Since when have the US government allowed a silly thing like the constitution get in the way before?
Some state schools routinely get teaching the pseudoscience of intelligent design, which directly contradicts the constitutional separation of church and state. Cruel and inhumane punishments such as electrocution are carried out regularly, along with torture yet the constitution has done nothing to stop it. The constitution is only ever used as an excuse by people to stop the government from doing something they dislike and even then, they don't always succeed.
They cannot get anyone to listen in Gov nor can they or are they willing to stop it.
Medicare is a hugely popular program. It's a political "third rail" Anyone who tries to stop it gets sent home.
At 47, I'm still in better shape than quite a few of my co-workers about half my age. Some in my age group, are really looking it, sometimes I wonder how long I'm going to hold out this way, but just figure I must be doing things right.
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