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When someone persists in lying to you, there comes a point where you have to stop merely refuting the lies. You have to look them in the face and simply say "You are lying."
That's where Democrats like Bill Pascrell are now. The lie he's confronting here is the fiction that the current Republican attacks on the ACA are rooted in genuine concern for Americans' access to healthcare. It's easily exposed by simply citing recent history. Which Parscrell does, much to the obvious discomfort of Republican Tim Griffin (whose resemblance to Frank Burns* in this clip is positively uncanny.)

The extreme free market right wing in this country has grown to the extent that charitable assumptions about such basics as an allegiance to common usage and common decency are no longer safe. Does someone insist, in the face of all history and reality, that Hitler was a liberal? Be persistent and you'll likely find out s/he's using an extra special definition of "liberal" that s/he knows perfectly well is at odds with how most people define it. Is someone blandly declaring that the United States has the best healthcare system in the world? Dig. Ask the right questions. You may discover that the person does not base this assertion on the mistaken belief that our infant mortality rate is lower than it actually is. It may very well be based on the belief that watching each other die from untreated illnesses is a laudatory life-lesson for people who've been unable to save enough money to pay out of pocket for medical care. They may even call dying from a treatable disease because you can't pay for it a "choice."
Of course, saying early on and publicly "I'm radically redefining the word liberal/racist/socialist/torture/etc." or "I think our high infant mortality rate is a dandy way of dealing with the surplus population" would be the honest way to approach argument, but it would also quickly destroy the arguer's credibility. The people who believe these things know this, so they often count on the naivete of whomever they're debating. They buy time, emit clouds of jargon the way frightened squids spew ink, avoid at all costs any discussion of the actual human consequences of their policies.
Because they know that it's not just their definitions of "racist," "torture," "socialist" etc., that are at odds with common usage. Their definition of "good" and "humane" aren't what most other people have in mind when using those terms.
*Mendacious, snivelling villain from the '70s era sitcom M*A*S*H, brilliantly played by Larry Linville.