The U.S. Supreme Court's disappointing decision may offer access to health care for some who lack coverage ("Reform moves ahead," June 29), but it also leaves millions of others completely out of the equation. In the Pledge of Allegiance, we recite the phrase "with liberty and justice for all." The Affordable Care Act fails to ensure that health care reform will provide either.
Whether the individual mandate is a fee or a penalty or a tax, it fails to address the structural inequities of a health care system that supports huge for-profit insurance companies. Regardless of what we call it, the money will go to maintain this arrangement, guaranteeing that health care costs rise, that insurers prioritize profits over care, and that deductibles, co-payments, and co-insurance continue to impoverish our family members and neighbors. Most Americans who are bankrupted by medical bills have health insurance. The Affordable Care Act does not address these structural problems.