A tax by any other name

— There was always a compromise to be had-a way out of striking down the individual mandate without giving Congress the power to force people to buy health insurance (or broccoli). A few sharp-eyed commentators pushed it. One was Joey Fishkin on Balkinization. His idea was that the mandate was actually a choice: between buying health insurance and paying a small penalty. Which all along should have been called a tax, and would have been but for the Democrats’ skittishness about using that word.

Chief Justice John Roberts essentially saved the Obama administration and Congress from that political and bad semantic decision Thursday. He upheld the individual mandate as a tax, not as an expression of Congress’ Commerce Clause power. Joining him were the court’s four liberal-moderates-Stephen Breyer, Ruth Bader Ginsburg, Elena Kagan and Sonia Sotomayor.

Not among those five votes was Anthony Kennedy. Here is a closing line of the dissent he signed, along with Samuel Alito, Antonin Scalia and Clarence Thomas: “We would find the Act invalid in its entirety.”

So, the Affordable Care Act came within one vote of being struck down entirely. And that missing vote was Roberts’. I would never have called that in a million years. But here is his key line: “The individual mandate must be construed as imposing a tax on those who do not have health insurance, if such a construction is reasonable.” This is fully in the tradition of judicial modesty and restraint: Courts are supposed to read ambiguous language in statutes to uphold them, if they can, without distorting the words beyond recognition. Because otherwise, they go too far to block the work of the directly elected branches-the definition of activism. That’s the gift Roberts gave President Barack Obama and Congress. To read “penalty” as “tax” isn’t to distort. It is generous, but properly so.

Left to their druthers, the four justices on the left-Breyer, Ginsburg, Kagan and Sotomayor-would have gone down the Commerce Clause road with the Obama administration.

Roberts disagreed. Here is the limit he set: “Construing the Commerce Clause to permit Congress to regulate individuals precisely because they are doing nothing would open a new and potentially vast domain to congressional authority.”

Also: “The Framers knew the difference between doing something and doing nothing. They gave Congress the power to regulate commerce, not to compel it.”

Does it matter that the Supreme Court upheld the law as a valid use of Congress’ taxing power instead of its commerce power? I don’t think so. It matters not at all for saving the health-care law. And more broadly and in the future? This looks like a victory for the libertarian, let’s-limit-Congress reading of the Constitution that is symbolic for now and maybe not much more than that in the future.

On the underlying question, I’m with the four liberals here: I don’t buy the idea that not buying insurance equals not participating in the national health-care market.

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Emily Bazelon is a Slate senior editor and writes about law, family and kids.

Editorial, Pages 18 on 06/29/2012

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