Not all of the action to defund and otherwise undermine the Affordable Care Act is taking place in Congress.
Outside conservative groups keep looking for new angles to attack Obamacare. The latest comes in the form of ads sponsored by Generation Opportunity — an organization for young conservatives that's backed by the billionaire political activists David and Charles Koch.
The ads argue, in purposely creepy fashion, that young people should be wary of signing up for the health care exchanges the health care law creates.
It's a vibe Generation Opportunity spokesman David Pasch embraces.
"Yes, the ads are a little creepy," he says, "but the bottom line is Obamacare exchanges are a little creepy."
In the first spot, the female patient is greeted by a friendly nurse:
Nurse: Oh I see you choose to sign up for Obamacare
Female patient: Yeah it's actually my first time here.
Nurse: Well, here we are then. Change into a gown and the doctor will see you soon.
Comical, circuslike music plays. A female doctor enters. The mood is now less friendly, but still businesslike.
Doctor: Hey, your vitals look good. Any changes in your diet or exercise?
(Female patient shakes head. )
Doctor: All right, can you swing on over, scoot on down, and try to make yourself comfortable?
This is where it gets creepy.
The music gets ominous.
There's a close-up of feet going into stirrups.
Then, suddenly, a giant Uncle Sam appears wearing a giant plastic head with a leering smile, all framed in a patient's-eye view.
More ominous music.
Uncle Sam leers again ... this time holding aloft the shiny metal speculum.
The screen goes black. The final warning on screen reads:
"Don't let the government play doctor."
Criticism of the ads hasn't been in short supply. Brad Woodhouse, president of Americans United for Change, says the effort by the Koch brothers is "sabotage."
Further, he says, the ads are a lie and that there will be no government bureaucrat getting in the middle of your gynecological or any other type of exam.
Woodhouse insists there's considerable hypocrisy here, given some of the policies Republicans have called for regarding women's health issues.
"You have Republicans who do want to and attempt to do things like in Virginia where they attempted to force women to get a vaginal probe if they wanted to seek an abortion."
Generation Opportunity concedes the ads may be short on specifics — Pasch says they'll make a more detailed case about government intrusion and what he describes as a mandated health care law that is unfair to young people.
Professor Peter Levine of Tufts University, who studies the engagement of young Americans in the political process, says humorous advertisements get attention but have relatively little impact when it comes to persuasion.
"People find things funny if they agree with them and they don't find them funny if they really strongly disagree with them," he says.
"I would be skeptical that this kind of ad could really change people's minds," Levine added.
Ultimately, these new ads may be best viewed from a different lens.
They target young people, but ultimately the ads are just another part of a much broader effort by Affordable Care Act opponents — an effort that's designed to undermine the law in every way possible, with every group possible, using every available tool.
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A new Internet ad discourages young people from using health care exchanges under the Affordable Care Act. These exchanges get up and running next month. The ad is sponsored by a young conservatives group called Generation Opportunity, and the billionaire Koch brothers helped pay for it. NPR's Don Gonyea has the story.
DON GONYEA, BYLINE: The word that comes up most often when people see the new anti-Obamacare ad is creepy. There's a doctor's office, a nurse, a young woman.
(SOUNDBITE OF ADVERTISEMENT)
UNIDENTIFIED WOMAN #1: Oh, I see you chose to sign up for Obamacare.
UNIDENTIFIED WOMAN #2: Yeah, it's actually my first time here.
UNIDENTIFIED WOMAN #1: Well, here we are then. Change into a gown, and the doctor will see you soon.
GONYEA: The patient waits, a bit nervous, when out of nowhere, the doctor appears in the form of a giant Uncle Sam with a leering plastic head. We get the patient's-eye view as he begins the exam, as he menacingly holds up a metal speculum.
(SOUNDBITE OF MUSIC)
GONYEA: Fade to black as the screen reads, don't let the government play doctor. David Pasch of Generation Opportunity says it's designed to cut through all of the positive promotion he says Obamacare gets from the White House and its supporters.
DAVID PASCH: And, yes, the ads are a little creepy, but the bottom line is Obamacare exchanges are a little creepy.
GONYEA: Pasch says they'll follow up in the fall with campus visits. He says at that point, they'll share more detailed arguments against the exchanges and the role of government. Supporters of Obamacare call the ads a lie. Brad Woodhouse of Americans United for Change says there's plenty of hypocrisy here, given some of the Republican proposals out there regarding women's health issues.
BRAD WOODHOUSE: You have Republicans have attempted to do stuff like in Virginia where they attempted to force women to get a vaginal probe if they wanted to seek an abortion. They want to get in between a woman and her doctor and her family and her God making those type of decisions.
GONYEA: One analyst says humorous ads, creepy or not, tend to work only on people who already agree with the message. But this one, with its Koch brothers financial support, can also be seen as yet another piece of the broader effort to undermine Obamacare. Don Gonyea, NPR News, Washington. Transcript provided by NPR, Copyright NPR.