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Health care, other hot issues promise a landmark high court term

Washington (CNN) -- One of the little-known prerogatives of the U.S. Supreme Court is the justices' discretion to refuse any case on the merits presented to them for review. Only one in 10 petitions actually gets accepted. But though the justices usually say no, when epic disputes arrive at the courthouse steps -- by tradition and political reality -- the nine members know they are powerless to turn away.

Think segregation. Think abortion. And now the latest divisive debate over the role of government: health care reform.

Monumental. Unprecedented. Life-changing. For a town that oozes hyperbole, the stakes in an almost certain election-year Supreme Court review of health care cannot be overstated.

The justices kick off their new term on Monday with a full slate of interesting appeals already on their docket. But the nation's highest court has yet to decide whether it will tackle the signature accomplishment thus far of Barack Obama's presidency: the Patient Protection and Affordable Care Act, the sweeping legislation that has received decidedly mixed reviews in the lower federal courts. An eventual Supreme Court ruling can be expected by June, right in the thick of a contentious presidential race.

Few doubt the nine-member bench will take on as many as three separate appeals over health care. The only question is precisely when.

"The Supreme Court term so far is shaping up to be pretty interesting, but it could become absolutely explosive and enthralling, the most interesting one in a century," said Thomas Goldstein, a prominent appellate attorney and founder of Scotusblog.com. "If, by chance, the court took up health care, gay marriage, immigration, affirmative action this term, it would be impossible to take your eyes away from the Supreme Court.

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