[Updated at 10:38 a.m. ET] Physicians for a National Health Program responded critically to the Supreme Court’s decision, saying that the ruling did not amount to universal coverage, 26 million people will remain uninsured, it keeps in place high co-pays and gaps in coverage and it will not control costs.

“Why is this so? Because the ACA perpetuates a dominant role for the private insurance industry. Each year, that industry siphons off hundreds of billions of health care dollars for overhead, profit and the paperwork it demands from doctors and hospitals; it denies care in order to increase insurers’ bottom line; and it obstructs any serious effort to control costs,” the group’s statement said.

It said a “single-payer, improved-Medicare-for-all system” would remedy these problems, including the issue of cost. Ideally, the group said, such a system would pay “all medical bills, streamlines administration, and reins in costs for medications and other supplies through its bargaining clout.”