As for the Heritage matter,
[One dude at Heritage] held the view that as a technical matter, some form of requirement to purchase insurance was needed in a near-universal insurance market to avoid massive instability through “adverse selection” (insurers avoiding bad risks and healthy people declining coverage). At that time, President Clinton was proposing a universal health care plan, and Heritage and [he] devised a viable alternative.
So, yeah, one guy at Heritage had an idea, which means that all of Heritage agreed, which means that all conservatives are responsible for ObamaCare, which means that there was a Vulcan mind meld, and conservatives telekinetically broke down Obama's will and used him like a meat puppet to sign the Affordable Care Act. We've subsequently been forcing him to freebase the ACA and make arbitrary changes to the law.
This is both the wildest and most expensive case of entrapment since conservatives infiltrated a National Socialist Workers party and turned a lousy painter into a monster of historical proportions.
Because it's really all conservative's fault, ya know.