Oh and AIDS. We got lucky in that we were able to contain those other outbreaks or they weren’t that deadly (though swine flu did kill half a million people).
The federal government doesn't require that. And the states don't run the FDA.
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Yes, the Articles of Confederation is defunct. We employ federal power when appropriate. That’s what presidents did in the apartheid South. States are units of authority. They are not the only units of authority.
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We passed constitutional amendments specific to the problems of Reconstruction. There's no "whatever seems appropriate" clause in the Constitution.
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