In the Spring of 2011 I attended the Baltimore stop of the debate series Dean was the doing with Karl Rove.
Dean was emphatic that Obamacare would fail. Almost as if it were by design. (go figure)
He explicitly stated that such a failure would be a good thing, since it would drive the adoption of single payer.
Dean’s being consistant here.
Note also that Dean cages his piece as an attack on fee for service and profit motive.