The court ruled that congress has the right to levy a tax on the citizens of the United States.
The dissenters including Anthony M. Kennedy, contend that the law is overreaching.
The majority, lead Chief Justice Roberts, agree that the Affordable Care Act is Constitutional but did substantially limit the law requiring the expansion of Medicaid by the states.
The court’s ruling, seen as one of the most significant in decades, is a crucial milestone for the law, allowing almost all of its far-reaching changes to roll forward. Several of its notable provisions have already been put in place in the past two years, and more are imminent. Ultimately, it is intended to end the United States’ status as the only rich country with large numbers of uninsured people, by expanding both the private market and Medicaid.
President Obama spoke from the White House shortly after the decision was handed down. “Whatever the politics, today’s decision was a victory for people all over this country whose lives are more secure because of this law,” he said.
Whether choosing generics because of cost or availability you would think that their safety and efficacy would be guaranteed by the maker, much like brand name products.
It seems like this is not the case.
Across the country, dozens of lawsuits against generic pharmaceutical companies are being dismissed because of a Supreme Court decision last year that said the companies did not have control over what their labels said and therefore could not be sued for failing to alert patients about the risks of taking their drugs.
Now, what once seemed like a trivial detail — whether to take a generic or brand-name drug — has become the deciding factor in whether a patient can seek legal recourse from a drug company. The cases range from that of Ms. Schork, who wasn’t told which type of drug she had been given when she visited the hospital, to people like Camille Baruch, who developed a gastrointestinal disease after taking a generic form of the drug Accutane, as required by her health care plan.
Lack of access in rural areas, and little or no emphasis on preventive care have contributed to a gross misuse of medical resources.
Too few dentist participating in Medicaid has also contributed to the problem.
Using emergency rooms for dental treatment “is incredibly expensive and incredibly inefficient,” said Dr. Frank Catalanotto, a professor at the University of Florida’s College of Dentistry who reviewed the report. Preventive dental care such as routine teeth cleaning can cost $50 to $100, versus $1,000 for emergency room treatment that may include painkillers for aching cavities and antibiotics from resulting infections, Catalanotto said.
The gauntlet has been thrown down as House Speaker, John Boehner R-Ohio, lets the president know that he is in for a fight over a bill that would allow for mandatory coverage of birth control by private insurance.
“If the president does not reverse the (Health and Human Services) department’s attack on religious freedom, then the Congress, acting on behalf of the American people, and the Constitution that we’re sworn to uphold and defend, must,” House Speaker John Boehner, R- Ohio, said in a speech on the House floor Wednesday.
In a society where Viagra is covered but not birth control one has to wonder about the priorities and the logic.
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