Ten years ago this month, when President Obama Barack was signing Obamacare into law, Vice President Joe Biden said to him in a stage whisper "This is a big f***ing deal." A decade later, Obamacare has turned out to be a big f***ing failure. And Biden is now promising to expand it.

One of the strange features of the national health care conversation is how it has evolved. What is often referred to as Obamacare began as an attempt to insure the uninsured. In fact, the initial Congressional Budget Office estimates predicted the Affordable Care Act would be largely successful in doing just that.