This column originally appeared in The Hill.
With a rising number of infections from the Delta variant across the country, in states such as Florida and Texas where governors have refused to act to protect their populations, can President Biden and the federal government mandate masks or take other actions? The traditional answer from constitutional lawyers is no, and the Supreme Court under Chief Justice John Roberts has made federal action more difficult. But there is one legal option: declare the coronavirus an interference with interstate commerce, allowing the federal government to act.
The United States is a country of divided authority between states and the national government. In many areas, states have far more power than the federal government. “Police power” is the authority to act to protect the health, safety, welfare and morals of the people, the basis of state power to pass criminal laws, housing codes, environmental laws, and even public health measures. Over time, the Supreme Court has upheld broad, inherent authority of states to promote public health, including recent mandatory quarantines and vaccination laws.
The United States government lacks police power. Its powers are limited to the text of the Constitution or what is necessary and proper to execute its explicit powers. Without police power, the national government has significantly less authority over many aspects of our lives. However, Congress has used Article I, Section 8, Clause 3 of the Constitution — the Commerce Clause — to regulate measures that affect interstate commerce. It also has used Article I, Section 8, Clause 1 — the authority to tax and spend for the general welfare — as a tool to induce parties to act under threat of a financial penalty.
There is a long Supreme Court history surrounding Congress’s use of the Commerce and Tax clauses as tools of regulation. Yet the simple answer is that, together, they have allowed the national government to prescribe criminal and environmental laws, as well as workplace conditions, and to regulate the sale and distribution of drugs and food products. In upholding the constitutionality of the 1964 Civil Rights Act, for example, the court ruled that decisions by businesses to refuse to serve people of color interfered with interstate commerce. Together, these two clauses have given the national government broad power to act.
Yet, these clauses have limits. The Supreme Court has said that, generally, the national government cannot order or, in its words, “commandeer” states to act because of Tenth Amendment or federalism concerns. It cannot tell states directly to lower highway speed limits, for example, or to raise age limits for the consumption of alcohol, or lower blood-alcohol levels for determining when someone is driving while intoxicated. It can, however, offer financial inducements to encourage states to do all this — if the incentives are not coercive.
What all this means is that the president and federal government historically have lacked broad public health authority to act and to tell states they must do the same. The Supreme Court compounded this problem in 2012 when it ruled in National Federation of Independent Business v. Sebelius on the constitutionality of the Affordable Care Act. The court decided that Congress lacked authority under the Commerce Clause to mandate individuals to carry health insurance, because not being insured did not interfere with interstate commerce.
The court did uphold the individual insurance mandate under the Tax Clause by arguing that individuals were free to not get insurance, but they then would have to face a tax. The court struck down the part of ObamaCare encouraging states to expand Medicaid eligibility, ruling that the combination of incentives and threats were coercive and violated the Tenth Amendment.
Americans should rue this decision. It hampered the expansion of health care coverage and now crimps the ability of the national government to respond to the coronavirus pandemic. Roberts Court conservatives have clipped the wings of governors in California and New York to restrict gatherings at religious institutions, arguing it violates the Free Exercise of Religion. This is a court simply out of touch with realities associated with the coronavirus and the need for strict public health measures. The court’s decisions enable irresponsible behavior by governors who refuse to act during a public health crisis.
However, it is indisputable that the pandemic has wrought significant impact on the U.S. economy. We have nearly 18 months of proof that the pandemic impacts interstate commerce. Decisions to not wear masks or get vaccinated can impact interstate commerce, just as much as the decision of a business not to serve people of color was the basis for upholding civil rights laws because those decisions impacted interstate commerce.
Not wearing a mask or getting a vaccine arguably affects others more than not getting insurance, and therefore it affects interstate commerce. Given the reality of how COVID-19 is impacting interstate commerce, President Biden and Congress have a good-faith argument that they have the authority to step in and act if governors choose not to.
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ReplyDeleteYour argument is nothing but a straw man attack. I don’t think anyone is saying that if Congress passed a mask mandate or a vaccination mandate or a law for the suspensions of evictions that it would not be constitutional. I am not saying it wouldn’t be challenged but Congress at least has the Constitutional authority.
ReplyDeleteThere is even a 1905 small pox vaccination case (Jacobson vs. Massachusetts) which would make it appear that Congress, or at least State governments, can mandate vaccinations if the need was “clear and compelling for the public health or the public safety”. In the description of the opinion though the State must show that it: ”did not act in an unreasonable, arbitrary or oppressive manner”. With all the ‘breakthrough” cases of Covid from people with the “Trump” vaccinations and the fact that the virus is dangerous only to the old, obese, and immune compromised this may be a stretch. There is a line between the blessings of individual liberty that the Constitution wishes to secure and preserve and the tyranny of the common good, which should not be crossed.
Democrats control both houses of Congress along with the Presidency, they could pass mask, vaccination, and eviction legislation today if they wanted. Obviously, the Democrats don’t want to. If you want democracy, not a dictatorship of President Trump, this is what you get.
One final point. Healthcare is the second most regulated activity in the United States, only Nuclear Power is more highly regulated. (and how is that working for you?) ObamaCare promised “affordable” care but delivered anything but. As Jonathan Gruber pointed out, half the cost of healthcare is the salaries of the doctors, nurses, technicians, clerks, jerks, and security guards. All want more money and as healthcare is expanded more need to be hired. No cost cuts there. A third of the cost is bricks, mortar, hospital beds, MRI machines, and computer systems. If outcomes are to be improved we need to increase funding of this infrastructure. No cost cuts there either. The remaining sixth is the pharmaceuticals, with their protection by the predatory monopoly of the CDC, not much chance there either. He went on to say at the bottom line, ObamaCare was nothing more than getting the young, healthy, and responsible to pay for the healthcare of the old, sick and irresponsible.
We have been in this pandemic for 20 months so where are the facilities and where are the treatments? You feel sick, get tested, are positive, and are told to go home and to quarantine for 10 days. Of the thirty-two people I know personally who tested positive for Covid, only one (an 83-year-old) got any treatment at all. The rest got absolutely nothing. Where is your great health care system today besides covering up the fact that they bought and paid for the research that released SARS-CoV-2? Are smelly, unsanitary, homemade cloth masks and non-approved, experimental Trump vaccine the best we can do? It seems like it.