The U.S. Supreme Court on Thursday upheld the centerpiece of President Barack Obama’s signature healthcare overhaul law requiring that most Americans get insurance by 2014 or pay a financial penalty, a historic ruling that gave the White House a big win ahead of Obama’s re-election bid in November.

“The Affordable Care Act’s requirement that certain individuals pay a financial penalty for not obtaining health insurance may reasonably be characterized as a tax,” Chief Justice John Roberts wrote for the court’s majority.

“Because the Constitution permits such a tax, it is not our role to forbid it, or to pass upon its wisdom or fairness,” he concluded. The conservative Roberts joined the four most liberal justices to uphold the law’s key provision.

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