Both referred to the Affordable Care Act which is the accurate title of the health care reform law as 'Obamacare.' That is a disparaging reference to the President of the United States it is meant as a disparaging reference to the President of the United States.
It's like kids playing house: 'You play the father I'll play the mother.' You know you dress up you play they pay you go home. It's a game - acting's a game.
