Yet his decision offers at least some hope for health care reform because it bends over backward to limit the scope of his ruling in two important respects.

然而关键的问题是他的这一决定至少给医改法带来了些许希望，因为法官小心翼翼的将其判决的效力仅仅限于两个重要问题。

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The report, titled "Implications of the U.S. Supreme Court Ruling on Healthcare, " says all players in the health care industry -- state governments, hospitals, insurance companies, employers and drug companies -- need to participate in the emerging reform process or risk getting left behind.

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Not only did the chief justice revive states' rights in the Medicaid ruling, he also rejected the principal legal basis the Obama administration invoked to justify the health-care overhaul, Congress's constitutional authority to regulate interstate commerce.

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