America's health care system, as good as it is, faces the daunting problems of escalating costs and millions of uninsured.  After a year of discussion and debate, Congress passed historic health insurance reform legislation, and President Obama signed The Patient Protection and Affordable Care Act into law on March 23, 2010.  One might have expected that the health care debate was over.  In fact the unwieldy legislation, dubbed "ObamaCare" by critics, was a major contributing factor to Democrats' mid-term election losses in 2010.  Critics went to the courts and the matter wound its way to the U.S. Supreme Court.  On June 28, 2012 in a surprise decision, the Court substantially upheld the ACA.  Even as the Administration continues working to implement the legislation, critics in Congress are seeking to repeal it, and some states led by Republican governors are resisting implementation. 


The White House-Health Reform

Let's Move!

Supreme Court of the United States: Patient Protection and Affordable Care Act

decision. + 
oral argument. +

U.S. Department of Justice: Defending the Affordable Care Act

"This law has become the subject of several lawsuits challenging the constitutionality of the provision requiring Americans who can afford it to maintain basic health insurance coverage. The Department is vigorously defending the law in these cases."

U.S. Department of Health & Human Services
Center on Medicare and Medicaid Services

U.S. Senate Committee on Health, Education, Labor and Pensions
U.S. House Energy & Commerce Committee (Subcommittee on Health) (archive site)

The Repeal the Job-killing Health Care Law Act, H.R. 2.

passed by the House on Jan. 19, 2010 by a vote of 245-189.


June-July 2012: Examples of Republican Governors' Reactions to the Supreme Court Ruling

The States' Lawsuit Challenging the Constitutionality of the Health Care Reform Law (Office of the Attorney General of Florida)

"Immediately after the Patient Protection and Affordable Care Act was signed into law on March 23, 2010, 13 Attorneys General filed a lawsuit against the U.S. Department of Health and Human Services, U.S. Department of Treasury and the U.S. Department of Labor alleging the Health Care Reform law signed by the President was unconstitutional."

National Conference of State Legislatures: Health

Vermont's Health Care Reform

Kaiser Health News

"a nonprofit news organization committded to in-depth coverage of health care policy and politics."...a major program of the Kaiser Family Foundation

Kaiser Family Foundation 

"...a non-profit, private operating foundation focusing on the major health care issues facing the nation. The Foundation is an independent voice and source of facts and analysis for policymakers, the media, the health care community, and the general public."

Robert Wood Johnson Foundation

"the nation's largest philanthropy devoted solely to the public's health...The mission of the Robert Wood Johnson Foundation is to improve the health and health care of all Americans."

National Coalition on Health Care

"America's oldest, most diverse, and broadest based group working to achieve comprehensive health system reform." [501(c)(3)]
NCHC Action Fund
"formed to educate the public and advocate on local, state, and national levels for fair and systemic reform of the American health care system." [501(c)(4)]

The Commonwealth Fund

"The Commonwealth Fund's mission is to promote a high performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including low-income people, the uninsured, minority Americans, young children, and elderly adults...  The Fund carries out this mandate by supporting independent research on health care issues and making grants to improve health care practice and policy."

Center for Health Transformation

[launched May 2003 as a project of the Gingrich Group] "collaboration of private and public sector leaders committed to creating a 21st Century Intelligent Health System that saves lives and saves money for all Americans...  The Center is based on the following premise: Small changes or reactionary fixes to separate pieces of the current system have not and will not work. We need a system-wide transformation. Unlike other alliances, the Center unites stakeholders across the spectrum (providers, employers, vendors, trade associations, disease groups, think tanks) and government leaders at both the state and federal level to drive transformation according to a shared vision and key principles."

Alliance for Health Reform

"...opinion leaders need an unbiased source of information so they can understand the roots of the nation's health care problems and the trade-offs posed by competing proposals for change. The Alliance for Health Reform exists to provide that information. We offer a full array of resources and viewpoints, in a number of formats, to elected officials and their staffs, journalists, policy analysts and advocates...   A nonpartisan, nonprofit group, the Alliance believes that all in the U.S. should have access to health care and health coverage at a reasonable cost. But we do not lobby for any particular blueprint, nor do we take positions on legislation."

Trust for America's Health

"non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority...  By focusing on PREVENTION, PROTECTION, and COMMUNITIES, TFAH is leading the fight to make disease prevention a national priority."

Universal Health Care Action Network

"A nationwide network that promotes comprehensive health care for all through education, strategy development and advocacy." 

America’s Health Insurance Plans (AHIP)

"the national association representing nearly 1,300 member companies providing health insurance coverage to more than 200 million Americans."

Doctors for Medical Liability Reform (DMLR): Protect Patients Now

"protecting patients' access to healthcare by supporting federal legislation that will reform our nation's broken medical liability system."

American Association for Justice-Medical Negligence


"The Health Care and You Coalition is made up of some of our country’s leading organizations that represent consumers, patients, physicians, nurses, hospitals and pharmacists. Our goal is to provide the public with easy-to-understand information about the health care law."

Families USA-Health Reform Central

"...national nonprofit, non-partisan organization dedicated to the achievement of high-quality, affordable health care for all Americans."

Health Care for America Now (HCAN)

"Health Care for America Now (HCAN) is a national grassroots campaign of more than 1,000 organizations in 46 states representing 30 million people dedicated to winning quality, affordable health care we all can count on in 2010 and beyond."

AFL-CIO-Health Care


ALEC-Freedom of Choice in Health Care Act
American Solutions-Repeal It Now
Americans for Prosperity-Health
Citizens to Repeal Obamacare
Defend Your Healthcare (Betsy McCaughey)

Docs 4 Patient Care

John Birch Society-Stop ObamaCare
Repeal It
Revere America
The Repeal Pledge | Saving Our Health Care

projects of Independent Women's Voice and American Majority Action

also opposing
U.S. Chamber of Commerce-Health Care | Health Care Toolkit
NFIB-Healthcare Reform

American Enterprise Institute-Health Policy Studies
Brookings Institution - Engelberg Center for Health Care Reform | Health Care
Cato Institute-Health Care 

Center for American Progress-Health Care 

Center on Budget and Policy Priorities-Health
The Heartland Institute-Health Care News
Heritage Foundation-Center for Health Policy Studies

National Center for Policy Analysis-Free Market Health Care Policy
Rand Corporation-Health Care
Urban Institute-Health Policy Center

Democrats, Republicans and Major Third Parties


June 28, 2012 - Outside the Supreme Court on the day of the ruling.
March 26, 2012 - Outside the Supreme Court on the first day of oral arguments.
March 21, 2010 - The scene outside the Capitol.

Summary of the great health care [insurance] reform debate of 2009-10.

Print advertising in the health care reform debate.