I like to take an antiquated and 10th amendment approach. The Feds should be contributing (taxing) for military, (some) roads, international issues, and a few minor misc. things. The State is responsible with its own constitution and laws to take care of or not, anything else. If a State chooses to implement socialistic laws, I vote at the ballot box or with my feet. This includes education, health care, and yes, 'some' gun control issues.

My wife is a long time nurse. Health care went economically south when Medicare started to price fix. It steadily drove costs up. Tort reform would be great. But once again that is squarely in the States jurisdiction. If places like Texas and believe it or not California choose to reform malpractice laws great. Also, if a State elects to open its borders to interstate health insurance commerce, good for them they will benefit from free trade. But it is their right, not the Feds.

As for education, thank God Colorado has choices. You might guess what I'm going to say. More State and local rights not Feds. If a community chooses to have good schools and educate its youth they will prosper. If they don't MOVE! With the Feds controlling everything, they have taken away what the founders so painstakingly argued. A Federal system not National. Nowhere in early documents does it say National. This was very deliberate, and many fought hard to keep it that way.