by Patrick Appel

Not by himself. But if the GOP makes a clean sweep, the calculus changes:

In a world where President Rick Perry is joined by Majority Leader Mitch McConnell and Speaker John Boehner — a world that Nate Silver, for one, thinks is possible — this conversation is moot: The law’s regulations and mandates could be waived and its Medicaid expansion and insurance subsidies could be repealed through the budget reconciliation process.