after being in prison and hanging around real criminals he made the connection that what's really going on here is a complete fleecing of the american public w/ the complicity of the insurance companies and the federal govt.

Obama approached the American people much in the manner of a seasoned con man. He said, in effect, I’m going to conspire with you against the health insurance companies. I’m going to make them insure you even for your pre-existing conditions. Let’s stick it to those dirty, rotten scoundrels.

In reality, ObamaCare was a conspiracy not between Obama and the American people against the insurance companies, but rather, between Obama and the insurance companies against the American people. Basically, Obama approached the insurance companies and said, I’ll make you an offer you can’t refuse. Then he advanced a proposition worthy of Don Corleone himself.

Obama knew the insurance companies didn’t want a federal takeover of health care, and this is exactly what ObamaCare amounted to. So the insurance industry was gearing up to fight ObamaCare. In the end, however, the insurance industry ended up supporting it and even paying for ads helping to sell it to the American people.

How did Obama pull this off? He assured the insurance companies that a key component of ObamaCare was to force millions of Americans who didn’t want to buy health insurance, to buy health insurance. Obama said, in effect, we’ll use the power of the state to force them. And this, the insurance industry recognized, meant millions of new (if unwilling) customers which translated into hundreds of millions of dollars in profits.
http://www.foxnews.com/opinion/2015/11/24/dinesh-dsouza-what-politics-has-in-common-with-organized-crime.html