The authors look at the move by Republicans to argue the passage of the U.S. Patient Protection and Affordable Act or Affordable Care Act (ACA) by taking their case to federal court. The Republicans contend that the law's individual mandate to purchase health insurance is unconstitutional. The federal government stressed that the mandate is integral to the health care system. The authors assert that ACA alternatives are also objectionable to those who are raising Commerce Clause issues with the ACA.