"How do you plan to spend the cold days of December?" read a tweet from President Obama's Twitter account via Organizing for Action.

The tweet included a picture of a flannel pajama-clad man reminding Americans to "Wear pajamas. Drink hot Chocolate. Talk about getting health insurance."

The photo spawned ridicule from conservatives on Twitter and even some disbelief.

"This is real. OMG," noted Fox News senior political analyst Brit Hume.

Others on Twitter shared their photoshopped versions of the ad. Stop by Twitchy for a good roundup.