Read it, it's an Obama administration smear. The part about Obama's "antipathy towards American exceptionalism" should have told you this was some editorializing bullshit.

If you don't recall, the Obama administration was at the time trying to pass a lil measure called the Affordable Care Act and receiving withering criticism over it's propensity to swell federal deficits. It's not surprising he made trade-offs for a program his own White House commission deemed infeasible with current funding.