That is to ask the question... is the Preamble separate from the Constitution and merely a statement of intent, or is it to be considered PART OF THE BODY of the Constitution and therefore does it legally bind the US Government to certain actions? Should the Preamble be considered while arguing whether or not the US Government has a duty to provide health care?
To my knowledge, there has only been one case where the Supreme Court has addressed whether the Preamble is binding law. It is contained in
JACOBSON v. COM. OF MASSACHUSETTS, 197 U.S. 11 (1905) 197 U.S. 11
HENNING JACOBSON, Plff. in Err.,
v.
COMMONWEALTH OF MASSACHUSETTS.
No. 70.
Argued December 6, 1904.
Decided February 20, 1905.
Mr. Justice Harlan delivered the opinion of the court:
We pass without extended discussion the suggestion that the particular section of the statute of Massachusetts now in question ( 137, chap. 75) is in derogation of rights secured by the preamble of the Constitution of the United States. Although that preamble indicates the
general purposes for which the people ordained and established the Constitution, it has never been regarded as the
source of any substantive power conferred on the government of the United States, or on any of its departments. Such powers embrace only those
expressly granted in the body of the Constitution, and such as may be implied from those so granted. Although, therefore, one of the declared objects of the Constitution was to secure the blessings of liberty to all under the sovereign jurisdiction and authority of the United States, no power can be exerted to that end by the United States, unless,
apart from the preamble, it be found in some express delegation of power, or in some power to be properly implied therefrom.
-----------
I submit that as written, the Constitution does NOT require that the US Government provide for health care for citizens, but that a Constitutional Amendment could change that. I'd hazard a guess that such an Amendment to the Constitution would pass handily, and THEN we as a nation could force our supposed representatives to write a law or laws to make it happen in such a way as to provide preventative care and acute care and divide the cost amongst all citizens, rich and poor, by means of a progressive tax or fee.
Until that happens, I think there is such a divide between the two Parties that health care for all, in any form, will not happen.
Back to the orginial question: Is health care for all a notion that can be inferred by the Preamble? Is "promote the general welfare" a binding requirement of the government to provide healthcare for all?
http://caselaw.lp.findlaw.com/cgi-bin/getcase.pl?court=US&vol=197&invol=11&linkurl