On this week’s edition of “Real Time with Bill Maher,” host Bill Maher and a panel made up of former George W. Bush advisor David Frum and TV hosts Joy Behar and Chris Hayes discusses the Republicans’ and tea party’s monomaniacal obsession with defunding the Affordable Care Act, also known as Obamacare.

Maher described the fixity with which men like Sen. Ted Cruz (R-TX) and House Republican Rep. Louis Gohmert (R-TX) have pursued their dogged path of voting repeatedly to overturn the health care overhaul with “a cokehead’s obsession.”

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“This holding hostage” of the U.S. and world economies and the functioning of government, Maher asked, “Is this a fair tactic?”

“What are they bitching about?” asked Behar. “This is what the country obviously wants.”

Hayes and Maher lamented that President Barack Obama hasn’t done a better job of selling the policy to the public. Frum countered that Obama is afraid something will go wrong.

Hayes slammed conservatives and the Koch brothers for their strange, off-putting commercial urging young people not to sign into Obamacare featuring a waxy Uncle Sam head opening and closing a vaginal speculum.

“They’re trying to sabotage the social contract that makes the whole thing work!” he said.

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Maher said he finds it really perverse that “the vaginal ultrasound people” are putting out the ad. “They’re the ones who are in women’s vaginas.”

The message that young people are really going to take away from the ad, however, said Maher, is that “Republicans are creepy pervs who are always thinking about women’s lady parts.”

Watch the video, embedded via YouTube user Sane Man, below: