Obamacare; why now. A brief retrospective on employment trends over the last few decades will be quite an explanative conjecture when presented in proper context.
A few generations ago, labor unions established good working conditions, benefits and other favorable goodies contributing to a strong middle class. The company owners and corporations were not necessarily pleased about adhering to the working class union's demands, so they worked to find ways around the established United State's labor laws.
Companies got wise and started exploiting labor in countries where no such labor laws existed; along with exploitation of a lack of environmental protections, reckless business practices and/or other operating processes that the American people deem unethical. American jobs were outsourced, and factories further mechanized or dismantled, alleviating the need for so many burdensome laborers while lessening the corporate employee health benefit liability. A flood of naive and desperate illegal immigrants was allowed to entered the American labor market who have never heard of benefits and working for a lesser wage. A corporate policy of political payoffs whenever possible was established as such practices are usually cheaper than abiding by the law. Cutting full-time jobs into multiple part-time jobs, further alleviates the companies liability to provide health insurance.
All of these company policies were justified in the name of lowering cost to remain competitive with companies operating in such a way that if their entire operations were held inside the United States would be deemed entirely illegal and inhumane; however no one is allowed to fully see these operations in action behind the great propaganda wall of China, only buy their goods.
This all brings us to why Obama cares, and who actually cares about this health care initiative. As the number of company employee health insurance benefits were reduced, so was the revenue the insurance companies got used to taking in. So while companies hired illegal immigrants, outsourced to countries with little or no law, and generally undermined the American worker in every way they could conceive, the insurance companies started to feel the hit and didn't like it.
Enter Obamacare. Big insurance sat around to think of how they could regain their lost revenue without pointing out why they lost all their revenue in the first place. The insurance companies then bought the right parts of government to initiate a program, where not only would they regain their lost revenue, but would eliminate competition, and best of all, force people who didn't want their mediocre health insurance in the first place to buy it. Guaranteed insurance company revenue enforced by government law; the perfect example of a truly fascist state.