The Supreme Court upheld the constitutionality of the individual mandate today. For health care agencies, providers, insurance companies, and states that means they have 18 months to rework their entire health care system, including creating the network of state-based exchanges where people will buy health insurance starting in 2014. It’s time for them to get busy.

For S corporation shareholders and other taxpayers, it means higher taxes starting in 2013. Specifically, the ruling preserves the new, 3.8 percent tax on investment income that will take effect next year. Coupled with the expiration of rates, the new top rates are:

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