No matter where the ruling lands, industry consultants agree the Affordable Care Act's future is uncertain, pivoting on politics, the economy and 2012 election. But the stakes—the fate of a trillion-dollar industry, and massive public programs such as Medicaid and Medicare—are too high for prognosticators to ignore. Some, like Utah's own Leavitt Partners, have made a game of it. The advisory group built by former governor and Health and Human Services Secretary Mike Leavitt has a "Health Reform Bracketology" widget that pairs competing "if-then" scenarios into NCAA Tournament-style brackets, which trace to one of several possible outcomes.