subsidies:Indeed, the "critical feature" of those exchanges was the "greater standardization of health insurance policies" created by the effective end to individual underwriting. Without that standardization, Congress' goals in creating the exchanges "would be significantly frustrated." Moreover, the federal subsidies are the incentive to participate in the exchanges, and without those subsidies, there will be no mechanism to sustain the exchanges.
These arguments, it is worth noting, are textual, structural and contextual arguments -- arguments about what the statute means, drawing from how the act's different textual provisions fit with one another and are read in light of one another, in the entire statutory scheme. These are not extratextual or legislative history arguments. Rather, they are precisely the kinds of arguments commonly made by textualists, and accepted by the joint dissent in 2012, but which the challengers are now saying is an inappropriate method of interpretation in their effort to construe four words of a 900-page law in a vacuum.In the absence of federal subsidies to purchasers, insur­ance companies will have little incentive to sell insurance on the exchanges. Under the ACA's scheme, few, if any, individuals would want to buy individual insurance poli­cies outside of an exchange, because federal subsidies would be unavailable outside of an exchange. Difficulty in attracting individuals outside of the exchange would in turn motivate insurers to enter exchanges, despite the exchanges' onerous regulations. That system of incentives collapses if the federal subsidies are invalidated. Without the federal subsidies, individuals would lose the main incentive to purchase insurance inside the exchanges, and some insurers may be unwilling to offer insurance inside of exchanges. With fewer buyers and even fewer sellers, the exchanges would not operate as Congress intended and may not operate at all.