There is no stretch or any out of context. I have a personal stake in that particular comment because Obamacare/socialized medicine nearly killed me 10 months ago. So when a ‘conservative’ candidate starts pushing a modified Obamacare, I play close attention to context. “Sorry Conservatives implies 2 things.
1: The speaker is
speaking to someone of a differing belief group.
2: He intends to go against their wishes.
He has very clearly stated that he wants to open up insurance across state lines so that there is competition in the market for people to get insurance coverage. He has also stated that we must take care of those who do not/cannot get insurance. Life vets being given access to civilian doctors and hospitals. Like Medicaid and medicare.