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Wednesday, November 11, 2026Nov 11

High court upholds Obama health law

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photo This Jan. 25, 2012 file photo shows the U.S. Supreme Court Building in Washington. Some are already anticipating the Supreme Court’s ruling on President Barack Obama’s health care law as the “decision of the century.” But the justices are unlikely to have the last word on America’s tangled efforts to address health care woes. The problems of high medical costs, widespread waste, and tens of millions of people without insurance will require Congress and the president to keep looking for answers, whether or not the Affordable Care Act passes the test of constitutionality. With a decision by the court expected this month, a look at potential outcomes. (AP Photo/J. Scott Applewhite, File)

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The history of the U.S health care reform effort

By MARK SHERMAN

WASHINGTON (AP) – The Supreme Court on Thursday upheld the vast majority of President Barack Obama’s historic health care overhaul, including the hotly debated core requirement that virtually all Americans have health insurance.

The 5-4 decision means the huge overhaul, still taking effect, will proceed and pick up momentum over the next several years, affecting the way that countless Americans receive and pay for their personal medical care.

The ruling hands Obama a campaign-season victory in rejecting arguments that Congress went too far in approving the plan. However, Republicans quickly indicated they will try to use the decision to rally their supporters against what they call “Obamacare.”