According to Stephan Colbert it is the actual root phrase from where the word ObamaCare comes from.
The etimology of ObamaCare is actually O Bam a Car E! This indicates that the program is like a Buick that hits you at a crosswalk and then drags you to see a government doctor who replaces your lung with a muffler.
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When you type in "Obama Care" you'll get this definition. Coined by the popular late night host Stephen Colbert (whose main target audience used to be teens during this time; but now mostly parents like watching him) on The colbert report, circa 2010-2011.
Man: What do I need for my health care?
Health care advisor: O Bam A Car E!