Oh good lord. The people of Missouri can't just pass an unconstitutional law. If the Health Care reform bill is declared constitutional by federal courts, they better drink their juice. I'm all for democracy- as long as it conforms to the Constitution. If Missouri would like to opt out of the system, then I'd like them to voluntarily give up any federal dollars they receive in excess of what is sent to DC.
Correction: you're all for democracy as long as 1) it conforms to your interpretation of the Constitution, and 2) you like the result.
Imagine if there had been a referendum on the Iraq war: "Prop A: you can't send Missouri boys to die in Iraq." You would have creamed over that. It would have been the triumph of the people. Instead, the people are saying, "hey, socialist, we want our liberties back."
Regardless, in a country that has a tradition of representative democracy we are supposed to be "represented" at the federal level. We aren't. They are passing whatever they want so they can give MASSIVE kickbacks to their healthcare buddies. Missouri isn't standing for it.