Not that much of a surprise. The Supreme court loves those special people it created corporations. The ACA is a massive corporate welfare program for the health insurance, pharmaceutical and for-profit hospitals industries. So now the health insurance industry's control of healthcare has been written into law. There are no restrictions on the insurance industry death panels so they will become more powerful now that the insurance industry is being backed by the government. Get ready for 2018 when you will loose the insurance your employer may provide and you will be dumped into the individual market at the mercy of the health insurance industry. Over all get ready for a massively expensive mess that will not meet the objective of providing healthcare to the American people.

Very good Aferr. Now eat your broccoli.

This is a good first step for the American people. I agree with Justice Roberts that the mandate is Constitutional as a tax. It should go one step further. The cost of taking care of our citizens in a personal way benefits all, healthy or not. Do away with the present form of this tax and let everyone pay according to their ability to do so. Let's assuage our Republican or conservative friends by using an updated Medicare model. This is a public, private relationship. It allows private insurers to have a place but not on their terms. This unbridled price setting because of inefficiency has been the major reason insurance costs have skyrocketed. This gives both sides skin in the game while significantly reducing bureaucracy by streamlining negotiations and a more uniform way of setting payments so billing departments are reduced. It will stop having to be creative to obtain revenue for office, clinic, and hospital operations, human and otherwise. Congratulations President Obama and all those who believe personal health care is necessary for survival.

Absolutely no major part of this law has been put in place. Yet we already have the naysayers out in force. This is now the law of the land and should be given a chance to prove itself. If it fails or causes major harm, it should be repealed. If it can be improved then Congress needs to get to work.

It is every American's civic duty to buy health insurance. Healthy or sick, old or poor, we all need to do our part.

I agree that insurance companies need to be cut out. If they know what's good for them they will self-regulate to a large degree. Otherwise, we will be at single payer sooner, which also will be very welcome.

From the provider side I can tell you that this is going to blow a huge hole in not only the availability but also the quality of care. Make no mistake, I'm a consumer of healthcare services just like everyone else but when reimbursemnts continue to drop precipitously as they have (and will), eventually so does everything else. Secondary commment.... There are some very good parts to this law but the individual mandate is a cluster. Now that it has passed this test, watch the loopholes get exploited by the payers including Medicare. Buckle up folks. This isn't going to be a smooth ride.

Have you stepped up in the past to offer to pay for part of the premiums of another person? Have you voluntarily overpaid your taxes and told them to keep the change? It's systematic abuse of the healthcare network which has lead us here. Entitlements are only a part of that issue. I totally agree that we should help those who are less fortunate but when you see what the real drain on the system has been, and you are about to, I'm not sure that you'll stick with the 'civic duty' idea.

Globe says "WASHINGTON – The US Supreme Court Thursday handed President Obama a major victory by upholding the sweeping 2010 health care law, declaring that Obama and Congress acted within their powers in requiring most Americans to obtain health insurance..'----------------------------- Globe knowingly LIES here. Supreme Court said that the government has NO POWER to compel Americans to purchase anything, under the Commerce Clause. However, it has the power to TAX Americans for any reason.-----------But to the Court, government lawyers argued that this law is in fact a TAX, DESPITE the fact that nowhere in the law does it state such.-----Of course we all know that Barack Obama LIED to Congress and to the American people when he said that this was NOT, I repeat, NOT a TAX. And this TAX is on EVERYBODY, rich and poor.

Nice spin. Now eat your broccoli. We are the hollow men We are the stuffed men Leaning together Headpiece filled with straw. Alas! Our dried voices, when We whisper together Are quiet and meaningless As wind in dry grass Or rats' feet over broken glass In our dry cellar Shape without form, shade without colour, Paralysed force, gesture without motion; Those who have crossed With direct eyes, to death's other Kingdom Remember us - if at all - not as lost Violent souls, but only As the hollow men The stuffed men.

eat your broccoli

It's also not the victory for 'ObamaCare' that everyone thinks it is, nor is it the defeat for its opponents that everyone thinks it is. Essentially, Chief Justice Roberts has sent the issue back to Congress with de facto instructions to 'work it out.' Although not a provider, I am involved in diagnostics, so people like you and me will suffer in some ways, gain in others, as far as our ability to carry out the necessary functions of health care. Like you I favor certain portions of the ACA; personally I like being able to cover my children to age 26 if they can't obtain insurance on their own via employment, and I favor correcting the abuse known as denial of coverage for so-called pre-existing conditions. The individual mandate is more of a grey area for me. On the one hand the ER should not be used as 'free health care' by those who can afford insurance but choose not to, but I am not convinced the provisions as written have been properly worked out. I have to wonder if perhaps a bumpy ride is exactly what is needed to force our elected officials to get serious about it. It ain't gonna be any fun, though.

.....What absolute BS. You have yet to report a fact that wasn't merely your unsubstantiated opinion. Spewer of Tripe. Fraud, Liar, Hollow Man. Eat your broccoli. We are the hollow men We are the stuffed men Leaning together Headpiece filled with straw. Alas! Our dried voices, when We whisper together Are quiet and meaningless As wind in dry grass Or rats' feet over broken glass In our dry cellar Shape without form, shade without colour, Paralysed force, gesture without motion; Those who have crossed With direct eyes, to death's other Kingdom Remember us - if at all - not as lost Violent souls, but only As the hollow men The stuffed men.

LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.LOL.

I agree that this will tax the health system, but I believe the stress will bring efficiencies that wouldn't otherwise happen. The danger of causing delays in, for instance, non-emergency services in better in my opinion that excluding 50 million uninsured from medical care. We're all in this together. That's what civilization is all about.

In principle you are correct, Giermund, but it is more like every eligible American having a civic duty to vote. The challenge of (1) providing health care, (2) containing costs that are in part inflated by systematic abuse, and (3) providing fair compensation for health care providers (doctors, nurses, even device and pharmaceutical manufacturers) is far more complex than just issuing a mandate to buy insurance and thus do your civic duty. I am glad for the ruling Chief Justice Roberts issued because, more important that passing or defeating ACA, its details need to be revised and worked out, and now there is an opportunity to do so. For that matter, aspects that might ultimately be deemed unworkable can now be repealed or revised in the Legislative Branch, where it belongs. DISCLAIMER: I certainly don't trust the medical judgement of a politician, but addressing how we provide health care and insurance in this great nation of ours is a political and legislative process, not a judicial or executive process.

To me the immediate political upside is that the Republican retort can not be to just coast on this issue if the decision went the other way. For months I've asked my friends with a different opinion on this issue, what their health care plan is? When they responded, "Anything but ObamaCare," I stated that, that response was not acceptable, that if that is how they operated in their professional life they would have been fired for incompetence. In ALL instances they had no alternatives. And this in the light of the fact in our discussions they knew this was, in effect, a long incubated Republican Healthcare Plan going back to the Healthcare Wars with Hillary Clinton in the '90's. Gingrich, Hatch, et al Republicans embraced Romney's efforts. The Flip-Flop Governor will be traipsing a political mine field filled with political landlmines of his own making. The redundancy is deliberate for effect. The Republicans, and so deliciously Mitt Romney, can not side step this political/economic issue in the campaign. Democrats should not gloat, however, as the American electorate does not like "gloaters" - my term. My own personal preference for healthcare was single payer as I have stated in past posts. This is, for, me an acceptable but flawed Republican compromise for the healthcare of our uninsured American citizens. This even though it received no Republican Votes in the House

A great decision.

On to the fall elections. ObamaCare must be repealed and replaced by a saner law that covers more people. An act that is thousands of pages long is a bureaucratic monstrosity.

Voluntary support for the government and its services would be nice, but there are too many dead beats who would take advantage but put nothing in. A nation is a collective enterprise, but there are way too many who want the benefits without the responsibilities. We as a society sometimes have to impose taxes, fees, and regulations for the benefit of the whole. That's one of the major responsibilities of government, since Ancient Egypt. We can disagree on what the taxes, fees and regulations should be, but there can be no blanket immunity.

My question is replace with what? Just repealing it is not the answer no matter how flawed. You don't tear off the roof of your house and then look for a replacement. Roberts has astutely tasked Congress with the task of figuring it out.

Very important for the future generations of this nation. This law will be revised and tinkered with over time, as are all major legislative efforts, but it's here now and repeal will get nowhere. As more of the law comes into effect, it will become part of the fabric of American society. Like Britain's National Health Service, all political parties and the vast majority of citizens won't be able to imagine the country without it.

Now is the time for Congress to act on fixing what may be wrong with it before it is implemented. They have a unique opportunity. I hope they don't blow it.