Health care is not a federal issue though it involves Benefits and or taxes so it was ruled okay.
There is no logic to agree with in this ruling. IT is all about promoting and imposing the acceptance of homosexual sex normalcy by the state.
What this ruling is “all about” is eliminating any vestige of the Peoples’ ability to govern themselves in any consequential manner.
If you cannot pass laws that “legislate morality” and you cannot pass laws that “discriminate”, you can’t pass any laws worth having.
I’m not so concerned about this specific question, since I regard marriage between two persons of the same sex to be impossible. But the larger issue - that the California constitutions initiative feature is void, for example - is part of the post-1948 movement to circumscribe and eventually to eliminate republican government - and that’s a very big deal.