Since the beginning of the health care reform debate starting after the historic inauguration of Barack Obama, there has been more focus on the politics of the legislative process and eventual law commonly known as Obamacare than there has been on the actual “nuts-and-bolts” of the changes – perhaps the government should not be currently shut down to derail Obamacare in 2013, especially since there were ample opportunities to address this in 2011 and 2012 at times when President Obama was more politically vulnerable and willing to negotiate with Republicans.