The writer, Dr. Kenneth L. Hanson, decries the fact that, his Russian wife doctor, can’t even get started in the U.S. because, she first needs to get into a residency program. Then, he condemns Obama and Obamacare for not creating some program where his wife could get into a residency program. So, the good doctor is condemning Obama and Obamacare, because, it’s not producing the results that would get his wife into practicing medicine here in the U.S. It sounds like, if Obamacare could get his wife a residency and into practicing medicine, he wouldn’t be as negative about Obamacare. In essence, Obamacare is bad, simply because, his wife isn’t getting the results he and his wife want.