Obamacare: Setting the Stage for the Failure of the Private Health Insurance System

So it's just an option. You can opt not to buy the insurance and to pay the "penalty." Whichever you want. The government said exactly that to the Court. You won't have done anything wrong, so pay whichever is less. And if you are one of those healthy people whom the insurance companies need to bulk up their funds so they can pay the expenses of their unhealthy, you should hand your money to the government. Screw the insurance companies! That is the plan. The government said so. If and when you have health-care expenses that outweigh the cost of insurance, then go ahead and buy insurance. Again: screw the insurance companies. That is the plan.

Indeed, it is estimated that four million people each year will choose to pay the IRS rather than buy insurance. See Congressional Budget Office, supra, at 71. We would expect Congress to be troubled by that prospect if such conduct were unlawful. That Congress apparently regards such extensive failure to comply with the mandate as tolerable suggests that Congress did not think it was creating four million outlaws. It suggests instead that the shared responsibility payment merely imposes a tax citizens may lawfully choose to pay in lieu of buying health insurance.

It's the plan. Can you see the ultimate plan?

-Ann Althouse, while discussing yesterday's 5-4 Supreme Court decision upholding Obamacare.

But we knew that. 

Yesterday's decision means that the Constitution permits the federal government to replace the present private medical insurance system with a "single-payer" system, with the government as that payer.  If Congress wants to enact a law with that result, then it can.  That's all.  The question is essentially political, it is not Constitutional.  The source of the "problem" of Obamacare are the people in Congress, that is to say, the people who sent them there.