Mr. Obama could announce he respects the court’s decision and pledge to fashion a bipartisan solution to provide access to affordable health-care insurance for all Americans. This would help his re-election by repositioning him back in the political center, as he was in 2008 when he ran television ads that said “both extremes”—”government-run health care [and] higher taxes”—”are wrong.”

But he could instead lash out against the court’s majority—as he did in the Citizens United case upholding free speech for corporations—and insist on an even larger role in health care for Washington. Perhaps he would advocate a “public option” where government competes with private and not-for-profit health-insurance companies, hospital consortiums and the like…

In addition, now even ObamaCare advocates admit it increases insurance premiums and does not lower them as the president promised. Consider MIT Prof. Jonathan Gruber, a former consultant to the Obama administration. You may recall that the White House rolled him out in November 2009 to undercut a PricewaterhouseCoopers (PWC) analysis a month earlier that estimated premiums in the individual market would increase by 47% over the law’s first decade. Mr. Gruber assured Washington Post columnist Ezra Klein, “What we know for sure is that [the bill] will lower the cost of buying non-group health insurance.”