The debate over the Affordable Care Act, aka Obamacare, is one of the most intense and complex debates in American history. With polls showing that just over half of Americans oppose the law and just under half support it, the debate seems destined to continue. Many observers in the UK, Western Europe and other parts of the world where government-funded, single-payer healthcare systems have been in place for decades are genuinely confused by this debate. In particular they wonder why half of the American population is resistant to greater access to healthcare for those who don’t now have that access or who find themselves struggling with the current system. It seems incomprehensible that this would be the case.