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SCOTUS Health Care Decision: How We Got Here -- PICTURES SCOTUS Health Care Decision: How We Got Here -- PICTURES

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Pictures / Health Care

SCOTUS Health Care Decision: How We Got Here -- PICTURES

June 28, 2012

The Supreme Court handed down their long-awaited decision on the constitutionality of President Obama's Patient Protection and Affordable Care Act today, leaving it mostly intact. But just how did we get here, and how did each Justice rule? We break it down, in pictures. 

In a five to four decision, the Supreme Court upheld most of the Patient Protection and Affordable Care Act. Seated from left to right are: Associate Justice Clarence Thomas, Associate Justice Antonin Scalia, Chief Justice John G. Roberts, Associate Justice Anthony M. Kennedy, Associate Justice Ruth Bader Ginsburg. Standing, from left are: Associate Justice Sonia Sotomayor, Associate Justice Stephen Breyer, Associate Justice Samuel Alito Jr., and Associate Justice Elena Kagan.(AP Photo/Pablo Martinez Monsivais)

Chief Justice John Roberts delivered the majority opinion, upholding most of the law. "The Framers created a Federal Government of limited powers, and assigned to this Court the duty of enforcing those limits. The Court does so today," he wrote. "But the Court does not express any opinion on the wisdom of the Affordable Care Act. Under the Constitution, that judgment is reserved to the people."(AP Photo/Michael Conroy)

In a concurring opinion, Associate Justice Ruth Bader Ginsburg sided with the majority in the ruling. Ginsburg is commonly associated with the liberal faction of the court. She said she agreed with much of Roberts' ruling, noting that she believes the law to be valid under the Constitution's Commerce Clause and Spending Clause.(AP Photo/Pablo Martinez Monsivais)


Justice Sonia Sotomayor, an appointee of President Obama, voted with the majority.(AP Photo/Charles Rex Arbogast, File)

Justice Elena Kagan, appointed to the bench by President Obama, voted with the majority.(AP Photo/Pablo Martinez Monsivais, File)

Supreme Court Justice Stephen Breyer, an appointee of President Bill Clinton, voted with the majority.(AP Photo/Evan Vucci)


Justice Antonin Scalia voted with the minority in the health care decision. In the dissenting opinion, he, along with Justices Kennedy, Thomas and Alito, wrote that "we would find the Act invalid in its entirety."

Justice Anthony M. Kennedy, who had been considered a key swing vote, voted with the minority in the case.(AP Photo/Pablo Martinez Monsivais)

Associate Justice Samuel Alito, commonly considered to be a member of the court's conservative wing, sided with the minority in the decision.(AP Photo/Pablo Martinez Monsivais)


Justice Clarence Thomas decided with the minority in the court's decision, adding in a very short opinion that both Chief Justice Roberts, who wrote the majority opinion, and the four dissenters "correctly apply our precedents to conclude that the [health care act's] Individual Mandate is beyond the power granted to Congress under the Commerce Clause and the Necessary and Proper Clause."

The Supreme Court as the sun rises on Thursday.(AP Photo/David Goldman)

Maggie O'Brien, 20, of Syracuse, N.Y., wakes up after spending the night sleeping outside the Supreme Court Thursday ahead of the Court's decision on the Patient Protection and Affordable Care Act.(AP Photo/David Goldman)


An officer stands outside the Supreme Court as media and the public gather on Thursday morning.(AP Photo/David Goldman)

This artist rendering shows attorney Robert A. Long in front of the Supreme Court Justices on Monday, March 26, as the court began three days of arguments on the health care law signed by President Barack Obama. Long was asked by the Court to deliver the argument that precedent shows a court can't hear the case until someone had actually paid a penalty under the new law for not purchasing health insurance, according to news reports.(AP Photo/Dana Verkouteren)


This artist rendering shows Solicitor General Donald B. Verrilli, Jr. speaking in front of the Supreme Court justices on March 26. Verrillli received strong criticism for his performance in oral arguments.(AP Photo/Dana Verkouteren)

People sit in line on March 26 waiting for limited access for Tuesday morning's Supreme Court hearing on the Affordable Care Act.(Richard A. Bloom)

Protests outside the Supreme Court on the second day of deliberation, Tuesday, March 27.(Chet Susslin)


Supporters of the health care law rally in front of the Supreme Court on March 27.(AP Photo/Charles Dharapak)

Sen. Pat Toomey stirs up the crowd while talking about repealing the health care law on March 27.(Chet Susslin)

Rep. Andy Harris, M.D., holds up a miniature copy of the Constitution during a rally on March 27 against the Obama administration's health care law.(Chet Susslin)


This artist rendering shows attorney Paul Clement arguing his case against the Patient Protection and Affordable Care Act in front of the Supreme Court on March 27.(AP Photo/Dana Verkouteren)

An opponent of the health care law stands in front of the Supreme Court on Wednesday, March 28 on the last day of arguments.(AP Photo/Charles Dharapak)

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