Health Care "Debate"

I'm still trying to understand this "debate" that's going on these days.

It appears that the whole conversation is centered on what aspects of various proposals are good ideas, or which will work properly, or which won't have unintended consequences (as if anything doesn't).
It seems to me that this misses the whole point - it really doesn't matter which proposal would work better, as they're all so far outside the tightly circumscribed powers of the federal government that they should merit no discussion at all.

This isn't an enumerated power, and thus Washington is prohibited from doing anything at all.