It has something to do with Obamacare. Yes, the Militia Clause and the Commerce clause are different things, but we are not talking about the difference in ends here, but whether a legislation is proper or improper.
Obamacare's CC (Commerce Clause) and N/P (Necessary and Proper, or General Welfare Clause) defense goes like this:
1. Congress can regulate health care and/or insurance market (interstate commerce).
2. "Guaranteed issues" or "Community Ratings" are such regulations.
3. Congress also determined, in order to achieve/sustain the goal of nearly-universal coverage, it is necessary to have everyone get insurance. ("Minimum Coverage" provision)
The ACA proponents/opponents agree with everything above. The opponents, however, claim that while it may be necessary to have everyone buy insurance to achieve the universal coverage, it is not proper to do so. (here the theory of "action/inaction" comes in)
The Militia act proves otherwise. Yes, the point was to raise militia, not to regulate commerce. But it shows that requiring people to purchase something (read: individual mandate) was not considered an improper way of achieving that goal.
Obama's justifications for the new law are irrelevant. The Supreme Court said so. The new law is only contitutional inasmuch as it is a tax, and the federal government has an apparently unlimited power to levy taxes, for whatever purpose it wishes.
I'm still not sure why people are not more upset over this broad expansion of government bureaucracy, power, and instrusiveness into our lives, not to mention what it is going to do to our pocketbooks.
Even if the government doesn't decide at some point that the economy is suffering and to fix it we all need to go buy new cars or pay a $5,000 fine like some have postulated, the fact is, we are going to be stuck paying increased health insurance premiums and increased taxes to pay for universal coverage. People who don't see that their disposable income just got a lot smaller are burying their head in the sand.
Who is going to pay for all of the uninsured and uninsurable? Most people that don't have insurance now are either illegals who will never pay taxes, or too poor, or who have lost their jobs. People who can't pay into the system, so taxpayers foot the bill, or we give more of the country to China.
I don't relish having to take state insurance when my company drops me because it is less expensive to pay the fine, but it's not like I have a choice now anyway.
One argument I don't get is that there will be a sudden shortage of doctors. People in this country already have access to medical care. It's not like millions are dying due to lack of it. People are not suddenly going to get more sick and feel the need to see a doctor more often just because they have insurance. One good side effect is that maybe this will give the state an incentive to create a 1984-like system to enforce healthy lifestyles on people to lower medical costs. I know a lot of companies are already trying it, but maybe it will have more weight if the state is behind it.
I really think it is a slippery slope. Maybe we should just give all of our money to the government, and work for free, and they will provide for us everything they determine that we need.