The Health Care Ruling is a Big win for....

...the Supreme Court. 

The Chief Justice, by joining the left and upholding the law, saved the Supreme Court from being looked at as only a political body.  If it would have struck down the ACA on political 5-4 voting lines, it would have been Bush v. Gore all over again (which was the Rehnquist Court, not the Roberts Court), and the Court would have been delegitimized.  But now, even though Republicans and Democrats will fight over this in the upcoming elections, the Court will be seen as more neutral than in the past.