Bush favors repealing the Patient Protection and Affordable Care Act (ACA or "Obamacare") and replacing it with a "market-oriented" alternative. Bush has called the current law a "monstrosity" that is "flawed to its core." Bush has proposed some sort of state- or local-government funded "catastrophic coverage" system, in which "if you have a hardship that goes way beyond your means of paying for it, ... the government is there or an entity is there to help you deal with that." After the U.S. Supreme Court upheld the ACA in "King v. Burwell" in June 2015, Bush stated that the decision was "not the end of the fight" against the law.