Virginia's Attorney General, Ken Cuccinnelli, spearheaded the effort among states to challenge the Affordable Care Act in the courts. Should that case lose at the Supreme Court, Cuccinnelli told Think Progress, then the Constitution would just have to be changed.
KEYES: Did you take it to heart that the Circuit Court didn’t side with you guys?
CUCCINELLI: This was always going to be decided at the Supreme Court. We're 1-1 at the moment and we'll see what the Supreme Court has to say and finish it up.
KEYES: And what if they don't end up ruling your way? What next?
CUCCINELLI: We'll have to reassess at that point. Then we've got a much more powerful federal government than we had anticipated. If people are up to it, that's going to take a constitutional amendment to reduce. Just if all you care about is the health care bill you've got to get it repealed. Those battles happen at the ballot box.
Note that this is an attorney general, a sworn enforcement officer of the rule of law, blowing off the Supreme Court, blowing off the Constitution. This is a radical idea, as TP says, that because "Cuccinelli cannot tolerate this outcome, however, he apparently thinks the solution is to simply to rewrite the Constitution to fit his worldview." And he's not an outlier among Republicans. This is the extreme to which the Republican party has gone—willing to destroy just about every facet of government to try to force the country into their constricted view.