I guess since this thread is going to continue, I'll post the discussion I had with Jillian about this.
The Constitution "lives and breathes" no more than a contract does. You enforce the Constitution in the same way you enforce a contract. You don't change the terms of a contract because they become inconvenient for one party or the other and the same goes for the Constitution. The parties in both cases have the ability to amend what is in the document. If they are no longer satisfied with the contents of the four corners of the agreement, then they should avail themselves of the amendment process.
That said, is health care an item than can be shoe honed somewhere in Article I, Section 8? (or anywhere else). I don't think so. I think it is an impermissible expansion of federal power. (Leaving aside whether it's a good or bad thing to do). Madison was quite clear on how Article I, Section 8 should be read at the bottom of Federalist 41.
I suppose health care can be shoved down our throat by some additional specious construction of the Interstate Commerce Clause. Since Wicker v. Filburn, limitation on federal power has been meaningless. But, it is important to remember that the character of the government that was set up by the Constitution was federal. That power given to the national government was limited and constrained.
On a philosophical level, when we violate the nature of the compact that created the social contract by unceasingly thwarting the constraints on federal power, we endanger the existence of that social contract. I believe we do so at our peril. But perhaps I think more of the intellect of common people than I should. Maybe they'll stay asleep while they are robbed of their birth-right and subjugated.
you know i have a more expansive view of the federal government because i don't think the thigs that it's doing in regard to societal welfare are impermissible. I do think it impermissible for anyone to abridge my individual rights... and I rely on the feds to kick the states' butts when they do racist, sexist, pro-dogma things. maybe because i'm quite fond of the penumbra eminating from the bill of rights...
as for health coverage, it strikes me that we're the only civilized in the nation that doesn't care for its people; 50% of our bankruptcies result from unanticipated health care expenses (not including what happens to people's consumer credit when they get sick and have to pay med bills). i can't imagine that anyone would have issues with us providing options, particularly if they're cost neutral, as we hope they'll be.
as for federalist 41, i guess i don't think the founders, individually are anything more than politicians with differing opinions... unless the opinions are specifically codified. in fact, i'd point out that as smart as the founders were, they compromised on the issue of slavery and denied women sufferage. so they sure weren't perfect and their every word isn't gospel.
and our 200 years of caselaw doesn't treat them as though they were gospel.