Will Obamacare succeed where term limits failed?

[Seamus Fermanagh]

...This hi-tech fetish has permeated American culture for something like a century, though, so - tied closely to the end-of life care issue, it is urgent that the public at large be divorced from such notions of 'newer is better', 'more expensive is better', and most importantly: 'I deserve the best!'

Now you're calling on a full-on alteration of a culture. Such changes rarely happen swiftly and virtually never by fiat. In fact, that last statement -- I deserve the best -- is much of the practical motivation behind the ACA, at least as far as creating the political support for it.