What united the american people together in the decades following the american revolution? was it effective?

The spirit of social equality united the American people together in the decades following the American Revolution.The American Revolution interrupted and transformed traditional class and social relationships. It was effective for some sectors of the population. More white men gained the vote as property requirements were removed. Northern states began to free slaves, but southerner states were reluctant. Although many women remained largely confined to the domestic sphere afterward, with no changes to their legal or political status. Also, Native Americans, regardless of which side they had embraced, had their land seized by American settlers, often violating existing land treaties.

health and medicine because people are dying from not being healthy or not strong enough medicine

it was certainly a debatable decision, mainly because it was based primarily on political - and not on legal or social - views. since the congress at that time was led by members of the republican party, and the territory that the tribes wanted to turn into an exclusively indian state was predominantly democratic, the proposal (as expressed in the constitution) did not succeed, but the constitution itself proved to be of crucial importance in the creation of the state of oklahoma, and, most importantly, it guaranteed the involvement of representatives of the indian tribes in the government of the future joint state.  

as a member of congress, i would have voted to ratify the constitution, or at least to have it tabled. ignoring it was an interested and partial decision.