Decisions about where you go to the doctor and how you’re going to pay for it are not decisions that are national in nature, according to the text and spirit and letter and history and understanding of the constitution. They are not and they cannot be. If in this instance we say well, this is just important so we need to allow Congress to act, if we do that, we do so at our own peril. We stand to lose a great deal if all of a sudden we allow Congress to regulate something that is not economic activity.