The Supreme Court has never ruled that Congress can use the Commerce Clause to require individuals to engage in an activity they have chosen to avoid. Yet that is precisely what Obamacare does: It forces Americans without health insurance to purchase coverage. Such a requirement is unprecedented and unconstitutional.
The result was, of course, that today, tragically, more than 40 million Americans don’t have health insurance, and for many, not having health insurance means they don’t have access to good health care.
You can’t have public health without a public health system. We just don’t want to be part of a mindless competition for resources. We want to build back capacity in the system.