While this is a part of the story, the other half is that, advocates and tax hungry states that also value individual and medical freedom used the 10th Amendment and model legislation from The Tenth Amendment Center to pass legislation following James Madison’s blue print for defeating Federal Overreach by choosing to stop cooperating with the Feds. History shows that once a critical mass of 21 states stop enforcing then it becomes impossible for the Feds to enforce it with their own resources and it just becomes a matter of time, as they will stop enforcing and eventually federal legislation will catch up with the will of the people.