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Supreme Court Allows Health Care Law Largely to Stand

The Supreme Court on Thursday largely let stand President Obama’s health care overhaul, in a mixed ruling that Court observers were rushing to analyze.

The decision was a striking victory for the president and Congressional Democrats, with a majority, including the conservative chief justice, John G. Roberts Jr., affirming the central legislative pillar of Mr. Obama’s term.

Many observers called the case the most significant before the court since at least the 2000 Bush v. Gore ruling, which decided a presidential election. In addition to the political reverberations, the case helps set the rules for one of the largest and fastest-growing sectors of the economy, one that affects nearly everyone from cradle to grave.