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Healthcare, The Supreme Court, And The Incredible Shrinking Crystal Ball

April 18, 2012

Behind every successful illustration stands a humble rough sketch. Or two. Or ten. Here’s
a look at a case where a client knew what they wanted– or thought they did. I did a series of sketches that helped bring the concept into focus.

The United States Supreme Court is currently deliberating on The Patient Protection and Affordable Care Act, sometimes referred to as Obamacare. At issue: the law’s individual mandate which requires individuals who are not covered by either an employer or government plan to buy their own health insurance, or be forced to pay a penalty. Is such a mandate constitutional? There are other controversial provisions in the law, but
the individual mandate is the main point of contention at the moment.

Healthcare Finance Magazine asked me to do an illustration on the subject. They asked specifically for “a crystal ball with the Supreme Court Building inside.” They wanted the words Health Reform on the base of the crystal ball, and “one person looking in, trying (unsuccessfully) to glean some knowledge as to which way the court will rule.”

Here’s the final:

doctor physician looking nervously at crystal ball which has "Health Reform" written on its base and showing the United States Supreme Court Building where judges are deciding whether Obama's new healthcare law and mandate known as Obamacare is constitutional

And here’s a close-up of the ball with the Supreme Court Building inside:illustration detail showing crystal ball with "Health Reform" written on its base and inside showing the United States Supreme Court Building and crystal is cloudy because no one knows whether supreme court justices will rule Obamacare and healthcare individual mandate unconstitutional

In my initial rough sketches, I made the crystal ball quite large. I thought that would make it easier for readers to see and recognize the Supreme Court Building, and understand what the illustration was trying to say. Here I have the usual stereotype of a fortune teller trying to see what’s happening:

rough sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing swami type fortune teller straining to see into cloudy crystal ball

Here I changed the fortune teller to a doctor in a lab coat, and had him holding the crystal in his hands. The crystal has no base, so I had the words Health Reform floating inside. rough sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing doctor physician guy trying to see into cloudy crystal ball

This one’s more of a long shot. The crystal is still very large, but you can see the entire person who is trying to peer inside.rough sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing man trying to see into cloudy crystal ball

Same as #3, but now we have a comical, highly nervous little person with his nose pressed against the glass.rough sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing nervous little man straining to see into cloudy crystal ball

Got a little silly here…rough sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing guy kneeling on top of cloudy crystal ball trying to see inside it

Finally a different perspective, with a big face trying to see in from behind the crystal.rough sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing nervous man's big face behind cloudy crystal ball as he tries to peer inside it

I always invite clients to “mix and match” elements from the different sketches. Here’s the feedback I received in this case:

We’d like to work with #3, but use the guy from #2. We like the idea of #3, but would
like to see a less cartoonish version. Also, could you add a little definition to the Supreme Court building? Lastly, we want the guy to be looking into the crystal ball but would rather not have him actually leaning on it, so let’s have him take a step back and be looking in with the perplexed expression on his face.

Here’s my revision based on the above feedback. I just pasted in a photo of the Supreme Court Building, then added some clouds on a separate layer in Photoshop.

revised sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing nervous doctor in lab coat standing and looking at very large crystal ball

The client liked the revision, but expressed concern about the building not being defined clearly enough. I had planned to enhance the image, giving it an illustrated look, when I did the final. However, this was a first-time client, and they needed some reassurance. I went ahead and “Photoshopped” the building. Here’s the new version. I’ll show how I achieved this effect in a followup post.

revised sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing nervous doctor in lab coat standing and looking at very large crystal ball with United States Supreme Court Building sharpened and better defined using Photoshop

Then they asked if I could put the crystal ball on a table:revised sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing nervous doctor in lab coat and crystal ball is smaller and resting on a table

Could I make the ball a little smaller?revised sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing nervous doctor in lab coat and crystal ball reduced in size

How about even smaller?revised sketch for Healthcare Finance News illustration about Supreme Court deciding whether new healthcare law is constitutional and showing nervous doctor in lab coat and crystal ball made even smaller

Finally, they asked if I could move the guy in a little closer– which makes sense, since the building was getting harder and harder to see! Here’s the final again:doctor physician looking nervously at crystal ball which has "Health Reform" written on its base and showing the United States Supreme Court Building where judges are deciding whether Obama's new healthcare law and mandate known as Obamacare is constitutional

What do you think? Did you like the way things turned out? Ever been to a fortune teller or seen a “real” crystal ball? Hope you’ll leave a comment.

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