The law and policymaking process is an essential aspect of national health care. Laws ensure that a standard is enumerated, thereby producing an established etiquette and professional expectations. Policies maintain the adaptability and relevancy of entities in operation. Yet these primary components of health care are compilations of contributions from federal, state, and local governments. Moreover, the U.S. Constitution gives clarity on the point of divide between the vertical tiers of government, (federal, state, local). Health care policymaking includes making authoritative decisions—but these decisions needn’t be despotic.