SDSU professor: Ruling makes health care act hard to enforce - CBS News 8 - San Diego, CA News Station - KFMB Channel 8

SDSU professor: Ruling makes health care act hard to enforce

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SAN DIEGO (CNS) - The U.S. Supreme Court ruling today that left many of the elements of the Affordable Health Care intact also removed enforcement mechanisms, so the impact of the decision is unclear, a San Diego State University professor said.

"It's unclear what impact the decision is really going to have," said Professor Robert Seidman, an expert in the economics of health care.

He said the objectives of President Barack Obama's overhaul of the nation's health care system, including the so-called "individual mandate" to make people purchase insurance coverage, might be difficult to achieve if there is no enforcement.

"So is it really a mandate? It is a mandate in words only," Seidman said.

San Diego and Imperial Counties Labor Council CEO Lorena Gonzalez applauded the ruling.

"In the face of intense pressure from corporate special interests, we can now move forward with ensuring that every American has access to affordable health care, strengthening our families, our businesses and our communities," Gonzalez said. "This is a critical opportunity to provide local families more purchasing power and affirm that lack of access to health care will no longer be a barrier to success."

Two Republican members of San Diego's congressional delegation issued statements ripping the ruling.

Rep. Darrell Issa, R-Vista, said "Obamacare" will do "great harm" to the country by imposing new taxes, burying job creators in red tape and saddling future generations with debt they can't afford.

"In selling Obamacare, congressional Democrats and President Obama assured the American people that it was not a tax," Issa said. "Today, the Supreme Court ruled it was, in fact, a tax -- this tax was imposed on the American people amidst an extended recession and is one of the many reasons our economy remains stagnant under President Obama's leadership."

House Republicans will continue efforts to dismantle and de-fund the act, he said.

Rep. Brian Bilbray, R-Solana Beach, said America cannot afford the health care program.

"Since its passage, the cost to implement the president's plan has doubled," Bilbray said. "The rising cost of health care is making it harder for small business to hire workers."

He said the ruling upheld the law as constitutional but does not address rising costs.

San Diego Mayor Jerry Sanders declined to comment.

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