Being neither anarchist nor libertarian, I have watched the current health care debate with interest. I note that the U.S. Constitution states in the preamble the federal government is to provide for the "general Welfare ... ." In Article I, Section 8, the Constitution enumerates those actions which the Congress may take to fulfill its duties. There are listed only 18 specific duties to be undertaken by Congress to insure the "general Welfare." Further, in Amendment X (the last one of the "Bill of Rights") the document states very explicitly those duties not assigned (i.e. enumerated in Art. I, Sec. 8) to the Congress fall to the states or to individuals.
Perhaps the current debate is less about health care and more about Congress usurping that which, by law, should be left to the individual states - health care is not assigned as a duty of the Congress.
Three times in the last week I have heard the president say, "Health care is the pillar of a new foundation." I believe the president has in mind a foundation far different from the founding fathers' intention of the Constitution being the foundation of the republic.
When asked by a constituent what had been created as he was leaving Independence Hall so many years ago, Benjamin Franklin purportedly replied, "A Republic, Madame, if you can keep it!" I fear we are on a very slippery slope to losing that republic as long as Congress continues to operate outside its specific duties.