They’re both 37 years old, both married, and both mothers of a seriously ill child.

They have to fork out $400-a-month for food supplements

But one is a Republican who fiercely opposes President Barack Obama’s health reforms, and the other is a Democrat, who supports them.

Meet Holly Henderson and Robyn Martin, who stand at opposite ends of the debate over the Affordable Care Act that is the subject of a constitutional challenge which goes before the US Supreme Court this week.

Ms Henderson’s home in Fort Washington is filled with pictures of her four-year-old Paul, who she explains is underweight, allergic to almost every food imaginable,” and thus under close medical supervision.

She and her husband Mick, 35, a civil servant, have good health insurance coverage, but she acknowledges that health care is “very expensive” and they have to fork out $400 (€300) a month for food supplements.

But as a Republican supporter and a practicing Catholic, Ms Henderson rejects the cornerstone of Mr Obama’s health care reforms – mandatory health insurance coverage for every American – a matter of principle.

“People in general in America are very compassionate,” she said. “They want to be able to help those in need... but it should be your decision if you want to help.”

“How do you really decide if my son has a health issue, or if someone has cancer, or if maybe you’re perfectly healthy?”

Ms Henderson is disturbed, too, by the notion that religious-affiliated institutions, like other employers, must include coverage for contraception – something the Catholic Church is strongly opposing.

“I’m very pro-life,” she said. “To force the Church to go against what its moral values are, I have a problem with that.”

In Waldorf, Maryland, Robyn Martin cradles Jax, who is seven months old. Jax, who has a twin brother, suffers from a serious heart condition that has already required several major operations.

The Affordable Care Act, as Mr Obama’s health reforms are formally known, “was very important for us,” said Ms Martin.

A supporter of the President’s Democratic party, she considers herself well-covered, but there are two aspects of Mr Obama’s reforms that she regards as nothing less than “crucial”.

The first is the abolition of any ceiling on health costs. Jax’s first day in hospital cost $150,000 (€113,000), she said, and given that he spent 21 days in intensive care, “we could have reached this lifetime limit before he was six months old.”

“Another thing important to us is that before the law, this little boy would have had pre-existing conditions of his heart problems held against him in the future,” she added.

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