Massage therapy. Yeah, I have to deal with the State.

I'm not denying that the States have their role, particulalry at the provider level.

But the financial scam (really too polite a word for the insurance system) is national. The players (Insurance, drug, hospital cartel, and to a lesser degree medical device companies. It ain't nurses bankrupting us.) operate on a national scale.

The financial disaster is national in scope, and disrupts our position in international commerce. It is legitimately an interstate commerce issue.

I am not at all a fan of the way the interstate commerce clause is abused to expand Federal authority. This time it looks legitimate to me.