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I repeat where would he send the troops?

As I pointed out first they will send in FBI and U.S. Marshals to take over law enforcement. During the desegregation era or prohibition before that the FBI was everywhere. The troops only went in when someone tried to shoot at the FBI or the U.S. Marshals.

I also pointed to Washington and Lincoln in my posts. Washington sent troops to every farm in Pennsylvania to collect the taxes when the state refused to do it. Lincoln flattened half the country rather than surrender Federal authority. During prohibition Harding and Coolidge sent federal agents into any house or restaurant that they thought was a speakeasy. And when the rum runners of the east coast started to shoot at the revenue cutters sent to inspect them they used US Navy destroyers to demonstrate that shooting at feds is a bad idea.

We may end up with some kid of medical Al Capone. Underground doctors who work outside the system for cash. Protected by locals who see no problem in taking a bribe to look the other way while laws they don't agree with are violated. But those bootleg hospitals will be hunted down by the Feds as certainly as the speakeasies were. But even at the worst of prohibition no state tried to use nullification. They might look the other way and ignore the law breakers, but they never went so far as open defiance. That is the difference between nullification and what the sanctuary cities are doing. The sanctuary cities are simply refusing to help, but they have never said they will arrest Federal agents who attempt to enforce the federal laws. That is the line between salutary neglect and outright rebellion.

That is not saying that we don't need a rebellion. As out founding fathers said from time to time they are a necessity. But we should not go into it thinking that it will be a picnic. And the best way to lose a fight is to assume at the beginning that the other guy won't fight back.