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A little too subtle for me. What you mean to say about Pius X is ..?

NYer said:

Either the bishops are ignorant of the ramifications of Obamacare on the working class
or they are naive, which I strongly doubt.

The third option is defined in Pius X's apostolic letter, Notre Charge Apostolique.

An example of something discussed there:

…Indeed, the Sillon proposes to raise up and re-educate the working class. But in this respect the principles of Catholic doctrine have been defined, and the history of Christian civilization bears witness to their beneficent fruitfulness. Our Predecessor of happy memory re-affirmed them in masterly documents, and all Catholics dealing with social questions have the duty to study them and to keep them in mind. He taught, among other things, that “Christian Democracy must preserve the diversity of classes which is assuredly the attribute of a soundly constituted State, and it must seek to give human society the form and character which God, its Author, has imparted to it.” Our Predecessor denounced “A certain Democracy which goes so far in wickedness as to place sovereignty in the people and aims at the suppression of classes and their leveling down.” At the same time, Leo XIII laid down for Catholics a program of action, the only program capable of putting society back onto its centuries old Christian basis. But what have the leaders of the Sillon done? Not only have they adopted a program and teaching different from that of Leo XIII (which would be of itself a singularly audacious decision on the part of laymen thus taking up, concurrent with the Sovereign Pontiff, the role of director of social action in the Church); but they have openly rejected the program laid out by Leo XIII, and have adopted another which is diametrically opposed to it. Further, they reject the doctrine recalled by Leo XIII on the essential principles of society; they place authority in the people, or gradually suppress it and strive, as their ideal, to effect the leveling down of the classes. In opposition to Catholic doctrine, therefore, they are proceeding towards a condemned ideal.

It's worth looking at the whole thing.

Note, particularly, that these "Sillonists" are wtihin the Church and attempting to use the Church to contravene established Magisterial teaching..."for the common good."

That, then, is the third option: intentionally disregarding Catholic doctrine in an attempt to create a "more just" society.