When the Federal Government's court rules, it is no surprise that it traditionally rules in favor of . . . the Federal Government! Once in a very blue moon, however, they'll strike down a law passed by their brethren in order to make it look like something legitimate is going on in terms of "checks and balances." That may happen here, and we can always count on Mittens to step in and "improve" the federalization of health care. So I wouldn't be surprised to see at least a partially adverse ruling.
"Make the lie big, make it simple, keep saying it, and eventually they will believe it." -- Joseph Goebbels