A-score (21.5): Healthcare policy changes carry significant civil_rights impact (4.0) affecting 24M+ enrollees' access to care, moderate election implications (3.5) as campaign promise fulfillment, and rule_of_law concerns (2.5) regarding established statutory framework. However, policy_change mechanism applies 0.6 modifier as this represents announced intent rather than implemented action - no actual dismantling has occurred. Severity: durability 1.2 (healthcare changes persist), reversibility 0.9 (policy changes can be reversed by future administrations). Federal scope with broad population yields 1.3 modifier. B-score (30.4): Layer 1 (12.65/25): High outrage_bait (7.5) - healthcare access triggers strong emotional response, strong media_friendliness (8.5) - clear conflict narrative between administrations, moderate meme_ability (4.0), low novelty (3.0) - recurring ACA debate. Layer 2 (17.75/20): Exceptional timing (9.0) - announcement coinciding with record enrollment creates maximum contrast, high mismatch (8.0) - celebrating success while threatening dismantle, strong pattern_match (8.5) - fits established political theater around ACA. Intentionality 11/15 (0.55 weight) - deliberate juxtaposition of competing narratives during transition period. D-score: -8.9. Classification: List B (B>=25, D<=-10 threshold nearly met, clear distraction pattern with strategic timing overwhelming modest constitutional impact of announced but unimplemented policy intent).