For related articles and more information, please visit OCA’s Health Issues page and our Politics and Democracy page.

Raj Patel, author of Stuffed and Starved and other books

Although Wall Street seems to be punishing the decision with a sell-off, the health-care sector has been buoyed by the Supreme Court. All stocks are up (except drug companies). Now that the insurance industry knows it’ll have a multi-billion-dollar market of mandatory customers, the industry won’t have to spend all that money to buy a different political decision, and it never has to worry about single-payer health care again. And that’s the tragedy of the debate around the health-care plan. In all the noise around this ruling, we can’t hear the voices demanding a cheaper, better system that dispenses with insurance corporations. The U.S. already spends more per capita than any other country for worse care. The ruling entrenches a bad system. The media circus drowns out discussion of a better one.

Terry Tempest Williams, author of When Women Were Birds and other books

As an American citizen who has been engaged fully in medical issues throughout my family’s history of cancer and illness, many of whom are not insured, this is a bow to those of us who look for a government that exercises compassionate leadership.  People are suffering.  They cannot pay their bills, let alone medical bills, hence they go untreated or compromise their health in the name of economic necessity.  Finances come first, health comes second. Short-term gain that yields long-term consequences.

The Supreme Court today acknowledged that Obamacare is a step forward in fixing a broken system that too often favors insurance companies and pharmaceuticals, rather than “We, the people.” Good news. And a surprise, regarding Justice Roberts: a small hairline crack of hope in the activist conservative court.

A fully functioning democracy must fully recognize the fundamental rights of its citizens. Health care for those in need is one of these rights. But it does not end there – a healthy society depends on a healthy environment. Clean water, clean air, and open spaces are part of an overall deepening of our definition of health.  Nothing exists in isolation.  Democracy depends on the understanding of engagement, protecting and preserving the integrity of an interconnected and interrelated world.

We have made the mistake of confusing democracy with capitalism, intertwined with a political machinery that we all understand to be corrupt. Competition in the health-care profession ultimately results in compromising the needs and vitality of each patient.  Who benefits?  The drug companies and the powerful lobbyists and politicians behind the pharmaceutical industry.

Today’s ruling is a ruling in favor of each American’s right and dignity to be treated fairly when ill, to be cared for when sick, and to avoid the endgame of despair and debt.