In 1991, economist Mark Pauly authored a health affairs paper that limited government involvement and required an individual mandate. It was rejected by President George

H. W. Bush as too conservative.

- Twenty senators, including Sen. Grassley, coauthored a bill based on Pauly’s ideas and presented it as an alternative to President Clinton’s single-payer plan.

- Using similar ideas as Pauly, Jonathan Gruber, MIT professor, sees his plan become law in the state of Massachusetts in 2006.

- In 2009 Gruber is invited to the White House to help design the health care bill.

- Just after passage of the Act, Republican governors and attorneys general filed lawsuits prepared by the American Legislative Exchange Council.

Get news headlines sent daily to your inbox

According to Politifact, FactCheck, Kaiser Foundation and others, the act is not a job killer, a budget buster, socialized medicine, threatening our lives, taking away our freedoms, government run, cutting Medicare benefits, providing coverage for illegal immigrants, causing higher insurance premiums, providing taxpayer-funded abortions, saving money by its repeal or requiring workers to pay income tax on the value of employer-provided health insurance.

Consider a statement by Jonathan Gruber about the upcoming Supreme Court decision: “Basically, this is the last hope for a free market solution for covering the uninsured. If this fails, then you either give up on the uninsured or you go to single-payer.”