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The second subject—the shock—is whether or not the ACA’s Medicaid expansion is unconstitutional as a result of it forces states to increase their spending, an argument that the lower courts have all essentially rejected. One guess is that taking up the difficulty, which required 4 Justices’ votes to include, is likely to be a sop to essentially the most conservative members of the Court and people most concerned in regards to the power of the federal authorities. Given the decrease courts’ lack of help for the Medicaid unconstitutionality argument, it appears the odds for its gaining a lot traction from the complete Courtroom have to be fairly slim.

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