Richard Albert has a new article at SSRN called "Nonconstitutional Amendments" talks about an interesting subject, the deviations that grow between the written text of a document called a constitutions, and the living constitution that operates in practice. But, Albert also misses some steps in my view.
Unconstitutional Constitutional Amendments and Revolutions
Quite a bit of the paper is devoted to discussing the quite narrow concept that not all constitutional amendments that are approved with the proper process are valid that is found in constitutional law in Germany, India and South Africa (by judicial fiat). Canada and other newly formed states have similar hierarchies of especially difficult to amend provisions expressly included in constitutional texts (as does the U.S. Constitution in Article V, a point not mentioned in the article).
The evolution of the doctrine in Germany, which was the source of the innovation in India, was that constitutional amendments must be made by parliament and parliament is not entitled to enact unconstitutional law -- a provision that even a proposed constitutional amendment must adhere to in practice. (California has a similar doctrine distinguishing constitutional revisions from mere constitutional amendments.)
Likewise, the paper makes cursory note of the fact that new regimes (like the current U.S. Constitution relative to the Articles of Confederation) often arise extra-legally as judged by the old regime.
The American Living Constitution
More interesting, but not well developed for my taste, are the discussions of extraconstitutional amendment through practice via constitutional interpretation (superprecedents), ordinary laws of special importance (superstatutes), and historical practice and precedent. This is a rich area, not well enough explored for my druthers in the paper. While a couple of examples are vaguely stated, like the New Deal, the creation of judicial review, the Civil Rights Act of 1964, and the Administrative Procedure Act, the National Environmental Policy Act, many better examples are not, and Albert doesn't do nearly enough to elucidate what distinguishes an judicial, legislative or executive branch act of constitutional significance from those that amount to the day to day business of government. For example, he suggests that almost every U.S. Supreme Court constitutional case amounts to a constitutional amendment and uses that proposition as a reason to disregard non-Article V constitutional amendments via the judiciary almost entirely.
Yet, one really can't begin the inquiry without a working definition of what does and does not constitute the complete living constitution. For example, the living constitution might include the central constitutional provisions, statutes, court cases, regulations and executive branch precedents that establish the core distribution of powers, checks and balances and protections of individual rights vis-a-vis the government in a country.
One of the big ongoing dialogs of U.S. Constitutional law is the extent to which individual rights expressed there regulate action by sate government. The Slaughter House cases said that privileges and immunities clause do not have that effect, and together with the Dred Scott separate but equal doctrine effectively nullified the constitutional civil rights gains secured in the Reconstruction Era after the U.S. Civil War. Later, the selective incorporation doctrine, which used the 14th Amendment due process clause to protect some individual rights with the federal constitution against violation by state and local actors, reversed much of this setback, and cases like Bivens circumvented immunity doctrines that had limited the availability of a remedy for violation of constitutional rights. At the statutory level, the habeas corpus statute, Section 1983, and the Federal Tort Claims Act serve similar "superstatutory" roles. At the state level, Colorado's Governmental Immunity Act has a similar superstatutory role.
The U.S. Civil War itself is widely viewed as having extraconstitutionally settled the question, "Do states have a right to secede?" in the negative. Executive branch actions that are viewed as precedential, the War Powers Act, budgetary politics and the "political question" doctrine have conspired to create the U.S. Constitutional laws of war, with the Courts mostly stepping in to address the constitutionality of detention, discipline and relocation of individuals.
Another group of governmental policies with something close to constitutional character is the decentralized way that the U.S. has structured control of law enforcement. The Posse Comitatus Act has removed the U.S. military from law enforcement. A less specific, but critically important decision has intensely decentralized law enforcement employment. The vast majority of law enforcement officers are employed by local county and municipal governments where they exist, and hence do not report to anyone in the state or federal government directly. State police departments tend to be a very small percentage of all police officers and like federal law enforcement officers often operate primarily in "extrajurisdictional" places like interstate highways, state parks and state buildings. The number of federal law enforcement officers is not great, and federal law enforcement officers are overwhelmingly concentrated in places where no state or substate local government has jurisdiction like federal property, border crossings, and the coastal waters of the United States. Many states popularly elect their criminal prosecutors at a local level. Even U.S. attorneys in the federal system are generally nominated only with the consent of both of a state's U.S. Senators and operate with little guidance from the central government. Similarly, the director of the FBI serves for a long fixed year term, rather than reporting to the President as a purely political appointee. U.S. marshals, in practice, report to the judiciary more than the executive branch, and many states have similar arrangements. This arrangement practically limits the ability of any one person to use force under the color of state law on a large scale in defiance of legitimate civilian authority.
The judicial determination that the one man, one vote principal was mandatory for all sub-federal governments surely has a constitutional character, as imposes strict boundaries on how state constitutions can be written.
Popular Sovereignty?
A final quibble I have with Albert's analysis is his inclination to describe the United States as a nation with "popular sovereignty," and some other countries as having "judicial sovereignty." The evidence for American popular sovereignty beyond symbolism (where "We the People" substitutes for references to the Crown in prior British political symbolism), simply are not there. The United States is not a nation like modern France or Germany or Russia or Pakistan that has witnessed political change or governmental discipline in the face of pivotal mass protests.
One of the main themes of American constitutional law is that the courts act as a countermajoritarian force, and usually win when they choose to press their case. The President's willingness to call out the National Guard to enforce a court desegregation order in Little Rock, Arkansas is the singular non-judicial precedent establishing judicial supremacy in our constitutional system. Open defiance of court orders by public officials in the United States is rare and almost never prevails for long. Indeed, the American system, unlike that of many countries, not only allows the U.S. Supreme Court (our proxy for a constitutional court) to declare a statute or executive branch action unconstitutional, it affords that power to essentially every local, state and federal judge, subject to appeals, of course.
In contrast, efforts to act out of pure popular sovereignty in the United States usually fail. Shay's Rebellion, not long after the Revolutionary War, was put down. Colorado's Governor just commemorated the Ludlow Massacre in which the government used violent force to put down a budding popular uprising organized by a union against management misconduct; in France this still happens and the union members get away with it, in the United States, the union members get slaughtered when push comes to shove. Every Confederate state conducted elaborate and unequivocal democratic processes amongst their existing franchises at the state level before leaving the Union. American popular poltical culture has vehemently disavowed our popular sovereigntist history of lynchings, with at least a couple of anti-lynching/anti-mob rule literary works included in every school child's curriculum (e.g., The Crucible, To Kill A Mockingbird). Robert Bolt's 1960 British Play, "A Man for All Seasons" has entered the U.S. political pyche as a mascot for the importance of the rule of law, even when it is unpopular or wrong. The U.S. does not permit and has never held national initiatives, referrenda, or even truly national elections (Presidential elections are conducted by state elections officials and aggregated at the national level though the electoral college, not through a tabulation of the national popular vote). For the first half of the Republic's history, even U.S. Senators were not directly elected.
Also, while many parliamentary systems permit or require new elections sooner than would be otherwise required when the current national leadership "loses confidence," as a referendum on the current group of elected officials, the American system of government holds elections strictly according to the calendar without regard to the political reality. In the U.S. system, even a crisis like a failure to adopt a budget causing a government shutdown, or a failure to adopt a plan for new legislative districts following a census, does not provide a basis for ousting the existing political leadership prematurely.
25 June 2009
Health Care Provider Price Discrimination
A comprehensive analysis of data hospitals report to Medicare shows that, on average, hospitals charge uninsured patients two-and-a-half times more than they charge insured patients and three times more than their actual costs. In some states mark-ups average four-fold. . . . private insurance payments [are] around 122% of hospital costs, while Medicare pays about 100%.
From here.
[A] 2008 survey by the Texas Medical Association found that while 58 percent of the state’s doctors took new Medicare patients, only 38 percent of primary care doctors did.
From here.
Medicaid pays less than Medicare to providers and is less widely accepted by providers, and that for many, individual health insurance is not an option. For example:
In Seattle . . . access to orthopedic surgeons is virtually nonexistent for uninsured people and Medicaid enrollees, because a single group of orthopedic surgeons has a virtual monopoly in the community and does not accept Medicaid or uninsured patients. . . . Findings from a survey of individual insurance shoppers show that 15% of people looking for insurance online were deemed ‘uninsurable’ for standard coverage by most insurance carriers.
A provider/health insurer industry sponsored study found that:
In 1999, there was approximately an 11.3 percentage point gap in operating margin between Medicare and commercial payers, and a 16.0 point gap between Medicaid and commercial. By 2006, this had widened to a 32.5 percentage point gap between Medicare and commercial, and 37.8 points between Medicaid and commercial.
While the general trend is hardly news, the specific quantitative measures of the differences are useful.
Housing Wealth Effect Documented
Why did consumers run up so much debt before the Financial Crisis?
They were spending unrealized gains in their home values, and didn't have access to funds in other ways due to poor credit and nearly maxed out credit cards. The data illustrating this link (about a quarter of new spending per dollar of increased home value) is impressive, despiite the practical difficulties of showing these kinds of relationships.
Economists call spending based on perceived increased lifetime wealth (such as a rise on the value of assets owned) a "wealth effect."
They were spending unrealized gains in their home values, and didn't have access to funds in other ways due to poor credit and nearly maxed out credit cards. The data illustrating this link (about a quarter of new spending per dollar of increased home value) is impressive, despiite the practical difficulties of showing these kinds of relationships.
Economists call spending based on perceived increased lifetime wealth (such as a rise on the value of assets owned) a "wealth effect."
SCOTUS Thursday
SCOTUS Speaks:
* Punitive damages are available in admiralty cases (in this case unpaid compensation to a seaman) whenever there is willful and wanton, or outrageous conduct, as a matter of federal common law predating the founding. A previous recent case had required that punitive damage awards in admiralty cases bear some proportion to the compensatory damage award under a standard more strict than that found in constitutional reviews of state law punitive damage awards. Congress can provide otherwise by law, but has largely left admiralty to the federal common law.
This is a rare 5-4 case where Justice Kennedy was in dissent. The court liberals were joined by Justice Thomas in making the ruling. The twin decisions stablize the law of punitive damages in admiralty decisions and also reflect attitudes of the Justices towards punitive damages in a non-constitutional context.
* Reconsideration of court orders mandating school funding for programs based upon federal law, when the reconsideration alleges a changes in circumstances, must permit a widespread relitigation of the facts that justify the existing order. This is because "institutional reform litigation" can last many years during which circumstances can change and raise federalism concerns. In ordinary cases, it is almost impossible to modify a court order in a civil case after appeal periods and a six months period from entry to raise the most common irregularities in court procedures.
The case involved a court order mandating increased English language learning funding for the Nogales school district in Arizona pursuant to a federal education funding statute. The decision was 5-4 with the usual conservative suspects in the majority and the court liberals in the minority.
* In a bipartisan 5-4 decision (liberal Justice Breyer dissented, as did conservative Justices Kennedy and Alito), the "Court held that a lab chemist must be called to testify in order to admit the lab analysis as evidence in a trial." The constitutional confrontation clause requires testimony to be offered in person (the rule parallels the evidentiary hearsay rule). The dispute turned on whether a lab analysis is testimony reduced to writing, or a mere document.
* It was unconstitutional for a school official to strip search a thirteen year old girl at a school based upon the claim of a fellow classmate that the girl has a prescription strength versions of an over the counter asprin-like drug in her possession, even though a bag search was justified. The weakness of the evidence and minor nature of the possible harm did not justify such an intrusive search. Qualified immunity applied to all but one of the school officials on that the ground that the law applcable in their situations was not "clearly established" and for remand for consideration of the issue of whether the law was "clearly established" based upon more evidence in the case of another school officials.
Justice Souter writes for the Court joined entirely by five other Justices. Justice Stevens filed a partial dissent joined by Ginsburg. Justice Ginsburg filed an opinion concurring and dissenting in part. Justice Thomas concurs in part and dissents in part.
The last three cases of the session will be issued on Monday. The cases are, per SCOTUS blog:
The Ricci decision, in particular, is a hot potato because U.S. Supreme Court nominee Sonia Sotomayer was on the panel that decided it.
* Punitive damages are available in admiralty cases (in this case unpaid compensation to a seaman) whenever there is willful and wanton, or outrageous conduct, as a matter of federal common law predating the founding. A previous recent case had required that punitive damage awards in admiralty cases bear some proportion to the compensatory damage award under a standard more strict than that found in constitutional reviews of state law punitive damage awards. Congress can provide otherwise by law, but has largely left admiralty to the federal common law.
This is a rare 5-4 case where Justice Kennedy was in dissent. The court liberals were joined by Justice Thomas in making the ruling. The twin decisions stablize the law of punitive damages in admiralty decisions and also reflect attitudes of the Justices towards punitive damages in a non-constitutional context.
* Reconsideration of court orders mandating school funding for programs based upon federal law, when the reconsideration alleges a changes in circumstances, must permit a widespread relitigation of the facts that justify the existing order. This is because "institutional reform litigation" can last many years during which circumstances can change and raise federalism concerns. In ordinary cases, it is almost impossible to modify a court order in a civil case after appeal periods and a six months period from entry to raise the most common irregularities in court procedures.
The case involved a court order mandating increased English language learning funding for the Nogales school district in Arizona pursuant to a federal education funding statute. The decision was 5-4 with the usual conservative suspects in the majority and the court liberals in the minority.
* In a bipartisan 5-4 decision (liberal Justice Breyer dissented, as did conservative Justices Kennedy and Alito), the "Court held that a lab chemist must be called to testify in order to admit the lab analysis as evidence in a trial." The constitutional confrontation clause requires testimony to be offered in person (the rule parallels the evidentiary hearsay rule). The dispute turned on whether a lab analysis is testimony reduced to writing, or a mere document.
* It was unconstitutional for a school official to strip search a thirteen year old girl at a school based upon the claim of a fellow classmate that the girl has a prescription strength versions of an over the counter asprin-like drug in her possession, even though a bag search was justified. The weakness of the evidence and minor nature of the possible harm did not justify such an intrusive search. Qualified immunity applied to all but one of the school officials on that the ground that the law applcable in their situations was not "clearly established" and for remand for consideration of the issue of whether the law was "clearly established" based upon more evidence in the case of another school officials.
Justice Souter writes for the Court joined entirely by five other Justices. Justice Stevens filed a partial dissent joined by Ginsburg. Justice Ginsburg filed an opinion concurring and dissenting in part. Justice Thomas concurs in part and dissents in part.
The last three cases of the session will be issued on Monday. The cases are, per SCOTUS blog:
Citizens United v. Federal Election Commission (08-205), on whether federal campaign finance laws apply to a critical film about former presidential candidate Sec. Hillary R. Clinton intended to be shown in theaters and on-demand to cable subscribers. . . .
Ricci, et al. v. DeStefano, et al. (07-1428 and 08-328), on whether municipalities may decline to certify results of an exam that would make disproportionately more white applicants eligible for promotion than minority applicants, due to fears that certifying the results would lead to charges of racial discrimination.
Cuomo v. The Clearing House Ass’n, L.L.C. (08-453), on whether 12 USC § 484 and 12 CFR § 7.4000 prohibit measures taken by the New York State Attorney General to enforce state fair lending law against national banks by subjecting those entities to “visitorial powers.”
The Ricci decision, in particular, is a hot potato because U.S. Supreme Court nominee Sonia Sotomayer was on the panel that decided it.
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