The term welfare as used in the Constitution means welfare of the United States. Not the CITIZENS of the United States.
Here it is in context
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The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;
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The framers were talking about raising monies for defence and ablity to keep the United States afloat. No where does it imply health care of the people in any way shap or form.