This post (<-click), while addressing a tax-related thread, explains in more detail why federal politicians are in contempt of the Constitution where Social Security and Medicare are concerned, foolishly following in the footsteps of FDR's dirty federal spending politics.
In fact, note that when Jefferson reflected on the Founder's division of federal and state powers he gave the example that the Founders had trusted the states, not the federal government, with the care of the people.
"Our citizens have wisely formed themselves into one nation as to others and several States as among themselves. To the united nation belong our external and mutual relations; to each State, severally, the care of our persons, (emphasized by Amendment10) our property, our reputation and religious freedom." --Thomas Jefferson: To Rhode Island Assembly, 1801. ME 10:262 http://tinyurl.com/onx4jNote that the states can always exercise their Article V power to amend the Constitution to officially authorized the feds to manage spending programs like SS and Medicare. Until the states decide to do so, however, such issues remain state power issues.
The bottom line with respect to Social Security and Medicare is that people need to wise up to the major problem that the federal government is not operating within the restraints of the federal Constitution, a consequence of FDR's dirty politics. The people need to petition big shot politicians who are not upholding their oaths to defend the Constitution, demanding that they resign from their jobs.