The policy upheld in Thursday’s Supreme Court ruling is a rough approximation of the Republican Party’s 1993 federal proposal for insurance reform and of then-Gov. Mitt Romney’s bipartisan insurance reforms in Massachusetts five years ago. It’s fun to denounce it as socialism or the “end of America” or whatever, but in reality the Affordable Care Act is a small-c conservative reform that preserves the private insurance system. Without reform, that system has produced outcomes that no one should have been satisfied with — compared with other well-off industrialized countries, we’ve been getting lousy outcomes, for twice the price, with tens of millions of Americans left out of the system altogether. Scuttling Medicare isn’t going to fix that system, nor is doing nothing. But these reforms might. Beyond the bloodthirsty partisanship that is so desperate to deny this president anything that looks like a victory, I think history will view this ruling, and this policy, as simple affirmations that the country can and ought to use policy to try to come up with practical solutions to even our big, complicated problems.

Rachel Maddow’s succinct, reasonable, optimistic take on today’s health care decision. 

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Today’s decision underscores the need for a President who will lead on this critical issue and work in a bipartisan fashion to pursue a national immigration strategy. President Obama has failed to provide any leadership on immigration. This represents yet another broken promise by this President. I believe that each state has the duty—and the right—to secure our borders and preserve the rule of law, particularly when the federal government has failed to meet its responsibilities. As Candidate Obama, he promised to present an immigration plan during his first year in office. But 4 years later, we are still waiting.
Unsurprisingly, Mitt Romney’s official statement on the Supreme Court decision regarding Arizona’s immigration law has everything to do with President Obama and nothing to do with the decision.