I was typing out my reply and realized that the Justice Department, as part of the Executive, has very little accountability even to the GOP constituency. Sure, those boomers who voted Trump may not be able to afford their insulin, but Bill Barr and Boofin' Brett aren't technically required to give two shits about those plebs. Although a Pyrrhic victory may cost the GOP their foothold in the legislature, I'm convinced that they've successfully grafted themselves into the entire judicial branch.
It certainly won't be the end of the healthcare debate in America, and I could certainly see millions of people losing their insurance as impetus for a Medicare-for-All type initiative. But prior experience indicates that if the people who've hijacked our government don't want to play ball, they'll just throw a tantrum and hold their breath. And thanks to talk radio and Fox News it somehow keeps working.