Should we bow down to the 2010 decision by Congress in 2013?
Most of what the law’s supporters call “sabotage” is perfectly legitimate political action. Obamacare’s architects envisioned a lot more cooperation from state governments than they’ve gotten so far. But the law allowed states to refrain from setting up insurance exchanges and from expanding Medicaid. States that exercise those options aren’t disobeying the law or even sabotaging it; they’re just making choices that the law’s supporters wish they would not.