Here's my take: The mailings are a month old. I read a discussion of how they are very similar (perhaps intentionally) to images used against the idea when Hillary Clinton promoted her health care during Bill's presidency. This "moral outrage" comes off as a mother scolding a child... and in a way that makes them mom look bad. Maybe it's my age but she came off overly upset, not justifiably so. The sort you respond to with an

.
Oh yes, and btw:
Gee... attacking on healthcare is wrong? (Also, please note that the last quote on there is actually from HER as reported on CBSNews.com. Not from a reporter, she's quoting herself.)
I see this as staged outrage and nothing else and she doesn't adequately respond to the "attacks" in the mailings that oh-so-completely offend her.
ETA:
Video of Hillary's OMG
Video of Obama's response
More fun links:
What if we're nuked on day one!
The NAFTA mailer from Obama
An image purportedly from a mailer