There's no republican conspiracy here Jake, Jimmy Carter's just an old bloke who got it wrong.
This whole health debate is stirring up a whole load more trouble than usual because (in my opinion) America just doesn't understand provision of state services on an NHS kind of scale. It's alien to their individualist culture, and way to much like communism. Consequently you get republicans getting all worked up and bringing silly words like 'Evil' and 'Tyranny' into the debate.
Nothing to do with racism.