This page describes thirty years of David Medeiros’s disability and Medicaid advocacy as a living Constitution. That phrase is civic framing, not a legal finding. Verify the history with a dated record for each action: what was filed, who received it, the government body, governing law, response, and final outcome. The First Amendment protects speech and petition, but a petition does not guarantee agreement, investigation, or relief. The Fourteenth Amendment constrains state action through due process and equal protection. Congress may attach clear conditions to federal funds, including Medicaid. The Supremacy Clause resolves conflicts between valid federal and state law; it does not automatically create a claim or remedy. Advocacy, archives, receipts, and long service do not prove constitutional violations. Review the record at david-medeiros.com/constitution-record.