Solicitor General Donald Verrilli said expanding health coverage as prescribed by the Patient Protection and Affordable Care Act (PPACA), would extend the “blessings of liberty” to individuals or families decimated by illness. There will be, he said, “millions of people” who will no longer have to worry.

A final, opposing statement was made by Paul Clement, representing 26 Republican-led states.  He said that is a “funny conception of liberty” that forces people to buy an insurance policy whether they want it or not. He added that the health law’s expansion of Medicaid is a “direct threat” to our federalism.

Mr. Clement referred to a component of PPACA mandates by the Democratic led administration that may have an unexpected effect.  The Supreme Court asked, when considering the expansion of Medicare by telling States that opt out that they would lose funding, whether Medicare was Constitutional. This would be a shift in SCOTUS that has prevailed since the New Deal.


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