One of the most interesting outcomes of the Supreme Court's decision on the Affordable Care Act is how unusually off message the GOP has been. Their talking points have been like marbles rolling in all directions.

While talking about Governor Mitt Romney's promise to repeal the ACA, Louisiana Governor Bobby Jindal referred to the law as "Obamneycare." Ouch!

And when Florida Senator Marco Rubio was grilled about the difference between Romneycare and Obamacare, he offered a glib response: Romney's health plan was just for the state of Massachusetts. If people there didn't like it, they could just move to another state.

Seriously Marco, that's the main difference? A choice between health care and moving out of state?

And most Republicans were jumping on the idea of calling the ACA's individual mandate a tax instead of a penalty as President Obama refers to it. But that would mean Romney's health care mandate amounted to a tax, too.

Romney's senior advisor Eric Fehrnstrom found himself in a corner this weekend, saying that Romney agrees with the president, calling it a penalty.

But my favorite response came from the always effervescent Senator Mitch McConnell. He told a Fox News reporter that Republicans didn't have a plan for replacing Obamacare after repealing it.

I've never run a political campaign. But "vote for me because I 'm going to block 30 million fellow Americans from receiving health care coverage, and there's no replacement plan" doesn't seem like a winning message for Romney.

Maybe that explains why John Boehner started talking on Sunday morning news shows about how Republicans envision a patient-driven approach to reforming health care.

Preventing 30 million people from receiving coverage doesn't sound patient-driven to me, but who knows?