WASHINGTON (AP) — By a single vote, President Barack Obama's health care overhaul survived a painstaking Supreme Court review that consumed thousands of pages in legal filings and an extraordinary six hours-plus of oral argument time back in March.

In the end, the court upheld the law, with a minor change, and dashed Republican hopes of bringing down what conservatives deride as "Obamacare" on constitutional grounds. The outcome surprised many who thought tough questions from the conservative justices during the arguments foreshadowed the demise of the far-reaching legislation.

The decision leaves a trail of winners and losers, from Main Street, USA, to the very steps of the Supreme Court. For some, it's a mixed bag. Here's a look:

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