If Obamacare isn't tossed out in its entirety by the SCOTUS, then it overrides this Compact. PPACA Section 1333. Even if Obamacare is overturned, there are no details to the Compact. No right of conscience guarantees, no free-market reforms, no guarantees against a single-payer system. The Compact is a fraud on Individual Rights and Freedom in Health Care. There will be no real reform until we begin the Health Care Reform discussion with Individual rights and Freedoms as the goal. Only then will we see high quality and lower costs for all citizens. Freedom is the best way.