the 50 year old wh---house is probably run in a much more efficient manner and most certainly makes a profit. And although I agree with your concept of amendment by consent or apathy and agree that the public has to become more engaged, I am just not sure that Medicare would be considered by the courts as unconstitutional. As I stated before, many of the clauses of the constitution have been used by the courts to justify many different things not specifically called out in the constitution. This has been going on since Marbury v. Madison. I'm going to see if there were any cases specifically related to the Medicare law.