On Rational Actors, Kevin and David analyze Obamacare’s troubled debut. Kevin says the Affordable Care Act is a Rube Goldberg machine, and David warns of an insurance death spiral. David uses the law to make a larger philosophical case against government action. Who are the real winners and losers if the ACA works as planned? David says health care reform should have focused on making insurance cheaper, not people with preexisting conditions. Plus: Does the GOP have a realistic alternative?