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Fundamentally, this properly requires a constitutional amendment. There is no provision whatsoever in the Constitution of the United States of America for the Congress to establish a national health care program or to provide medical services to the people of the United States.

Fundamentally your comment is not true. It requires no Constitutional amendment. The Federal Government maintains a multitude of national health care programs.
VA hospital system

Possibly the FDA is a national health care program. Maybe others I know nothing about for native Americans as well.
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