I’ve seen it a few times but am finally coming round to see that the ad is not satire but is supposed to help market the Affordable Care Act (a name that is also not supposed to be satirical). Since it part of a series, and this article points out that the ad assumes that the age group this is supposed to appeal to ought to be insulted by being portrayed as such imbeciles, then maybe they really are just as clueless as the people who made these ads think they are.