Prior to passage of Obamacare Americans spoke out against the individual mandate they didn't want to change the health care they had they didn't want a 3 000-page bill that empowered 15 Washington bureaucrats to decide the future of the doctor-patient relationship.

The Supreme Court has never ruled that Congress can use the Commerce Clause to require individuals to engage in an activity they have chosen to avoid. Yet that is precisely what Obamacare does: It forces Americans without health insurance to purchase coverage. Such a requirement is unprecedented and unconstitutional.

There is much that public policy can do to support American entrepreneurs. Health insurance reform will make it easier for entrepreneurs to take a chance on a new business without putting their family's health at risk. Tort reform will make it easier to take prudent risks on new products in a number of sectors.

Most of the State of the Union will not be about Iraq. Most of the State of the Union will be about improving America's economy and providing greater access to health care for millions of American people including senior citizens.

But you say does it represent change? The change is that we are fighting an insurance industry that has killed health reform for generations. They're spending tens of millions of dollars right now to defeat this bill and we're on the doorstep of winning a great victory for the American people.

Once brave politicians and others explain the war on drugs' true cost the American people will scream for a cease-fire. Bring the troops home people will urge. Treat drugs as a health problem not as a matter for the criminal justice system.

Citizens must pressure the American Hospital Association the American Public Health Association the Centers for Disease Control and other relevant governmental agencies to make greening our hospitals and medical centers a top priority so that they themselves don't create even more illness.

I am not against all forms of high-tech medicine. Drugs and surgeries have a secure place in the treatment of serious health conditions. But modern American medicine treats almost every health condition as if it were an emergency.

Most American diets even bad ones provide more than enough calcium for bone health especially for men.

Today we have a health insurance industry where the first and foremost goal is to maximize profits for shareholders and CEOs not to cover patients who have fallen ill or to compensate doctors and hospitals for their services. It is an industry that is increasingly concentrated and where Americans are paying more to receive less.