by Joseph Jerome
After declaring that Texas would not be expanding Medicaid to include millions of uninsured Texans, Gov. Rick Perry insisted that “the real issue here is about freedom.” South Carolina Gov. Nikki Haley argued that the Affordable Care Act reveals a federal government that “simply [doesn’t] believe states should be trusted to govern themselves.” Speaking on the Meet the Press, Louisiana Gov. Bobby Jindal invoked the principles of federalism when he suggested universal health care was akin to having Mardi Gras in Vermont.
This rhetoric reveals a profoundly state-centric view on what freedom means, and while the Tenth Amendment certainly speaks to the rights of states vis-à-vis the federal government, it also talks about the rights of individual citizens. “If anything, the Tenth Amendment recognizes potentially expansive federal power,” Professor Steven Schwinn wrote on SCOTUSblog, rebutting “states’ rights” arguments against the Affordable Care Act.
The problem is that “we are all hypocrites” when it comes to power struggles between the state and federal governments, Professor Garrett Epps explains. “The basic view of ‘states' rights’ is that they extend to any policy that the speaker thinks will go his or her way at the state level,” he writes.
Though Gov. Perry (pictured) has long been a “states’ right stalwart,” he too falls into Epps’s trap. The governor supports federal efforts to restrict marriage equality and ban abortions, and the real issue was not freedom when $17 billion in federal stimulus money was used to balance Texas’ budget. When it comes to the Medicaid expansion, however, millions of Americans in these states must find comfort in being told they will go without health insurance as a matter of principle.