Mr Obama might reconsider that if the government were not attached to healthcare, it would not be liable for its debts. By interjecting more government involvement in healthcare, now government is responsible for such inefficiencies and the buck stops with Obama. This implies if the economy tanks, it’s Obama’s fault and he is to be held accountable.
He doesn’t care at this point. He has become a historical figure in his own mind. The martyr for health care.