They ruled that people acting together have all the same rights that they would have acting individually, and that preventing someone from spending money on producing and promoting their speech effectively prevents them from being heard. Which are both perfectly true, common-sense statements.
It’s not as if there’s some natural law obligating you to pay for anyone else’s health issues. Your government is responsible for externalizing that private cost onto you and others, effectively subsidizing risk-taking and irresponsibility. If you don’t like it, insist that people pay for their own health care and insurance at market rates, without subsidies.