Unlike the Medicare provisions, which were brought in by negotiation between the two principal parties, 'Obamacare' was the initiative of a single party, did not have the consent of the opposition and was concealed within 2,000 pages of legislative jargon that was never properly explained either to the public or to the members of Congress. Not surprisingly, therefore, the legislation has led to a polarization of opinion and a breakdown in the political process, each side claiming to represent the interests of the people, but neither side convinced that 'the people' includes those who did not vote for it.