Ari Berman: What was your reaction to the healthcare ruling?

Howard Dean: I was surprised. Like many people, I was shocked that Justice Roberts sided with upholding the bill and somewhat surprised and disappointed that Justice Kennedy voted to get rid of the entire thing along with the three right-wing justices.

I was glad that the president won a victory. But this pretty much ends the debate about the nature of the private sector in the healthcare business—it’s here to stay in a very big way. This is, after all, a Republican bill. Not the Republicans that we see today, but the moderate Republican wing under Mitt Romney in Massachusetts—this is their bill. For the foreseeable future there will be those who wish we had a single-payer healthcare system, but that’s not going to happen in Washington anytime soon.