A woman holds up a sign in favor of the Affordable Care Act outside the Supreme Court building in Washington, D.C., U.S., on Thursday, June 28, 2012. The U.S. Supreme Court upheld the core of President Barack Obama's health-care overhaul, giving him an election-year triumph and preserving most of a law that would expand insurance to millions of people and transform an industry that makes up 18 percent of the nation's economy. Photographer: Andrew Harrer/Bloomberg via Getty Images