Former Obama Administration budget director Peter Orszag has not exactly worked hard to maintain friendly ties with the White House since he left his post in the summer of 2010. First, he took a job writing columns for The New York Times, the first of which ran in September 2010 and suggested extending the Bush tax cuts for the wealthy, something President Obama opposed at the time. Just a few months after that, Orszag took a high-level job at Citibank, which some believed undercut the Administration’s effort to appear tough on Wall Street. The move also raised the specter of the much-hated public-private sector revolving door.

In the current issue of Foreign Affairs, Orszag fires a shot at the Affordable Care Act, charging that Democrats made a mistake in not including serious medical malpractice reform in the sweeping new law.