In the Triangle, there's an anxious waiting game for the high court's decision. The ruling on health care could dramatically impact millions of people - their lives and their small businesses.
"We're definitely waiting on pins and needles for tomorrow," said Felicia Williams.
Willams and her five-year old Ethan where playing in Cary Wednesday but this mom's mind's in Washington wondering what the Supreme Court will decide on the health care law.
"I'm definitely concerned that, if it's overturned, they are going to look into his medical history and drop him," said Williams.
Ethan was born with a vascular tumor. Medicaid and Williams' husband's insurance helped cover the cost of expensive treatments, but the family worries reversing the health care law would nullify the provision requiring coverage for patients with pre-existing conditions like Ethan.
Even some of the strongest opponents of the health care law have a hard time defending the denial of coverage for families like the Willamses. However, on the eve of the historic decision, many are making the argument that the bad of the health care law just outweighs the good.
"This bill may address some of the problems we'd like to see fixed but I think it creates exponentially more problems," said State House Speaker Thom Tillis.
Tillis railed against the president's health care law in a campaign pitch for Gov. Mitt Romney. Tillis appeared with the owner of a Cary auto shop, who is also a Republican town councilman.
Don Frantz said his business is jeopardized if the law forces him to pay out even more for his worker's health care.
"$20,000 to small businesses is a lot of money and that will really affect our decision making," said Frantz, who owns Frantz Automotive.
"Weeding people out like my child because small business owners are concerned about their bottom line is just not acceptable," countered Williams.
The debate rages, but Thursday the Supreme Court will get the final say.