With the recent Supreme Court decision, the Affordable Care Act ("Obamacare" or "Romneycare") is legal. In theory, this advances the goal of universal coverage -- the notion that everyone in America should be able to get medical care when it is needed. At its core, this is an idea with which a real conservative fundamentally disagrees.
We do NOT want everyone in America to have access to medical care. It would only extend their lives. Do we really want to extend everyone's life? Not a chance!