From the conclusion to Florida v HHS:
The existing problems in our national health care system are recognized by
everyone in this case. There is widespread sentiment for positive improvements
that will reduce costs, improve the quality of care, and expand availability in a way
that the nation can afford. This is obviously a very difficult task. Regardless of how
laudable its attempts may have been to accomplish these goals in passing the Act,
Congress must operate within the bounds established by the Constitution. Again,
this case is not about whether the Act is wise or unwise legislation. It is about the
Constitutional role of the federal government.
For the reasons stated, I must reluctantly conclude that Congress exceeded
the bounds of its authority in passing the Act with the individual mandate. That is
not to say, of course, that Congress is without power to address the problems and
inequities in our health care system. The health care market is more than one sixth
of the national economy, and without doubt Congress has the power to reform and
regulate this market. That has not been disputed in this case. The principal dispute
has been about how Congress chose to exercise that power here.