Any federal version of health care is unconstitutional since Article 1 Section 8 does not specifically grant Congress the power to regulate health care. People are not bound to comply with any unconstitutional act by Congress. This is the point people need to hammer home with their Congress critters!
Doesn’t matter. The Constitution means what 5 people in black robes say it means. If the people in black robes say 2 + 2 = 5 then for the legal definition it does, despite the anarchy it engenders. There’s no substitute for common sense.