Congress and candidates that promise to repeal and replace Obamacare have an obligation to respect the federalist structure and dispersed authority embodied in the Constitution. A clear alternative to the current centralized health care system has already been adopted by seven states.

“Our health care problems cannot be solved as long as decisions about them are made by politicians, bureaucrats and even Supreme Court justices at the federal level in Washington, D.C. These officials, after all, are part of the same political establishment that got us into this mess. We won’t get out of it until these decisions are made at the state level, by the people themselves. We must fix the governance problem—the problem of who decides—before we can fix the policy problem of what is decided.”