When the US Supreme Court issued its ruling on Thursday morning to uphold President Barack Obama's signature health care reform law, hundreds of demonstrators outside the court were split between joy and anger.
Some found in the decision an empathy they thought was absent from a court they viewed as conservative.
Others could not believe the court upheld what they consider a law that unfairly manipulates their medical choices.
No matter their decision, America's health care system will not be changing any time soon.
Al Jazeera's John Terrett reports from Washington, DC.