Surprise: Obamacare medical device tax killing jobs in the industry

posted at 1:21 pm on July 30, 2012 by Mary Katharine Ham

An Indiana-based medical device company is canceling plans to build five new plants in the Midwest because of the hit it will take from the 2.3 percent excise tax imposed by Obamacare.

The new tax will cost Cook Medical Inc. between $20 million and $30 million a year, Pete Yonkman, executive director of Cook’s strategic business told the Indianapolis Business Journal, limiting the amount Cook can spend on new plants. It took $30 million to revamp an abandoned factory in Canton, Ill. last year that will eventually employ 300 people in this small town.

“We had hoped, as we get bigger, that that would be our model for expansion,” Yonkman told the Indianapolis Business Journal. “To take these small manufacturing facilities and bring them to these communities, that had been hard hit by jobs leaving because they work ethic is amazing and the people are really supportive and excited.”

A funny thing happened on the way to the passage of the health care bill. Congress had to pay for it. So, they cobbled together a couple billion here, wrung from taxing small-money business investments via crippling paperwork, and a couple billion there, taken from the wallets of tanning salon denizens. One of those taxes, forecasted to bring in $29 billion over 10 years, hits the medical device industry. Congress exempted such items as contacts and eyeglasses to prevent the tax hike from touching everyday purchases, but that doesn’t mean people won’t feel the cost in other ways, as Yonkman’s story illustrates.

The House voted to repeal the tax in June, 270-146, but the repeal has since stalled in the Senate, despite bipartisan support from the likes of Sen. Amy Klobuchar (D-Minn.), who is part of a Midwestern group of Democrats concerned about the job loss the tax may cause. Even liberal darling Elizabeth Warren, Democratic candidate for Senate in Massachusetts, backs repeal of the tax fearing the impact on a high number of medical device jobs in her home state.

Supporters of the law and the medical device tax argue that companies are exaggerating the toll the tax will take, and that more spending on health care in general will make up for their losses. But medical device companies argue theirs is an industry with many small companies shouldering large research-and-development budgets and competing for elite medical and scientific minds.

As a result, it took Massachusetts-based Abiomed 30 years to show a profit building specialized heart pumps. During that time, the company has grown from 10 to 440 employees, but the company risks being back in the red if the excise tax goes into effect Jan 1, 2013, as planned.

Abiomed reported about $1.5 million in profit on the $126 million in sales the company realized during fiscal 2012. Had the medical device tax been in effect then, the company would have had to turn in every penny of its profits, plus another $1.4 million or so.

“None of this was allocated three years ago when we created a strategic plan to become profitable,” CEO Mike Minogue told the House Committee on Small Business last week.

Minogue testified the amount Abiomed will pay for the excise tax is the equivalent of 15 percent of the company’s research and development budget, 10 percent of its employee head count, or almost double what it spends on health care for hundreds of employees.

“This tax will affect jobs. It will mix health care reform with tax policy and it will be extra detrimental to companies that are not yet profitable and need every dollar to survive,” he said.

Minogue also cited logistical concerns. The exact regulation, still not finalized, goes into effect Jan. 1 2013, and Abiomed’s books have to be closed and audited by March.

According to the medical-device industry’s national association, the field employs more than 400,000 Americans, and 70 percent of medical device companies are small businesses.

In February, Minnesota-based Medtronic said it may have to pass on its costs to consumers and cut back on its investments to pay the $60 million the tax will likely require.

The Minneapolis-based company estimates it will pay a tax of $40 million to $60 million in the 2013 fiscal year, based on the draft regulations currently available, Ellis said today in a telephone interview. Medtronic is trying to determine how much of the tax it can pass on to hospitals and other customers who purchase the company’s devices, he said.

“We’ve looked at this as basically one of the costs we’re going to have to cover as we put together our plans for fiscal year 2013 and as we put together our initiatives on a long-term basis,” Ellis said in a conference call with investors. “We’re going to have to make the tradeoffs and there’s probably going to be things that we can’t do as a result of that,” he said. “It means we won’t have as much to invest going forward.”

In November 2011, Michigan-based prosthetics manufacturer Stryker announced it will cut five percent of its global workforce to cope:

The reductions and restructuring “are being initiated to provide efficiencies and realign resources in advance of the new Medical Device Excise Tax scheduled to begin in 2013, as well as to allow for continued investment in strategic areas and drive growth despite the ongoing challenging economic environment and market slowdown in elective procedures,” the company said in a press release.”

In Tennessee, COO Bill Pittman of DeRoyal Industries succinctly described the problem for medical device companies:

“The medical device tax constitutes the largest cost increase DeRoyal has experienced in its 40-year history. We are working to mitigate this impact in a number of ways from both a revenue and cost perspective. Even in the face of this challenge we are doing everything within our power to preserve US jobs in this incredibly difficult economic environment.”

On the other side of the coin, several medical device companies have recently announced they’ll be adding employees, with the help of local and state tax incentives and credits. Wouldn’t it be more efficient if we just let everyone keep their own money for that?

All part of finding out what’s in it.

Minogue’s entire testimony is here, beginning at 10:00, with several questions for him at 42:00, 47:00, and 54:00.

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OTax: right on schedule.
It worked!

Electrongod on July 30, 2012 at 1:24 PM

Off sure he we come.

rob verdi on July 30, 2012 at 1:24 PM

Intended consequences.

He is aiming to nationalize health’care’. Period.

Schadenfreude on July 30, 2012 at 1:24 PM

Obama hates America.

Schadenfreude on July 30, 2012 at 1:24 PM

That’s okay. The more people out of work, the more people will be on welfare and unemployment, which makes them democrats.

The Rogue Tomato on July 30, 2012 at 1:25 PM

All part of the plan.

tom daschle concerned on July 30, 2012 at 1:25 PM

America needs an Obamuhrrhoidectomy, stat! … before the excise tax makes the device impossible to manufacture.

OhEssYouCowboys on July 30, 2012 at 1:27 PM

This IS NOT unintended – obamacare is having EXACTLY the effect it was designed to have. We must not lose sight of the FACT that obama entered office with the singular goal (mission) of destroying the United States – destroying the U.S. economy is simply one facet of the master plan.

Pork-Chop on July 30, 2012 at 1:28 PM

“But it’s not a tax”
/Pelosi

Bitter Clinger on July 30, 2012 at 1:29 PM

Please God let people wake up and vote for Romney in November. I saw Schadenfreude’s post on another thread,about how we can fix the damage that the Zero has done with relative (!) ease, but educating the masses of people who voted him in and are set in their entitlement mentality is going to be difficult. Sigh.

JoAnn1965 on July 30, 2012 at 1:30 PM

Ummmm…ahhhhh…ummmm…Nope. I got nothin.

timberline on July 30, 2012 at 1:31 PM

Supporters of the law and the medical device tax argue that companies are exaggerating the toll the tax will take,…..

Because for some, there is no such thing as too large a tax.

DaveDief on July 30, 2012 at 1:32 PM

The manufactures of these devices will have to double or triple the cost to survive.This drives up the price of health insurance for everyone.The deductables will probably skyrocket also.The ACA becomes not so affordable.

docflash on July 30, 2012 at 1:33 PM

Government…doing nothing expensively…

PatriotRider on July 30, 2012 at 1:34 PM

Supporters of the law and the medical device tax argue that companies are exaggerating the toll the tax will take,…..

Because for some, there is no such thing as too large a tax.

DaveDief on July 30, 2012 at 1:32 PM

And because, for those same people, government can spend that money so much more wisely than these companies can.

Bitter Clinger on July 30, 2012 at 1:36 PM

This isn’t a tax, it’s a permissible mandate, pursuant to the Commerce Clause.

- John Roberts, Justice of the Supreme Court.

OhEssYouCowboys on July 30, 2012 at 1:37 PM

The medical device industry didn’t build the artificial heart.

The government did.

They’re doing fine.

Good Lt on July 30, 2012 at 1:37 PM

On the issue of bhocare, here is a company in CO that holder/sebelius have filed suit against. Boy, oh boy, we have got to put a stop to this krap, STAT!

http://cnsnews.com/news/article/doj-colorado-family-give-your-religion-or-your-business
L

letget on July 30, 2012 at 1:40 PM

Tax medical devices and you’re going to get less… medical devices.
I understand that the tax wouldn’t even generate much net revenue. It’s clearly intended as a punitive tax to limit new innovation in medical devices.
What do medical devices do? They save or extend lives, and improve the quality of our health. It is simply insane that medical devices be a target. Make an issue out of this in the ads.

anotherJoe on July 30, 2012 at 1:40 PM

Supporters of the law and the medical device tax argue that companies are exaggerating the toll the tax will take, and that more spending on health care in general will make up for their losses.

Because they said so… that’s why.

cajun carrot on July 30, 2012 at 1:41 PM

Are any of the resident leftists going to defend this?

tom daschle concerned on July 30, 2012 at 1:42 PM

…several medical device companies have recently announced they’ll be adding employees, with the help of local and state tax incentives and credits. Wouldn’t it be more efficient if we just let everyone keep their own money for that?

Efficient? Sure. But how are government officials going to skim off any money if they don’t collect it in the first place?

DamnCat on July 30, 2012 at 1:43 PM

Research & Development will be done, just not here, not with our engineers in the relatively small medical device companies here.

This “tax” is really a method to kill the industry here – leaving companies like GE in full monopoly and out of the country.

batterup on July 30, 2012 at 1:44 PM

I pray that Democrats need the types of medical devices that they are taxing into oblivion.

Sorry, we can’t replace your heartvalve Mr. _____ or Mrs.______, that company that used to make them went belly up as a result of your policies. Here’s a painkiller, tho’….

ted c on July 30, 2012 at 1:44 PM

The IPAB has, after a lengthy, responsible, intelligent and disciplined review of [insert medical procedure], has decided that such procedure shall not be paid for, and will not be made available to the public, for the reason that, as instrumental as it would be to the general health of millions, there is no medical device available, as a result of the ObamaCare medical device tax.

- The IPAB.

OhEssYouCowboys on July 30, 2012 at 1:46 PM

Why do yoif your goal is to “bend the cost curve” of healthcare spending?

casuist on July 30, 2012 at 1:48 PM

This was a punitive tax, just like the “yacht tax” that Congress famously had to repeal after it killed the U.S. yacht industry and destroyed thousands of jobs.

The idiots who wrote Obamacare actually believe that one of the biggest factors in runaway health care cost inflation is the “excessive” reliance on devices and the “excessive” investment in them as opposed to basic care (i.e. paying unionized nurses and orderlies in hospitals.)

rockmom on July 30, 2012 at 1:49 PM

Any company that can’t pay its fair share of taxes is simply not too big to fail.

- Barack Obamuh.

OhEssYouCowboys on July 30, 2012 at 1:49 PM

Which trees have the tastiest most nutritious bark? I’ll plant them now and hope by the time I need a good meal, they’ll be ready since we’re doing everything possible to emulate the Norks.

vityas on July 30, 2012 at 1:52 PM

My 11-year-old autistic diabetic son is impacted by this as he’s using a Medtronic Insulin Pump. Looks like our pocket book will take a hit. Wonderful. Thanks Dems, that’s exactly what we needed right now.

kerrhome on July 30, 2012 at 1:52 PM

letget on July 30, 2012 at 1:40 PM

The court awarded them an injunction.

txhsmom on July 30, 2012 at 1:56 PM

Medical devices are more than replacement heart valves and other high-tech innovations. They are blood collection bags, drainage bags, tubing, catheters, airways, resusitator bags, and everything else used for patients even in emergency rooms.

This tax is certain to drive up costs much more than any revenues collected will make health care more affordable.

Liam on July 30, 2012 at 1:56 PM

barrack don,t care because they didn’t build any of it…..jobs…he never had one so how would he know how to create one…..

crosshugger on July 30, 2012 at 1:57 PM

If this is a legal, necessary step to re-elect the president who saved the auto industry, reformed health care, is winding down two stupidly run wars, and kept the economy from sliding into a depression, I’ll kee the change, thank you His pragmatism gives me hope for this November.
 
urban elitist on February 7, 2012 at 1:35 PM

rogerb on July 30, 2012 at 1:59 PM

Surprise: Obamacare medical device tax killing jobs in the industry

…this should make his ‘likeability’ percentage go up at least 3 points… in the next ‘poll’.

KOOLAID2 on July 30, 2012 at 2:00 PM

RESULTS.

Massive Unemployment in the Black Community with no end in sight.

Food Stamp use at an all-time high, and growing.

Trillion dollar deficits, with a plan to “INVEST” more in a 2nd term.

Industries and companies being knocked off, mandated, regulated, into extinction, and no end in sight.

Results = He is the DOTUS.

PappyD61 on July 30, 2012 at 2:01 PM

Hmmmm……..maybe someone should have READ the bill and it’s provisions BEFORE voting on it.

But not to worry, the Dems will just say ‘tweak it’. And the same again next year. And the year after. And the …….

Like the Brits do each year when Parliament meets. One of the first orders of business is addressing, yet again, another failure in the health care laws.

GarandFan on July 30, 2012 at 2:02 PM

So, this time they actually won’t build that. Great news for Obama and Warren.

Curtiss on July 30, 2012 at 2:03 PM

This was not unintended. The thinking behind the tax was this:

1) New medical technologies are very expensive

2) Either this makes for
      2a) Expensive insurance which only the richest can afford, or
      2b) Procedures limited to rich early-adapters who can pay cash.

3) Since neither of those are acceptable to an egalitarian (where everyone must be equal no matter what–even if it means equally bad) we must instead make sure that no one can get these procedures.

4) Since banning new procedures wouldn’t be acceptable to anyone–people like medical innovation–they must find a hidden way to eliminate new technologies.

5) When you tax something you get less of it. When you tax something exorbitantly, you get none of it. So, by taxing the h^%$ out of medical technologies, we can back-handedly eliminate costly innovations.

6) Mission accomplished: no new innovations, no fancy new procedures only the rich can afford, we’re all equal. Yay!

HakerA on July 30, 2012 at 2:03 PM

FREE BUNGEE JUMPS FOR DEMOCRATS
NO STRINGS ATTACHED!

–stolen and tweaked from twitpic

txhsmom on July 30, 2012 at 2:03 PM

Undecided voters need to read this and be afraid.

The goal is to foment enough public discontent, moral confusion, and outright chaos to spark the social upheaval that Marx, Engels, and Lenin predicted

a revolution whose foot soldiers view the status quo as fatally flawed and wholly unworthy of salvation.

Thus, the theory goes, the people will settle for nothing less than that status quo’s complete collapse — to be followed by the erection of an entirely new system upon its ruins.

faraway on July 30, 2012 at 2:05 PM

If this is a legal, necessary step to re-elect the president who saved the auto industry, reformed health care, is winding down two stupidly run wars, and kept the economy from sliding into a depression, I’ll kee the change, thank you His pragmatism gives me hope for this November.

urban elitist on February 7, 2012 at 1:35 PM

rogerb on July 30, 2012 at 1:59 PM

May urban elitist be one of the first to suffer under O-Care.

GrannyDee on July 30, 2012 at 2:07 PM

txhsmom on July 30, 2012 at 1:56 PM

Thanks so much, appreciate that information.
L

letget on July 30, 2012 at 2:09 PM

Medtronic is one of the larger employers in our area. I hope they don’t decide they need to pull up stakes to save costs. This medical device tax is so nakedly destructive and unjustifiable that I must categorically reject any temptation to characterize it as asinine or stupid. It is a deliberate act of sabotage perpetrated against the American people by the Democrat party.

I don’t go around using sentences like the last one on a daily basis. But there’s just no way around it. No one who has made it to the United States Congress can be that dumb. Except for the tippy Guam guy.

Xasprtr on July 30, 2012 at 2:14 PM

kerrhome on July 30, 2012 at 1:52 PM

Me, too – I mean, I use a blood glucose monitor. I was posting on a thread here a week or so ago that if Obama isn’t shown the door and if Mitt doesn’t get rid of this monstrosity, I most certainly will end up dead. I’ve been insulin dependent for 45 years now (since second grade) and it does not bode well. Either my life-sustaining stuff will get prohibitively expensive, or I’ll develop some complication which they will say is not worth treating. Yikes.

chelie on July 30, 2012 at 2:16 PM

Right. Medical devices “save or extend lives” which the government (with Obamacare) has to pay for. Thus the tax is a cost limitation device which pays revenue to the government. Perfect! Unless you need one to stay alive.

tngmv on July 30, 2012 at 2:18 PM

I remember at the time thinking “Wouldn’t it just be cheaper and easier to get rid of all taxes for the entire medical industry from the doctors and nurses to the hospitals to the device makers?” Then I found out they were actually going to tax the device makers. How are you supposed to make something more affordable by taxing it? I don’t know if my idea is a good one or not, but it’s certainly better than this pile of garbage they came up with.

NukeRidingCowboy on July 30, 2012 at 2:20 PM

Excellent post, and thanks Jazz for taking up this issue.

MTF on July 30, 2012 at 2:24 PM

There’s one other extremely punitive tax attached to ObamaCare…one no one ever talks about. And it will hit the very people liberals say they want to help: those with high medical bills. AND…it kicks in a year earlier (2013).

If you have high medical bills this year, you can take a tax deduction for the amount over and above 7-1/2% of your income. Obamacare will raise that hurdle to 10%.

For someone like me, w/ low income and $5000 medical expenses, that one provision would have cost me around $350 last year. Yet I never heard a single reporter ask Pelosi or Obama how they felt about such a large tax hit to low income filers.

jeanneb on July 30, 2012 at 2:24 PM

Sorry- I meant to refer to Mary Katharine! Brain lock.

MTF on July 30, 2012 at 2:24 PM

My sister’s family runs a small medical device company- this tax is killing them, period. The cost for everything went up, and they had to let go a ton of their employees.

Kristamatic on July 30, 2012 at 2:27 PM

“Obamacare medical device tax killing jobs in the industry”

And these liberal fascists wonder why companies off-shore jobs and production.

You can’t fix stoopid.

locomotivebreath1901 on July 30, 2012 at 2:30 PM

I love my free health care.

Thank you president Obama!

tom daschle concerned on July 30, 2012 at 2:30 PM

This is what a communist does.

….and you’re surprised? Obviously you weren’t paying much attention in 2007/8. Wake the EFF up.

Wolfmoon on July 30, 2012 at 2:35 PM

Heh. Wasn’t O’JugEars simply going to decree job creation in the sector?

socalcon on July 30, 2012 at 2:37 PM

Now we know who is paying for all those “free” birth control pills.

rockmom on July 30, 2012 at 2:45 PM

I for one can’t wait to pay 2.3% more on my kids’ insulin pumps. Serves me right for being punished with children.

Plus, this should also further slow down eeevil manufacturers improvements on pumps and continuous blood glucose monitors. Take that, kids!

….sigh…

batter on July 30, 2012 at 2:51 PM

Please God let people wake up and vote for Romney in November. I saw Schadenfreude’s post on another thread,about how we can fix the damage that the Zero has done with relative (!) ease, but educating the masses of people who voted him in and are set in their entitlement mentality is going to be difficult. Sigh.

JoAnn1965 on July 30, 2012 at 1:30 PM

What we really need is a conservative Congress. Never lose sight of that.

tom on July 30, 2012 at 2:52 PM

jeanneb on July 30, 2012 at 2:24 PM

The same thing is happening if you have a job with insurance. The Flexible Spending Account (FSA) system is being capped federally at $2500 from its current limitless cap (but most companies put a cap on it themselves, my current employer’s is $7500). FSA is basically a way to use all of the money you put into your account pre-tax for medical needs. The downside is its a use it or loose it thing, but you can elect how much you can put in it.

I luckily was able to get a new job with better insurance coverage and a slightly higher wage to compensate for the hit of loosing the difference. But that’s only going to help for the next year if things don’t change.

So the FSA cap reduction alone would cost my family about ~$1500-2000. Tack on another ~15% premium rise and its getting scary.

kerncon on July 30, 2012 at 2:52 PM

My 11-year-old autistic diabetic son is impacted by this as he’s using a Medtronic Insulin Pump. Looks like our pocket book will take a hit. Wonderful. Thanks Dems, that’s exactly what we needed right now.

kerrhome on July 30, 2012 at 1:52 PM

Same issue here; my daughter’s been on a Medtronic pump for the last 10 years. What a blessing that device has been; tighter control of her sugar levels and not having to “chase” the insulin.

mrmagoo on July 30, 2012 at 2:55 PM

2.3% tax on gross? Holy crap.

forest on July 30, 2012 at 3:00 PM

The government Leviathan must be fed — it has an insatiable appetite.

Dasher on July 30, 2012 at 3:00 PM

2.3% tax on gross? Holy crap.

forest on July 30, 2012 at 3:00 PM

We are so lucky this won’t be paid for by the consumer… oh wait!

Dasher on July 30, 2012 at 3:02 PM

Doing fine…….

KMC1 on July 30, 2012 at 3:03 PM

mrmagoo on July 30, 2012 at 2:55 PM

We use the OmniPod. I hate to think of the cost if they are going to slap me with 2.3% on each pod. Like you said, the pumps have been heaven-sent.

batter on July 30, 2012 at 3:04 PM

“Unintended Consequences” under the photo…

Oh? What makes you think they are unintended??

Gordy on July 30, 2012 at 3:12 PM

I thought I had read somewhere that the tax was 3.8 percent, not 2.3. Either way it is destructive, as it is a tax on revenue, not profit.

Colony14 on July 30, 2012 at 3:31 PM

It’s all about disabling the country; and so far it’s working.

listens2glenn on July 30, 2012 at 3:38 PM

“Unintended Consequences” (under photo) MKH

.
Oh? What makes you think they are unintended??

Gordy
on July 30, 2012 at 3:12 PM

.
Looks like I’m not alone.

listens2glenn on July 30, 2012 at 3:40 PM

We no longer live in a Republic with separation of powers. The 0 Admin can do whatever they want with 63 czars and overregulation via 100 other bureaucracies.

kirkill on July 30, 2012 at 3:54 PM

Troll free, wonder why?

Bmore on July 30, 2012 at 4:03 PM

I love my free health care.

Thank you president Obama!

tom daschle concerned on July 30, 2012 at 2:30 PM

LOL! Face it tom, a thespian you are not. We all know your not a troll. Nice try though. ; )

Bmore on July 30, 2012 at 4:05 PM

The government Leviathan must be fed — it has an insatiable appetite.

Dasher on July 30, 2012 at 3:00 PM

‘We oil the jaws of the war machine and feed it with our babies.’
IRON MAIDEN

Or we destroy the Leviathan…I am really beginning to feel hopeless about this. DHS gearing up for riots, and buying 450million rounds of .40cal hollowpoints?!! The slaughter is coming, we can only pray that Good wins.

orbitalair on July 30, 2012 at 4:41 PM

And bozo has the gall to stand in front America and say he has lowered taxes. Just flat out lies and deception.
Let’s face it, taxing medical devices hits people that could really use a break the hardest. What a sh1tty thing to do to people that already have an extra challenge.
And let’s not forget, this POS was created and passed by the legislative branch. Remember that in November as well.

JusDreamin on July 30, 2012 at 4:44 PM

wonder how much this is going to affect VA, making their costs higher.

dmacleo on July 30, 2012 at 5:31 PM

When will one of these companies have the cohones to actually create an advertisement saying “Help us, America! This guy is KILLING us!”

kurtzz3 on July 30, 2012 at 5:50 PM

I thought I had read somewhere that the tax was 3.8 percent, not 2.3. Either way it is destructive, as it is a tax on revenue, not profit.

Colony14 on July 30, 2012 at 3:31 PM

That’s the hike in taxes on capital gains for people making over 200k.

So that plus Obama’s tax hike plan means taxes on investment will go from 15% to 23.8%

Chuck Schick on July 30, 2012 at 6:00 PM

This is slightly off topic, but here is how the “Affordable Care” act has affected me in the past week. I have a high-deductible policy for myself and my 14 year-old son with BCBS. We are both very healthy and do not need anything more than that.

I first received a letter explaining that BCBS had not spent 80% of their expenditures on health care related expenses and that I would be receiving a $170 check because of their indiscretion. Yay?!

A few days later, I received a letter explaining that my son and I would receive all sorts of coverage for birth control, well woman visits, breast cancer screenings, pap smears, etc. at no charge. Yay?

Saturday, I received a letter explaining that my premiums will be rising by $1900 per year starting next month due to “unforeseen rising costs.” That’s an 84% increase in premiums. Not yay.

stvnscott on July 30, 2012 at 8:42 PM

Saturday, I received a letter explaining that my premiums will be rising by $1900 per year starting next month due to “unforeseen rising costs.” That’s an 84% increase in premiums. Not yay.

stvnscott on July 30, 2012 at 8:42 PM

I can’t wait till my union brothers receive these letters. I want to witness another level of cognitive dissonance as they blindly support the democrats, who hate them, and do not have their best interests at heart.

The Germans have a word for it…

tom daschle concerned on July 30, 2012 at 8:49 PM

Truth be told, liberals couldn’t care less. Their end of total control over the health care system and subsequently each of our daily lives justifies whatever collateral damage is caused to the health care delivery system of the USA. They think they’re so smart that once they have control, they can fix whatever needs fixing, so long as it doesn’t diminish their power over the people.

conservative4freedom on July 31, 2012 at 12:45 PM