Such an outcome would trouble ACA opponents: their goal is repeal. It would trouble ACA supporters: they want the law to work. But it should terrify everyone. The strategy of consciously undermining a law that has been enacted by Congress and signed by the president might conceivably be politically fruitful in the short term, but as a style of government it is a recipe for a dysfunctional and failed republic.
The outcome he's talking about is based on the fact that the Republicans would have a tough time repealing health care reform over an Obama veto. A more likely scenario is that they could defund or otherwise cripple it.
More from Wesley Smith.