The ad depicts a footrace between runners representing various insurance companies.
The Big Lie the ad promotes is that the so-called “public option” will promote competition in the health insurance industry. Of course, allowing the federal government to offer health insurance will necessarily drive all private insurers out of business, which is precisely the goal as its supporters freely admit.
Liquidating all private health insurers gives the government a monopoly.
Benito Mussolini and maybe Vladimir Lenin must be looking up from their fiery torments in Hell and smiling right now.