The previous writer suggests that since Medicare/Medicaid, et al, exist they are, therefore, an expression of constitutionality. The writer bases this conclusion on the fact that the nation is continuing down this path, without constitutional challenge.

To continue down a path laid out by recent forebearers, when that path leads to death, is not pragmatic. Rather, getting off that path and pursuing that which leads to freedom is the pragmatic choice. I choose freedom over death.