Many, if not most, Americans are unaware that the nation is composed of separate republics with their own constitutions. They are, of course, the individual states.
“The powers not delegated to the United States by the Constitution, nor prohibited by it to the states, are reserved respectively, or to the people.” – Tenth Amendment
By tying compliance with federal laws and regulation to receiving funds, the states have been coerced to accept programs that limit freedoms enumerated in the Constitution and the passage of Obamacare is but one example. Some twenty states have refused to set up the mandated insurance exchanges. Obamacare grants the government complete control over the provision of medical care that every American has formerly received from the free market health system that it destroyed. It gives the federal government control over our lives in terms of who lives or dies.