Because we still have a small percentage of the population that is uninsured and we are a rich compassionate country that won't let its citizens die in the streets.
just look at the faces of harry reid, brock obama, nancy pelosi, joe biden and there's your flatulence jokes.
Are we quibbling about using the term "gay marriage" vs. using the more accurate term, "same sex marriage"? Or are you just confused about the mechanics of two gay people getting married?
if you say so
Thats what Managed Care companies specialize in.
If the Feds are havin money issues,sell it off or deed it to the respective States