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Who decides if the Health Care Reform Bill is unconstitutional?



The Constitution, which sets forth the principle of rule of law, defines what is unconstitutional, and guarantees freedom of speech and other liberties of a Constitutional republic, and also describes the impeachment power. (How many know of the Jewish roots of this document?) Hypocrisy threatens Constitutional government. Could Israel use a constitution like this? More to the point: would a Convention of States save it, or destroy it? (Example: civil asset forfeiture violates the Constitution.) Quick fixes like Regulation Freedom Amendments weaken it. Furthermore: the Constitution provides for removing, and punishing, a judge who commits treason in his rulings. Furthermore, opponents who engage in lawfare against an elected President risk breaking the Constitution.

Recently the man now occupying the White House questioned the Supreme Court’s authority to rule on the constitutionality of the health care reform bill. Does he have a point? Ironically for Mr. Obama, this may be a discussion worth having.

Who decides what’s constitutional?

Since the Constitution was ratified nearly 224 years ago, you would think the question of who decides constitutionality would be clear. Traditionally it is clear. In 1803, Chief Justice John Marshall established the principle of judicial review in Marbury v. Madison. Since then the courts have been the final arbiters on such issues. This tradition is based on Marshall’s decision but not on any clause within the Constitution. Although Supreme Court decisions become precedents, they can be wrong and can be overturned. Case in point: The Dred Scott decision (Scott v. Sandford).

It should be noted that Article III of the Constitution gives the federal courts authority over all cases arising under the Constitution and federal laws. It states that: “The judicial power shall extend to all Cases, in Law and Equity, arising under this Constitution, the Laws of the United States, and Treaties,” and that “the Supreme Court shall have appellate jurisdiction” in such cases.

However, there may be another side to this argument. It is commonly called “nullification” and it is a can of worms the White House would be wise to avoid.


The supporters of nullification rely on the Tenth Amendment, which states:

The powers not delegated to the United States by the Constitution, nor prohibited by it to the states, are reserved to the states respectively, or to the people.

The Tenth Amendment refers to the enumerated powers granted to the government in Article 1, Section 8 of the Constitution. It clearly states that all other powers not enumerated in the Constitution, nor prohibited as per Article I, Section 10 (or any later Amendment), are reserved to the States, or by extension, to the people. Our founders clearly spelled out these powers. They are broken down into two categories: general welfare and common defense. They are as follows:


  1. International and interstate commerce (trade)
  2. Naturalization
  3. Bankruptcy
  4. Coin Money and set its value
  5. Weights and measures
  6. Punish counterfeiting
  7. Postal service
  8. Issue patents and copyrights
  9. Establish federal courts
  10. Govern the District of Columbia
  11. Purchase real estate for necessary buildings


  1. Define and punish Maritime & International Crimes
  2. Declare war
  3. Make rules for and fund military services
Alexander Hamilton. Would he let Obama get away with attacking the Supreme Court on the health care reform bill?

Alexander Hamilton. Portrait: Ezra Ames

Alexander Hamilton wrote in The Federalist No. 33 that a congressional act beyond its enumerated powers is “merely [an] act of usurpation” which “deserves to be treated as such.”

In the interest of full disclosure, this writer firmly believes that the health care reform bill is unconstitutional. It simply stretches the limits of logical thinking to argue that the Law fits into one of the enumerated powers listed above. According to Alexander Hamilton, it should be treated as an act of usurpation. Simply put, the Law would establish another power for the federal government not listed in the Constitution.

The argument now before the Supreme Court is: Does the health care reform bill fit into one of these enumerated powers, or a power that a later Amendment grants? Or it is an act of usurpation and therefore unconstitutional? Mr. Obama doesn’t think the “unelected” Justices of the Supreme Court have the right to decide. If the Supreme Court doesn’t have that right, then who has? If the powers of government are limited to those enumerated in the Constitution, then some mechanism must exist to determine if the government has exceeded its limits.

Here’s the problem: the Constitution does not contain any clause that provides for either the states or the Supreme Court to have the exclusive power to declare federal laws unconstitutional. The key words may be “exclusive power”. If one branch of government doesn’t have “exclusive power”, then perhaps exclusive power doesn’t exist and the states and the Supreme Court share this power.

How States could nullify the health care reform bill

The Tenth Amendment Center has argued that any State may nullify an unconstitutional law within the state. They believe that the States have the right to declare federal laws unconstitutional, since it is one of the powers reserved to the states by the Tenth Amendment. Conversely, Chief Justice John Marshall gave that power to the courts. Regardless of who is right or who is wrong, the courts have been judging constitutionality since 1803.

Is there another way to determine constitutionality other than the courts? If the courts don’t have the right to decide this matter, which elected officials do? Does Mr. Obama agree with the Tenth Amendment Center? Logically the federal elected officials who passed the health care reform bill can’t be asked to rescind the Law on constitutional grounds. That would be like asking the fox to guard the hen-house. The only other elected officials we have are at the State level. Since Governors have the right of veto, perhaps this right could fall to them as well as the Supreme Court.

Therefore, the constitutionality of the health care reform bill is not as interesting a topic as who decides constitutionality. Given the current state of America, perhaps having another mechanism to reel in an out of control government would be a good thing to develop. I may have just found something to thank this administration for after all.

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RoseAnn Salanitri is a published author and Acquisition Editor for the New Jersey Family Policy Council. She is a community activist who has founded the Sussex County Tea Party in her home state and launched a recall movement against Senator Robert Menendez. RoseAnn is also the founder of Veritas Christian Academy, as well as co-founder of Creation Science Alive, and a national creation science speaker.

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