“Obamacare” is not the end to which they are striving.
If you had been around to ask Trotsky (neither was I), he would have talked of many “ends” essential to the ultimate goal of a communist world government. The Russian revolution was a stepping stone on that path. Obamacare is an essential waypoint for the USA and it will lead to one payer healthcare.
Obama is a “professional revolutionary” like Lenin, who coined the term, and Trotsky. IMO, Obamacare must be implemented and must fail. Single payer is next and it will eliminate a huge swath of private enterprise.