Otherwise, if Trumpcare requires new federal powers beyond the scope of the Commerce Clause (1.8.3) as interpreted by previous generations of state sovereignty-respecting Supreme Court justices, then 2 years seems reasonable time for the states to ratify a Trumpcare amendment to the Constitution — that is, should the states choose to ratify such an amendment.
“Congress is not empowered to tax for those purposes which are within the exclusive province of the States.” Justice John Marshall, Gibbons v. Ogden, 1824.
"State inspection laws, health laws, and laws for regulating the internal commerce of a State, and those which respect turnpike roads, ferries, &c. are not within the power granted to Congress [emphases added]." —Gibbons v. Ogden, 1824.
”From the accepted doctrine that the United States is a government of delegated powers, it follows that those not expressly granted, or reasonably to be implied from such as are conferred, are reserved to the states, or to the people. To forestall any suggestion to the contrary, the Tenth Amendment was adopted. The same proposition, otherwise stated, is that powers not granted are prohibited [emphasis added].” —United States v. Butler, 1936.
In the meanwhile, patriots need to make sure that voters have plenty of Trump-supporting candidates on the primary ballets for the 2018 elections. Then, when Trump has a Congress that will actually support him after the elections, then Trump may get what he wants on McConnell’s timetable, including a Trumpcare amendment to the Constitution if one is needed as previously mentioned.
There should be no "Trumpcare" the term is offensive. There should be 100,000 new private sector insurance programs...all available to the various individual and group markets.