while the article is most directly about Article VI and the ways federal interests should and should not trump state law, it is more broadly about how original meaning can be implemented in an area with significant non-originalist judicial precedents.
Obviously, I’d like to see lower costs and longer life expectancies, but this author provides no data to support his claim that deficiency can be blamed on “profit” and this chart doesn’t provide enough data for meaningful comparison.
The logic behind this article is that since Attorney General Ken Cuccinelli lost an extremely close Virginia governor’s race, the 10th Amendment is dead. This is mainly because Cuccinelli showed opposition to ObamaCare and sympathy toward it being nullified. He also said some words about charity not being the function of government. Therefore, Tenthers are evil and over.