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Catherine Rampell: Republicans’ relentless attempts to undermine Obamacare escalate American anxiety

That’s what Kathy Tomasic wants to know. Painstakingly, she has planned her life — and that of her teenage son, who has a rare genetic disorder — around access to health care. She did so based on a specific set of assumptions about what kinds of insurance would be available to her family, under what conditions and for how many years.

But Friday, that careful planning was once again thrown into doubt — this time by a federal judge's decision declaring the entire Affordable Care Act unconstitutional.

In public remarks, Republicans have tried to reassure the public by saying that “Nothing changes tomorrow.