The U.S. Supreme Court is poised to rule this week on President Barack Obama’s health-care overhaul, a law that would extend insurance to at least 30 million Americans and reshape an industry that makes up about 18 percent of the country’s economy.

The decision, coming little more than four months before the November election, will mark the first time the court has ruled on a president’s signature legislative accomplishment in the middle of his re-election bid.

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