Analysis and Commentary on Health Law
Dear Mayor “Extremely Vague” and Senator “Pipe Dream”: Put Up or Shut Up

University of Florida Levin College of Law professor and economist Neil H. Buchanan calls upon Democratic presidential candidates Mayor Pete Buttigieg and Senator Amy Klobuchar to step up and say what they are for, rather than merely what they are against. While Buchanan acknowledges that he does not fully agree with Warren’s Medicare-for-All proposal, but he praises her for being bold enough to put forth a plan, unlike many of her competitors.

Explaining Why Dairy Won’t Share the Word “Milk”

Cornell law professor Sherry F. Colb comments on a battle over what products may carry the label “milk.” Colb proposes that the dairy industry opposes plant-based milks (such as soy milk or almond milk) from identifying their products using the word “milk” not because of any real risk of confusing consumers or market harm, but as a show of dominance in response to exposed vulnerability.

Can the FDA Regulate Vaping as an Ethical Alternative to Tobacco Cigarettes?

Clinical bioethicist Charles E. Binkley and attorney David S. Kemp consider whether—and how—the Food and Drug Administration might reasonably regulate vaping devices, also known as electronic nicotine delivery system (ENDS), so that they can serve as an ethical alternative to combustible tobacco products. Specifically, Binkley and Kemp and call for further longitudinal data on the risks and benefits of ENDS and propose certain contingencies that must be in place before ENDS can serve as a viable replacement for conventional combustible tobacco products.

Justice Department Brief Calls for Invalidation of All of Obamacare Without Justification

NYU law professor Samuel Estreicher comments on the position in the Department of Justice recently took with respect to the Patient Protection and Affordable Care Act (colloquially known as “Obamacare”), declining to defend any part of the Act in court. Estreicher argues that the DOJ’s position lacks justification and explains the weaknesses of the district court’s reasoning striking down the entire Act.

Frenemies at Last?: How Legislative History Could Save Justice Kavanaugh’s Opinion in Azar v. Allina

John Cannan—a research and instructional services librarian at Drexel University Thomas R. Kline School of Law in Philadelphia—discusses a case that will be argued before the US Supreme Court this week and explains how the legislative history of the law at issue in that case could save the lower court’s decision, which was written by then-Judge Brett Kavanaugh. Cannan points out the irony that Justice Kavanaugh, who is vocally opposed to using legislative history in interpreting the meaning of statutes, may find the greatest support for his decision in this case in the legislative history.

Trump’s—and the GOP’s—Hat Trick of Falsehoods About Pre-Existing Conditions

Cornell law professor Michael C. Dorf debunks President Trump’s claim that he has kept his campaign promise to “protect coverage for patients with pre-existing conditions.” Dorf provides three primary reasons that the claim is dishonest: the administration’s position in a pending lawsuit; the GOP’s proposed alternative, which does not require insurance companies to offer policies that actually cover pre-existing conditions, and the claim that Democratic support of Medicare for All is “radical socialism.”

“Deadly Deliveries”: USA Today Report Sheds Disturbing Light on Shocking Rates of Maternal Mortality in the United States

SMU Dedman School of Law professor Joanna L. Grossman discusses the findings of a recent USA Today investigation that reveals that maternal mortality rates in the United States are rising, even as they fall globally. Grossman explains that some states, such as California, have put substantial resources into investigating the causes of maternal mortality and implementing changes to address it, while other states, such as Texas, are adhering to ideologically driven policies that endanger infant and maternal health.

Sex, Lies, and Trump’s Rollback of the Contraceptive Mandate

SMU Dedman School of Law professor Joanna L. Grossman comments on the recent change in policy announced by the Trump administration rolling back the Affordable Care Act’s contraceptive mandate, allowing employers with religious or moral objections to exempt themselves. Grossman describes the history of access to contraception in the United States and the measures Trump has taken that have the purpose or effect of restricting access to contraception.

Can Texas Require Separate Insurance Coverage For Abortion?

Cornell University law professor Sherry F. Colb considers a recently passed Texas law that will require people who want insurance coverage for non-emergency abortions to buy an additional, separate policy from their regular health insurance policy. Colb explains that proponents of the law argue that individuals should not have to fund practices with which they fundamentally disagree, but she points out that many taxpayers provide funding for government activities with which they fundamentally disagree and this situation is arguably no different from those.

An Ethical Analysis of the American Health Care Act

Charles E. Binkley, MD, FACS, co-chair of the Ethics Committee at Kaiser Permanente Medical Center in San Francisco, and attorney David Kemp conduct an ethical analysis of the American Health Care Act (AHCA), the proposed replacement for the Affordable Care Act, using the principles of impartiality and justice. Within this framework, Binkley and Kemp identify three values around which health care coverage should be prioritized, and they conclude that the AHCA fails to meet the ethical standards for government-supported health care.

California’s Defeated Condom Initiative and the First Amendment

Cornell University professor Sherry F. Colb discusses California’s Proposition 60, a ballot initiative that recently failed in that state that would have required male actors in pornographic movies to wear condoms during performances. Colb considers both a First Amendment challenge to the ballot initiative, as well as a possible response to that challenge, and she argues the law would likely pass muster under the First Amendment.

Ensuring Consent with Sexual Advance Directives

Cornell University law professor Sherry F. Colb comments on the idea of a sexual advance directive—a proposed legal device that could provide consent or designate an agent to provide consent in advance of an anticipated persistent period of legal incompetence. Colb explains how a sexual advance directive purports to work, describes some limitations of it, and proposes an alternative solution that addresses those limitations.

The Way of Death in the Netherlands, Oregon, and, Perhaps, California

Chapman University law professor Ronald Rotunda warns against the California bill recently introduced in the state senate that would allow physician-assisted suicide. Rotunda cites other jurisdictions in which physician-assisted suicide is permissible in arguing against the bill’s passage.

Did Federalism Rescue Obamacare?

Cornell University professor Michael Dorf discusses last week’s oral arguments in King v. Burwell, the case in which the U.S. Supreme Court is expected to decide the fate of the Affordable Care Act (Obamacare). Dorf contends that there are three distinct arguments through which the government could successfully defend the law if the Court finds the language of the statute unclear.

Meet our Columnists
Vikram David Amar
Vikram David Amar

Vikram David Amar is the Dean and Iwan Foundation Professor of Law at the University of Illinois... more

Neil H. Buchanan
Neil H. Buchanan

Neil H. Buchanan, an economist and legal scholar, holds the James J. Freeland Eminent Scholar... more

Sherry F. Colb
Sherry F. Colb

Sherry F. Colb is the C.S. Wong Professor of Law at Cornell University. Colb teaches courses in... more

John Dean
John Dean

John Dean served as Counsel to the President of the United States from July 1970 to April 1973.... more

Michael C. Dorf
Michael C. Dorf

Michael C. Dorf is the Robert S. Stevens Professor of Law at Cornell University Law School. He... more

Joanna L. Grossman
Joanna L. Grossman

Joanna L. Grossman is the Ellen K. Solender Endowed Chair in Women and Law at SMU Dedman School... more

Marci A. Hamilton
Marci A. Hamilton

MARCI A. HAMILTON is the Robert A. Fox Leadership Program Professor of Practice, and Fox Family... more

Joseph Margulies
Joseph Margulies

Mr. Margulies is a Professor of Law and Government at Cornell University. He was Counsel of... more

Lesley Wexler
Lesley Wexler

Lesley Wexler is a Professor of Law at the University of Illinois College of Law. Immediately... more