The struggle over the Affordable Care Act (aka, Obamacare) is facilely cast as a battle between Left and Right. Nothing could be farther from the truth. A tussle between the dominant factions of the Democratic and Republican Parties it certainly is in a superficial and temporary way, until the kabuki politics of the presidential campaign is over. But a battle between Left and Right, it most assuredly is not. Obamacare is opposed by the Left, which has long sought Single-Payer (Medicare for All) as a proven way to universal and egalitarian coverage. But many Leftists have been too cowed by Democratic operatives or by Obama loyalists in their midst to speak their convictions. Now that silence has been shattered.