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.
May I share with you my earliest memory of a political row? It was with my mother about the Queen - classic Freudian stuff shrinks would say. I was eight and refusing to watch the Queen's Christmas Day broadcast.