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BUSINESS OF
MEDICINE
SCOTUS & ACA
and the winner is
By Joseph P. Gonzales, MHA, FACHE
Once again, the Supreme Court of the United States (SCOTUS) lessly” included in the 900-page ACA could have derailed the pres-
was asked to decide the constitutionality of an aspect of the Afford- ident’s signature piece of legislation: “established by the state.” The
able Care Act (ACA), and in turn the resulting decision could very Supreme Court was asked to issue a ruling on the legality of pro-
well mean that healthcare reform (as described in the ACA) is here viding health insurance subsidies (King v. Burwell) to people in 37
to stay, or not. states that did not set up their own healthcare exchanges. The other
13 states that operate their own exchanges would not be affected.
In a New York Times article, it was stated that four words “care-
34 San Antonio Medicine • September 2015
