PADUCAH — In spite of the the Supreme Court's stamp of approval, there is still a lot of mixed emotion about what it all means.

Many of the patients at the St. Nicholas Free Clinic who cannot afford insurance, or their employer just won't offer it, say they don't like the Supreme Court's decision.

They especially don't like the idea of the government forcing individuals to buy something. Many worry they'll have to go out and pay for an insurance policy they can't afford.

Others aren't sure what to think.

Renea House is self-employed and shudders at the thought of being forced to pay for health insurance, something she said she can't afford.

"I really don't know what I would do," she said. "I'm barely making it paying my bills."

While politicians and the Supreme Court weigh in on the Affordable Care Act, House and others who come to the clinic struggle to survive.

"If it wasn't for this, St. Nicholas Clinic, I wouldn't have any insurance at all," House said.

Many patients at the clinic fear the individual mandate will make that struggle even more difficult.

"By passing the law that you have to health insurance, then if you don't have it, you got to pay a penalty," Lloyd Kidd said. "What's that going to do to the homeless and helpless? That's just gonna put them down worse."

Local 6 spoke with a bunch of local business owners who have about 50 employees. That's important because under the act, if you have more than 50 employees, you'll be required to offer health insurance.  Most of those business owners said they won't be affected by the decision because they already offer health insurance.

If you'd like to view the Affordable Care Act in it's entirety, or see how it will affect you, click here.