In the aftermath of the quake, efforts by citizens and international aid organizations to provide medical assistance, food, and water to survivors were hampered by the failure of the electric power system (which already was unreliable), loss of communication lines, and roads blocked with debris. A week after the event, little aid had reached beyond Port-au-Prince; after another week, supplies were being distributed only sporadically to other urban areas. Operations to rescue those trapped under the wreckage—which had freed over 100 people—had mostly ceased two weeks into the crisis, as hope that anyone could have survived for that length of time without food or water began to fade. However, there were still occasional recoveries of people who had managed to survive such confinement for weeks by rationing the meagre supplies available to them.
The Tenth Amendment's simple language—“The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people”—emphasizes that the inclusion of a bill of rights does not change the fundamental character of the national government.