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In a 6-3 decision, the Supreme Court upheld the federal subsidies in the Affordable Care Act. The ruling authorized federal tax credits for eligible Americans living not only in states with their own exchanges but also in the 34 states that do not run their own marketplaces.

“Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them,” Roberts wrote in the majority opinion. “If at all possible, we must interpret the Act in a way that is consistent with the former, and avoids the latter,” according to CNN.

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Scalia, in dissent, said “we should start calling this law SCOTUScare,” according to CNN.  Two court rulings have saved the program since it was established.

 Forbes magazine reports that 86 percent of Americans receiving coverage from either government-run exchanges or the expanded Medicaid program are “very” or “somewhat” satisfied with their health insurance.