In his dissent, Kavanaugh countered that federal law does “not support the Court’s decision.” And more broadly, he continued, “the extra federal money that the Court today green-lights does not come free.” If Congress does not increase the overall funding for Native American health-care programs, he wrote, Thursday’s ruling will shift more of that funding from less affluent tribes – which are less likely to run their own health-care programs – to wealthier ones. Congress’s other option, he added, would be to “substantially” increase funding for all Native American health-care programs, “thereby drawing money away from other vital federal programs or requiring additional taxes.”