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Clement’s characterization of health insurance coverage as a sort of prospective cost for service fits neatly into ACA opponents’ argument that if the federal authorities can require People to buy such insurance coverage, there are not any effective constitutional limits to stop it from mandating every other purchase or activity. Alternatively, Katyal’s use of the money or credit analogy—equally implying that health insurance is a form of fee for care—could have been a severe misstep.
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