WASHINGTON (AP) — It took only a year to set up Medicare. But if President Barack Obama's health care law survives Supreme Court scrutiny, it will be nearly a decade before all its major pieces are in place.

And that means even if Obama is re-elected, he won't be in office to oversee completion of his signature domestic policy accomplishment, assuming Republicans don't succeed in repealing it.

The law's carefully orchestrated phase-in is evidence of what's at stake in the Supreme Court deliberations that start March 26.

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