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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.
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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
Medicare
Medicaid

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