Well, the Supreme Court has ruled. Good, bad, or ugly, the PPACA is now reality in a big way.

No more guessing, and no more stalling—full speed ahead, or at least 'til this November. The chest beating is already ramped up on both sides of the political aisle. Democrats are hailing the SCOTUS decision as the best news since WW2 ended, and Republicans are crying foul louder than a flock of Canadian geese. So, now, the next question remaining is what will happen in case of a Mitt Romney presidential victory this fall, and the potential for a Republican majority in both houses of Congress? Let the fireworks begin.

Texas Attorney General Greg Abbott said: "One aspect of the Court's decision that should not get ignored, and that is positive from a constitutional standpoint is that the Court agreed that States are individual sovereigns that cannot be commandeered by the federal government. In this instance, by forcing States to expand Medicaid, the federal government tried to hold States hostage. For this they were rebuked by the Court. But that slim silver lining is little consolation for an otherwise devastating Court decision that hamstrings the free-market, interferes with the doctor-patient relationship and imposes a new and expansive tax—especially on middle-class Americans."