This graphic is a very, very subtle statement that most probably wouldn’t get.
If I’m right it shows a KUB of a flat plate of the abdomen and the patient has a lot of stool in the colon. (Well, it’s absolutely a KUB/flat plate of the abdomen - it’s the FOS that I think is there but waffling a little bit.)
A radiologist or a surgeon would read this as “FOS” i.e. “Full of Stool” or a more graphic alternative.
This is the message being sent by the graphic - that Obamacare is FOS.