Demonstrators in favor of the Affordable Care Act hold up signs outside the Supreme Court building after the courtÕs ruling in Washington, D.C., U.S., on Thursday, June 28, 2012. The U.S. Supreme Court upheld the core of President Barack ObamaÕs 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 nationÕs economy. Photographer: Andrew Harrer/Bloomberg