Supreme Court versus Obamacare II: High Drama; Not the Main Event

posted by David W. Johnson on January 29, 2015

Found in US, categorized in Healthcare

Tags: David Johnson 4sight health Obamacare healthcare reform supreme court

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Obamacare’s second confrontation with the Supreme Court has the look, feel and drama of that “Manila Thrilla”: powerful combatants; political intrigue and huge stakes.


After upholding, with modification, the Affordable Care Act in a surprise 5-4 decision, the Supreme Court's decision to hear a case challenging the legality of Obamacare's subsidies has the look, feel and drama heavyweight title fight.  Chief Justice John Roberts appears again to be the swing vote.  How Roberts balances his constuctionalist judicial philosophy with broader concerns for maintaining institutional order will determine the case's outcome.  If the Court overturns the key subsidy provisions, then what?  

David Johnson explores the dynamics underlying this case, speculates the impact an overturn will have on key constituencies and examines the philosophical split between Republican pragmatists and true believers that manifests itself through Obamacare.  Despite the high drama and intense media attention, Supreme Court versus Obamacare II is something of a side show.  The main event remains how market forces are reshaping fundament supply-demand relationships in healthcare delivery.

About David W. Johnson

David W. Johnson

Dave is the CEO and founder of 4Sight Health, a healthcare boutique specializing in thought capital, strategic advisory services and venture investing.  4Sight Health operates at the intersection of healthcare economics, strategy and capital formation. The company’s four-stage analytic (Assess. Align. Adapt. Advance.) reflects the bottom-up, evolutionary character of disruptive, market-driven reform.  Mr. Johnson speaks frequently, authors a widely-read blog on market-driven healthcare reform and is currently writing Market versus Medicine: America’s Battle for Better Healthcare at Lower Prices that will publish in 2015.

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