The Supreme Court's decision to uphold much of the Affordable Care Act will not only provide as many as 30 million or more uninsured Americans with healthcare coverage, it may also help foster changes that will "right-size" the healthcare system in some important and long overdue ways, says Tom Rosenthal, MD, chair of the Department of Family Medicine in the Âé¶¹´«Ã½o School of Medicine and Biomedical Sciences.