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  DOJ Files First Defense in Challenge to Healthcare Law  
 

The AP (5/13, Alonso-Zaldivar) reports, "Critics who allege that Congress overstepped the US Constitution by requiring Americans to carry health insurance are 'flatly wrong,' the Obama administration said Wednesday in its first court defense of the landmark health care law." Congress "acted well within its power to regulate interstate commerce and to provide for the general welfare, Justice Department lawyers argued in a 46-page brief filed in federal district court in Detroit." The AP notes that the case "could go all the way to the Supreme Court, since more than a dozen state attorneys general have also filed suit against the legislation on broadly similar grounds."

 

        Politico (5/13, Kliff) notes, "With few surprises and succinct language, Tuesday's response defended the mandated purchase of health insurance as well within the bounds of both the Commerce Clause and Congress's power to raise taxes." David Engstrom, a constitutional law scholar at Stanford University Law School, said, "My guess is this represents the definitive response of the government, and you're not going to see much variation. ... You might see it change a little if the attorneys general are pressing a slightly different question, but my guess is a lot of awfully smart folks have put their eyeballs on this, and it therefore represents the considered response of the government."

 

        CQ HealthBeat (5/13, Norman,) notes, "Named in the Michigan suit are Obama, Health and Human Services Secretary Kathleen Sebelius, Attorney General Eric H. Holder, Jr. and Treasury Secretary Timothy F. Geithner." But, CQ also points out that the Michigan lawsuit "is separate from a suit in federal courts in Florida filed by attorneys general and governors from 20 states also challenging the new law (PL 111-148, PL 111-152). Other suits have been filed as well." The Hill (5/13, O'Brien) and Reuters (5/13, Pelofsky) also cover the story.

 

Politico (5/13, Haberkorn) reports, "Senate Republicans revived their health care 'rationing' theme Wednesday evening as they fired their first salvo in what's expected to be a fierce battle over the confirmation Donald M. Berwick to be administrator of the Centers for Medicare and Medicaid Services." GOP lawmakers "say Berwick supports the idea of rationing health care, a charge they deployed to stir public anger against the Democrats' health care overhaul." Although "they focused on the public insurance option that ultimately was dropped from the legislation, they also said that a series of programs that made it into the final legislation, such as the US Preventive Services Task Force, would also lead to denying health care to save money."

 

        The Hill (5/13, Pecquet) reports that Republican "Sens. Pat Roberts (KS), Mitch McConnell (KY) and John Barrasso (WY) joined forces on the Senate floor shortly after the last vote of the day and urged members to review Berwick's record before voting on his confirmation." Notably, "they accused Berwick of promoting health care rationing, especially for older people, and particularly criticized his endorsement of Great Britain's National Healthcare System (NHS)." In addition, Roberts "criticized the NHS' 'death pathway,' which empowers government physicians to humanely end the lives of terminally ill patients." White House spokesman Reid Cherlin stated that these "scare tactics" were not surprising, and argued that insurers currently ration healthcare.

 

        According to the Boston Globe (5/13, Milligan), "Berwick...is widely respected by many veteran policy officials across the political spectrum, who say he has a firm understanding of how to overhaul parts of the healthcare system that lead to excessive costs, waste, and poor health outcomes." Yet, "the GOP's senators are making it clear they plan to turn Berwick's confirmation hearings into a forum for continuing debate over the newly-minted health care overhaul law." The Globe adds, "Democrats believe Berwick will ultimately survive the nomination process, and no Republicans have said yet that they will vote against him."

 

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