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The long battle over ObamaCare’s subsidies that culminated at the Supreme Court last week has overshadowed a consequential shift in health insurance: toward high-deductible plans that will help put market forces back into medicine.

In his 1996 State of the Union address, President Bill Clinton proclaimed, “The era of big government is over.” That prediction turned out to provide more of a short-term rhetorical evasion than signal a lasting change in the direction of national policy. But after last week’s Supreme Court decision in King v. Burwell, it would be more accurate to say: “The era of big lawsuits against Obamacare is over” Nevertheless, several other types of challenges to the future path and pace of implementation of the Affordable Care Act (ACA) remain ahead. As one door closes, others open.

In the wake of the Supreme Court’s disappointing King v. Burwell decision, many are asking what comes next for those of us who have opposed Obamacare as a disastrous federalization of American health care. I predict that the Republican party will quickly divide into three camps on health-care politics.

The White House’s victory at the Supreme Court last week removed a major threat to ObamaCare that could have rolled back coverage for 6.4 million people. President Obama declared after the ruling that the law has “been woven into the fabric of America,” while allies said the new insurance program and its related policy changes are here to stay.

After last week’s terribly disappointing Supreme Court decision in King v. Burwell, Obamacare opponents have fewer options. They should reexamine their well-worn playbooks of the past. More of the same will produce less and less.

When it comes to health care reform, voters continue to think an overall reduction in costs is more important than guaranteeing that everyone has insurance — but they would prefer that the government keep their hands off and leave it up to some healthy competition to solve the problem.

By our count at the Galen Institute, more than 54 significant changes have been made to the Patient Protection and Affordable Care Act since it was enacted in 2010 – at least 34 that the Obama administration has made unilaterally, 17 that Congress has passed and the president has signed, and three by the Supreme Court.

Our latest count has added two more changes made by the Obama administration contrary to statutory language, and one rewrite of the law’s text from the latest U.S. Supreme Court decision.

House Republicans’ lawsuit against the Obama administration might have gotten an unexpected boost this week from the Supreme Court.

In a new legal filing Tuesday, attorneys for the House GOP said there’s a fresh precedent supporting their suit challenging the administration’s implementation of Obamacare—the Supreme Court’s ruling Monday on congressional redistricting.

President Barack Obama is aiming to use the momentum from a recent Supreme Court victory for his health care law to change the conversation from talk about undoing his signature domestic achievement to talk about how to improve it.

New Jersey Gov. Chris Christie added his name to the 2016 Republican presidential roster Tuesday, and Ohio Gov. John Kasich is expected to do the same in the next few weeks. Two brash, blunt politicians hoping to capitalize on purple-state bona fides—but both will have to overcome the ultimate apostasy in the GOP primary: their endorsement of Medicaid expansion, one of Obamacare’s biggest provisions.