By upholding The Affordable Care Act, the Supreme Court has ignored the Constitution, and has confirmed what those who read the bill knew all along, that the bill was a tax. In doing so, they have placed corporate interests and profits along with government control above the needs of the doctor and the patient. This decision guarantees the destruction of the doctor patient relationship, and with it individualized healthcare, innovation and access, while perpetuating the worst aspects of our medical system. Because of the mandate, Americans will be forced to pay for a system that will increase costs for patients, remove healthcare decisions from both the doctor and the patient, and lead to rationing – thereby changing healthcare as we know it to a system based on one size fits all, cost controlled, conveyor belt socialized medicine. With this decision, it is clear that patient-centered medicine has effectively ended.