As far as I can tell he’s being serious.
Via RCP:
DEAN: The government has a right to make sure that when you buy something it is what it’s supposed to be.
KRISTOL: And to force you into the exchange? That’s what they’re doing.
DEAN: I think that’s okay because I think in the long run, what’s been happening in the past is those policies that get sold don’t cover what you think they cover. And furthermore, and this used to happen when I was practicing, an insurance company would pull your insurance if you got sick. That is not allowed anymore under Obamacare.
I think Obamacare is in fact going to be the reason that we are going to pick up seats in the House and we are not going to lose the Senate.