"They (the Supreme Court) found Congress has no authority to do this under the commerce clause... not the mandate... not the penalty... not the general funding for the program! Not a fucking BIT of it can be done using the commerce clause, the states can't be compelled to pay for it with their Medicare funds, and the Feds can't steal money from Medicare to pay for this... which essentially means, the ONLY way it can constitutionally exist, is as a tax pursuant to Congress' ability to tax."