The problem with the Medicaid ruling is it goes against their own precident. In South Dakota v. Dole the Supreme Court ruled that federal funds can be withheld from states that did not conform to federal policy.

Like many people I like certain aspects of the law, such as attacking the pre-existing conditions scam, but don't consider it an acceptable level of reform. I know enough working poor that won't be helped. But the court did not rule correctly or in the interests of the public.