Twice, President Obama's signature domestic accomplishment, the Affordable Care Act, has been reviewed under the mortal threat of the Supreme Court. And twice it has survived.
"Today, after more than 50 votes in Congress to repeal or weaken this law, after a presidential election based in part on preserving or repealing this law, after multiple challenges to this law before the Supreme Court, the Affordable Care Act is here to stay," Obama said from the White House on Thursday, with Vice President Joe Biden standing alongside him.
In a 6-3 ruling on Thursday in King v. Burwell, the Supreme Court upheld Obamacare's insurance subsidies, keeping state exchanges in 34 states intact. If the case had gone the other way, the decision would have invalidated health care subsidies for millions of Americans. Chief Justice John Roberts, who authored the majority opinion, wrote that such a scenario would have sucked Obamacare exchanges into a "death spiral."
Obama struck a triumphant tone. "This law is working exactly as it's supposed to," he said. "In many ways, that law is working better than we expected it to. For all the misinformation campaigns, all the doomsday predictions, all the talk of death panels and job destruction, for all the repeal attempts, this law is now helping tens of millions of Americans."