Are Medicare and Medicaid unconstitutional?

In my opinion, they are. According to the Tenth Amendment of the Constitution, all functions not explicitly designated to the federal government should be left to the state governments. Medicare and Medicaid violate the Tenth Amendment because they're FEDERAL programs and the Constitution doesn't say anything about the federal government having the authority to provide health care for the poor and elderly. If Medicare and Medicaid should exist at all, it should be on a STATE level, NOT a federal one. It should be up to the states to decide how to deal with the poor and elderly. Many people are scared that if we take the federal government out of Medicare and Medicaid, people are going to be left to die on the streets. But, I think the opposite is true. I think states can do a much more productive job of managing the poor and the seniors than the federal government EVER can. If you don't believe me, look at how inefficient, expensive, and unsustainable Medicare and Medicaid are RIGHT NOW with the federal government's CURRENT role in them! If we bring these programs to a state level where they belong, surely they can't get any worse, right? So, why not give it a try?