That's debatable, but skirts the issue. Fact is they are all distinct terms, in the beginning.. which is still where we're at. Whatever you want to call it, all Obama really managed to do was provide health insurance to millions who had none at the time.. An accomplishment. However, he did nothing for millions of others who also had none at the time.. Many still don't. Don't you care about them? What else is there to crow about it? In reality, he kicked any chance for significant "universal" health care reform (real health care made available to all, not just "coverage") via the usual, slow Congressional route - way the hell down the road. May be a blessing in disguise. Perhaps people will get angry enough to actually do something about it themselves sooner. I doubt it.