I beg to differ. Vinson is a federal judge, and has ruled that Obamacare is unconstitutional. The law cannot be unconstitutional for just one district of the country. If it's unconstitutional, then it's dead for the entire US.
His ruling is also unequivocal that the federal government is henceforth enjoined from implementing Obamacare, unless, and until a higher court rules differently.
Sorry, but it's not true.
Look up US v. Rock Island Armory. A section of NFA '34 was declared unconstitutional, and the government did not appeal because they didn't want to widen the scope of the decision.
His ruling is also unequivocal that the federal government is henceforth enjoined from implementing Obamacare, unless, and until a higher court rules differently.
The judge believes that a declaratory judgment was enough. But, without an injunction (which he explicitly denied), there are no apparent penalties for ignoring him.