The decision of the Supreme Court on the constitutionality of the Patient Protection and Affordable Care Act is not going to make our conversations with our clients any simpler, even if it resolves some of the overall economic uncertainty that has made these conversations so difficult of late. 

Americans now face a new levy, which is the antithesis of a consumption tax.  Rather than charging citizens when they consume something considered bad for them (think New York City Mayor Michael Bloomberg and super-size sodas), the health care law has been constitutionally blessed to assess a tax on people who do not consume something considered good for them: namely health insurance.

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