On Tuesday, one federal appellate court read the Affordable Care Act to, rather nonsensically, prohibit the federal government from providing subsidies to consumers in states that chose not to set up their own health insurance exchanges and to use the federal one instead. Another federal appellate court drew precisely the opposite conclusion on the same day. The result will be years more litigation and perhaps another trip to the Supreme Court. But the real issue here is not whether the meaning of one phrase in this gigantic piece of legislation is precise, as the majority of the three-judge panel in the first court held, or ambiguous as the second court unanimously ruled. It is that Republicans in Congress have proved so intent on destroying Obamacare at all costs that they are refusing to make the routine adjustments that are necessary in any major law.