The tenth amendment says, clearly, "The powers not delegated to the United States by the Constitution, nor prohibited by it to the states, are reserved to the states respectively, or to the people.”
Come now. I read English acceptably well, and so do you. As a generalist in medicine, it also immediately occurs, if one has the health of the population in view, that living in liberty secured by a constitutionally-limited republic has health benefits itself. It is even conceivable that these health benefits exceed anything that a Washington agency could provide, even if it functioned perfectly. In other words, does this effort [to develop practice guidelines] contain a lethal, genetic flaw? Ah, but to believe that there is a flaw is to presume that one knows to what environment these guidelines were adapted. If one presumes that they were adapted to improving the health of the population, and to lowering the cost, one might be mistaken. If they are in fact evolving to increase central control over our lives, then the genes may be perfectly adapted.
Excerpt from "Practice Guidelines"
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