If Obamacare is Obama's brainchild, this makes it sound like it came from something of an unplanned pregnancy...
Via Politico (emphasis mine):
The most important red line of Barack Obama’s presidency was scrawled hastily in January 2007, a few weeks before he even announced he was running for president.
Soon-to-be-candidate Obama, then an Illinois senator, was thinking about turning down an invitation to speak at a big health care conference sponsored by the progressive group Families USA, when two aides, Robert Gibbs and Jon Favreau, hit on an idea that would make him appear more prepared and committed than he actually was at the moment.
Why not just announce his intention to pass universal health care by the end of his first term?
Thus was born Obamacare, a check-the-box, news-cycle expedient that would ultimately define a president.
“We needed something to say,” recalled one of the advisers involved in the discussion. “I can’t tell you how little thought was given to that thought other than it sounded good. So they just kind of hatched it on their own. It just happened. It wasn’t like a deep strategic conversation.”