lets see, passing a health care bill that will raise premiums, inject major uncertainty into businesses for years to come, hurt a major portion of small businesses.
He signed that document KNOWING this would happen, if he didnt know then he shouldnt be in the position he is in...
Look at the studies done by Joshua Knobe. I could make this a long long post but I'll just say again that most people think that if Person X did Action Y with consequence Z and consequence Z was a bad consequence, then most people think that Person X did consequence Z intentionally. But If Person X did Action Y with good consequence Z, then most people say that Person X did not do consequence Z intentionally.
I'll try sloppily to apply this to your post here. I'm allowing a lot just for the sake of argument. But Obama passed the health care bill because he
intended to give health care to those that do not currently have it. The "raise premiums, inject major uncertainty into business for years to come, hurt a major portion of small businesses, etc", he did
knowingly, NOT intentionally.
Intentionally and knowingly are not the same. In legal philosophy, moral blame is tied to actions done intentionally, not knowingly.