The individual mandate for all Americans to have health care insurance and most elements of the federal Affordable Care Act were upheld by the Supreme Court Thursday in an historic 5-to-4 decision. Fox School of Business Associate Dean William Aaronson, director of the school's Healthcare Management programs, called the opinion "a balanced and good opinion. It upheld the individual mandate and said you have to call it a tax on people who don’t have insurance. Taxes are, by their nature, very unpopular."