How about: “Let’s talk about it in FOUR years, when the program begins.”
“You mean I don’t get my free health care now?”
“No, dumbass. And be sure to purchase a health care policy by 2014 so that you don’t get fined or go to jail.”
“You mean I won’t get free health care ever?”
“No, dumbass.”
Another answer to the “I don’t get it now” question is to say, “No, only the tax increases start now. The coverage may never start as they are still changing it.”