Court observers continue to try and decipher how the Supreme Court will rule on the Affordable Care Act before it. The nine justices will decide whether the law is unconstitutional. They heard the second day of oral arguments Tuesday; the focus being the individual mandate forcing people to have health insurance. Jim Diegel, the CEO of St. Charles Healthcare says reform is already underway in Central Oregon. “Regardless of whether the Affordable Care Act is upheld or not, all of us are looking at reforming the delivery of healthcare. That's the whole focus, trying to deliver integrated care that is more manage in how we deliver your care.” The Justices will hear more oral arguments on the affordable care act on Wednesday.