The true impact of the Supreme Court’s decision on President Obama’s health care law won’t be felt on the high court or the presidential campaign trail: In each arena, the status quo prevails. But the approval of the legislation, the first attempt at comprehensive reform of the sprawling health care bureaucracy, is a landmark event nonetheless. It preserves a crucial framework for wrestling with issues of cost, access, coverage, and quality that would have been completely lost had the court’s activist conservative wing had carried the day.
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