Obama has been terrible in getting out information on any of his successful programs, but nowhere more than with the ACA. From the beginning the rethugs were able to begin framing the debate with their ginned-up Town Hall meetings and 24/7 lies from Fux and hate radio. Now they are even more determined to make it one of, if not their chief issue for the November election. The late unlamented Josef Goebbels postulated that the essence of propaganda was a simple message, repeated again and again, and that's what's happened with the ACA. Many (if not most) Americans simply do not know what it is, or what's in it. But every time they turn or their radio, channel surf and hit Fux or go to almost any commercial establishment that has a TV they keep hearing about 'death panels', 'government takeover of health care', etc. So it's no surprise that many of them now believe that to be the case.
No better example of this technique exists than the most recent meme, the great 'tax hike'. In truth, the only 'taxation' in the ACA is it uses the Internal Revenue Code to enforce a penalty against those who should but choose not to participate. But since Roberts used the term 'tax' to justify it's legality, the RW echo chamber has been at 1000 decibels screaming 'tax increase, tax increase, tax increase!!!'. And the Obama administration has done nothing to refute it.
The worst thing we could do now is to assume that, since the USSCt ratified the validity of ACA we can relax and move on to other things. We do so at our peril. The Rethug machine will use the "tax increase" to cudgel us with from now until November, and it's possible that they could do enough damage to cost us what is clearly going to be a close election.
Why they continue to ignore the importance of messaging is beyond me. Surely we have our own Frank Luntz that could help our people come up with a short, concise response.