Missouri to Vote No -- Then What?

Will Missouri opt out of the health reform law? The NY Times says yes. But what if they do? There's a little thing called the Constitution that says federal law trumps state law. And even more, do you want to pay for health care for people who opt out, don't insure, and end up in emergency rooms? Chaos and more tax dollars spent on law suits -- that's what I see in the future. Jennifer