Depends on the ruling:
If the Act is upheld in its entirety, health insurance costs will go up faster, with little possibility of better reforms.
If the Act is upheld without the mandate, health insurance costs will go up even faster, with even less possibility of better reforms.
The the Act is killed entirely, healthcare costs would continue increasing at current rates, but the likelihood of reform is greater... whether or not that reform will be good, who knows?
All of this assumes that the status quo remains in power after November. If there's a sizeable change in Congress, then better outcomes could be possible.
With that said, I'd rather the Act get killed in its entirety. If it just comes down to the mandate or not... I'd still rather the mandate go, even if it means higher costs, because it acts as a curb on Government power.
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