Health-care lobby hitting red states hard on ObamaCare

posted at 2:41 pm on March 4, 2013 by Erika Johnsen

One of the most troubling aspects of the new Virginia transportation law signed by Gov. Bob McDonnell is the provision that will allow a bicameral commission to decide whether the state will end up expanding Medicaid. McDonnell added the measure to glean some Democratic support for his bill, confident in the legislature’s Republican majority to keep the state safe from ObamaCare’s Medicaid-expansion clutches, but here’s my question: Why would the Democrats ever have agreed to that as a concession if they didn’t think they had a snowball’s chance in hell of making it work? As the WSJ put it, just “wait until the hospital lobby gets done working the same Republicans who raised taxes.”

Because there’s certainly been plenty of that going on throughout the rest of the country. Lobbyists have been more than just a bit player in influencing red states that haven’t held the line on creating health insurance exchanges and/or expanding Medicaid, as Tim Carney reports today, and it looks like thoroughly-red Idaho may be the next to cave because of it:

“They lobbied greatly,” Idaho state Sen. Monty Pearce, a Republican exchange opponent, told me about the health care sector and the legislation to create the insurance exchange. “They’ve been lobbying on it for a couple of years. … They’ve hired every lobbyist they can get.”

The Idaho Hospital Association has made a state exchange a priority while also lobbying to expand Medicaid. Another leading exchange backer is the Idaho Association of Commerce & Industry — one of the biggest-spending lobbying organizations in Boise. Dozens of Idaho businesses, led by insurers and health-care providers, formed the Idaho Health Exchange Alliance to back Otter’s push for an exchange.

These pro-exchange health-industry companies also poured money into legislative campaigns. Comb through the campaign finance disclosures of most Idaho state senators and you’ll see gifts from drugmakers (GlaxoSmithKline and Pfizer), insurers (Blue Cross of Idaho and PacificSource Health Plans) and industry groups (Idaho Hospital Association, the Pharmaceutical Research and Manufacturers of America, and the Idaho Health Care Association). …

In Ohio, Republican Gov. John Kasich recently announced he would expand Medicaid as prescribed — but not required — by Obamacare. “We have been actively involved” in pushing this expansion, Cleveland Clinic top lobbyist Oliver Henkel told my Washington Examiner colleague Philip Klein. The clinic reached out early on to Kasich’s administration and helped win them over.

Oof. It’s not like we would’ve expected anything else, judging from what went down on the national level with ObamaCare; President Obama once lamented that “each time lobbyists game the system or politicians tear each other down instead of lifting this country up, we lose faith,” but his signature law certainly engendered enough of it.


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Some stupid governors faultered already.

May they all go to Hades.

Schadenfreude on March 4, 2013 at 2:43 PM

So the GOP at the state level are selling us out for a few years of “free” federal money. And when that runs out, we’re all screwed. I hope Rick Perry resists the temptation down here in Texas.

Doughboy on March 4, 2013 at 2:43 PM

Utopia is an IPAB decision that you’re not valuable enough to the State, to waste any cancer treatment on.

Be strong, Comrades – Utopia is near.

OhEssYouCowboys on March 4, 2013 at 2:46 PM

I’m a bit confused about this, it isn’t like the money they are getting from the feds doesn’t belong to the states anyway. Can they take the money, that I realize dries up in a few years, and make their own program that can be sustained?

Cindy Munford on March 4, 2013 at 2:47 PM

I just don’t know how long the system can keep working until it collapses… scary stuff…

Khun Joe on March 4, 2013 at 2:47 PM

These frigging Republicans stand for nothing.

rplat on March 4, 2013 at 2:48 PM

Why do we even need Obamacare when we’ve got Michelle Obama (who has just expanded her medical practice to include dogs) and Michael Bloomberg who personally has to approve OTC soda sales?

Happy Nomad on March 4, 2013 at 2:51 PM

These frigging Republicans stand for nothing.

rplat on March 4, 2013 at 2:48 PM

I wouldn’t trust a damn one of ‘em to feed my dog.

OhEssYouCowboys on March 4, 2013 at 2:52 PM

Happy to say I’m from the only state who’s attorney general is suing to prevent the Uberstate from even setting up an exchange.

and the governor in OK has also said nyet thanks.

lm10001 on March 4, 2013 at 2:53 PM

EMTALA, a 1980s era law signed by Ronald Reagan, forced the provision of care to people who had no ability to pay for it at the closest facility where it could be reasonably provided. Prior to this law if you had a medical emergency and could not pay you would be taken to a charity hospital for care. This might not be close to you, however, and you might bypass several other facilities that only took patients who could pay in some form or fashion. A few dozen high-profile incidents were someone was having a heart attack, stroke, or had suffered a traumatic injury and died led to the passage of this law. There were over six hundred charity hospitals in the United States, many operated by the Catholic Church, prior to this law being passed. Today there are effectively none. The result is that the mandate of unfunded care was forced, by federal law, upon health care providers.

In fact most of these distortions and circumstances exist because of explicit federal laws that criminalize free-market behavior that would instantaneously collapse these pricing structures. If you could load up your car with scorpion anti-venom for $100/dose in Mexico and drive across the border with it unmolested nobody could charge in excess of $30,000 for the same thing and get away with it. If you could not be compelled to pay for Juanita the illegal Mexican invader’s NICU bill then your hospital room would not cost $1,791 a night.

The lack of consumer protections is equally-galling. If you had to be provided a price quote before service was rendered nobody in their right mind would opt for the $125,000 hip replacement over the $14,000 one when both are performed by a top-20 hospital.

More here at the market-ticker

tom daschle concerned on March 4, 2013 at 2:53 PM

So the GOP at the state level are selling us out for a few years of “free” federal money. And when that runs out, we’re all screwed. I hope Rick Perry resists the temptation down here in Texas.

Doughboy on March 4, 2013 at 2:43 PM

Every politician can be bought eventually. These GOP cavers think last November is a harbinger of their own electoral prospects, so it’s time to fold.

Bitter Clinger on March 4, 2013 at 2:53 PM

These frigging Republicans stand for nothing.

rplat on March 4, 2013 at 2:48 PM

McDonnell really didn’t have a choice if he wanted the transportation bill to get out of the evenly divided Senate. The Dems were holding his big piece of legislation hostage. Which I resent the hell out of because a transportation bill is no place to decide about Medicaid expansion which only benefits a bunch of worthless parasites.

Happy Nomad on March 4, 2013 at 2:54 PM

“They lobbied greatly,” Idaho state Sen. Monty Pearce, a Republican exchange opponent, told me about the health care sector and the legislation to create the insurance exchange. “They’ve been lobbying on it for a couple of years. … They’ve hired every lobbyist they can get.”

Here’s a naive question –why does any governor or congressmen agree to meet with these lobbyists? Who cares how many there are — why not just say no?

LASue on March 4, 2013 at 2:56 PM

Gov. Heineman of Nebraska is still holding the line. His explanation is that where do all of those Federal dollars come from? In order to secure “free” Federal dollars, Nebraskans are taxed much more on the Federal level. Federal dollars aren’t free; they are dollars that have been extracted from Nebraska taxpayers.

There are some do-gooder state senators who are trying to strong-arm the Legislature into putting enough pressure on Heineman to make him cave.

I just hope Heineman continues to hold firm.

catsandbooks on March 4, 2013 at 2:57 PM

I’m a bit confused about this, it isn’t like the money they are getting from the feds doesn’t belong to the states anyway. Can they take the money, that I realize dries up in a few years, and make their own program that can be sustained?

Cindy Munford on March 4, 2013 at 2:47 PM

My understanding is it’s less about making Medicare work than just plain keeping their states solvent. Many of these states are struggling financially. Remember that in spite of what the administration and the state run media have been telling us, we’ve had four solid years of job losses and recession, and in the real world outside of the BLS, this is taking a toll.

Also, in the case of state provided/assisted healthcare, there is no real way it can be made solvent under the existing regime of rules and regulations.

I agree the money belongs to the states anyway (or really, the individual citizens it was taken from) but there is no practical way of them taking it back short of that “s” word that’s been filtered here.

Doomberg on March 4, 2013 at 2:58 PM

Here’s a naive question –why does any governor or congressmen agree to meet with these lobbyists? Who cares how many there are — why not just say no?

LASue on March 4, 2013 at 2:56 PM

If they don’t meet with the lobbyists they don’t get the money for their campaigns. In fact, these lobbyists may go out and donate to their opponents or even run commercials for their opponents.

It is all about the money (and also winning re-election or enjoying a cushy retirement after leaving office).

Doomberg on March 4, 2013 at 2:59 PM

President Obama once lamented that “each time lobbyists game the system or politicians tear each other down instead of lifting this country up, we lose faith,”!

The above comes from someone who can’t stop blaming Republican’s in Congress for the Sequester, economic problems and pretty much everything else that is wrong in this country. He does this every time he steps in front of a microphone, especially when cameras are there! How can he make statements like the above and keep a straight face?

tomshup on March 4, 2013 at 3:01 PM

I dunno. Ed keeps telling us that lobbyists should be part of the system, but, if they can truly determine down ticket election results by donating or withholding donations, the deep pockets will win every time. I don’t pretend to know the answer, and understand the constitutional right to address our representatives, but, considering the money available and corruption potential, it seems a bit like a NFL team playing against Pop Warner teams.

a capella on March 4, 2013 at 3:03 PM

It is all about the money (and also winning re-election or enjoying a cushy retirement after leaving office).

Doomberg on March 4, 2013 at 2:59 PM

Pretty much, controlling the levers and knobs in this day and age means a whole lot more than it did 20,30,40 years ago. Too much power has amassed in one spot and that is the real issue here.

I do not think anything I do in the realm of politics will help. Period. My plan at this point is to live cash in hand, I would be willing to bet dollars to doughnuts that a doctor would treat me, or give surgery, or medicine for the right price.

And at this point its all about making sure I have the money on hand to pay the piper should the need arise.

Gatsu on March 4, 2013 at 3:04 PM

“They lobbied greatly,” Idaho state Sen. Monty Pearce, a Republican exchange opponent, told me about the health care sector and the legislation to create the insurance exchange. “They’ve been lobbying on it for a couple of years. … They’ve hired every lobbyist they can get.”


… and one of the groups lobbying the hardest?

AARP – lowlife, scum sucking traitors that they are got THEIR piece of the ObamaTAX pie and are using membership information to call members and “invite you to participate in a telephone townhall occuring right now where you can learn the many benefits you will receive under the Affordable Care Act.”

My mother-in-law was notified by one of her specialists last week they were dismissing her as a patient due to pending changes in Medicaid driven by Obamacare.

Let.It.Burn

PolAgnostic on March 4, 2013 at 3:08 PM

What is so stupid about this is the fact that insurers and pharmaceutical companies are lobbying so hard for it. Obamacare is going to put insurers out of business and has already stopped medical research in its tracks in some of the country’s leading institutions. For example, the Mayo Clinic recently announced that it was shutting down research and specifically cited Obamacare as the cause. It also made cuts to its programmes involving Medicare and Medicaid patients.

There is a reason that the UK doesn’t lead the world in medical breakthroughs…

Resist We Much on March 4, 2013 at 3:09 PM

Isn’t the Medicare program largely responsible for our healthcare mess (forget the lawyers since nobody seems to talk about that)? We have the most expensive healthcare in the world.

You get invited to dinner, told to order the most expensive items on the menu, then the host announces he forgot his wallet. So now the industry has all these facilities where the costs don’t go away. I think we need a “TARP” type program to “right-size” the system (yeah you might have to drive a few more miles).

teejk on March 4, 2013 at 3:10 PM

The feds borrow 40% of what they spend.

How long can that go on? I’m betting not indefinitely.

BuckeyeSam on March 4, 2013 at 3:10 PM

The feds borrow 40% of what they spend.

How long can that go on? I’m betting not indefinitely.

BuckeyeSam on March 4, 2013 at 3:10 PM

46%.

Stein’s Law: “If something cannot go on forever, it will stop.”

Nanny Doomberg: “The USA Has An ‘Infinite Amount Of Money.’”

5 Failed Currencies And Why They Crashed

Resist We Much on March 4, 2013 at 3:15 PM

Doomberg on March 4, 2013 at 2:58 PM

I was wondering about that, like many states did with the tobacco money. They didn’t use it for what it was suppose to be used for.

Cindy Munford on March 4, 2013 at 3:18 PM

I don’t pretend to know the answer, and understand the constitutional right to address our representatives, but, considering the money available and corruption potential, it seems a bit like a NFL team playing against Pop Warner teams.

a capella on March 4, 2013 at 3:03 PM

The bottom line is that the Federal Government has given itself way too much power. Part of the reason lobbyists have so much power is because the government in turn has too much power. A lot of the government’s authority comes from its ability to tax us and spend our money without restraint. Figure out a way to cripple the government’s authority to do this and you have the Holy Grail of conservatism and probably rescue us from bankruptcy to boot.

Doomberg on March 4, 2013 at 3:21 PM

My doctor told me the only blood test the feds have authorized for coverage during a routine physical is cholesterol. Starting in 2014 that will be all that is covered by your standard plan (think Blue Cross).

He said most other insurance providers will follow suit (they have already told him so)and will offer some subsidation for the current series of tests at increased premium rates. He said it is doubtful anyone will pay less than 10-20% of the costs even with the best plans.

I hope Texas reduces every social program we have. Drive the takers away for as long as possible. If Obama can be for infanticide I can be for welfaricide.

DanMan on March 4, 2013 at 3:23 PM

The fight in Texas was going on in the GOP caucus today. It looks like we’ve beaten in back ‘in its current form’ was the words of the advocates who were terrified away from their support (primarily by Tea Party calls, along with the Governor).

michaelo on March 4, 2013 at 3:25 PM

Our government isn’t accountable to us. Our politicians don’t need our votes when they can cheat, spend, and spin any way they want. They just maintain the fiction of a two party system to keep us entertained.

ElectricPhase on March 4, 2013 at 3:28 PM

It does not really matter anymore.

The feds didn’t have the money to give the states anyway.

They borrowed money for votes today.

The whole system will collapse on itself anyway.

redguy on March 4, 2013 at 3:29 PM

I was wondering about that, like many states did with the tobacco money. They didn’t use it for what it was suppose to be used for.

Cindy Munford on March 4, 2013 at 3:18 PM

Not just tobacco money, but lotto, casino, alcohol, tolls, etc, etc…

It is a hallmark of Government. Look no further than Maryland for the perfect example of this.

Gatsu on March 4, 2013 at 3:38 PM

Missouri is falling for it too. Veto-proof majority of Republicans and they can’t stop a medicare expansion that’s been rejected by the voters in two separate referendums.

Can we impeach our state legislators? I just don’t get it.

alwaysfiredup on March 4, 2013 at 3:41 PM

The cancer of Big Government-Big Business alliance must be destroyed… Why do big businesses think that the Big government and the socialists will not totally destroy them at the end? They are really delusional…

mnjg on March 4, 2013 at 3:46 PM

This has always been about the hospitals – they are the real villans here. They are also the primary reason your company’s health care bill is going up.

Zomcon JEM on March 4, 2013 at 3:50 PM

alwaysfiredup on March 4, 2013 at 3:41 PM

Have to ask…what is going on over there??? I saw a story last week about making it a crime to enact “Right to Work” legislation or otherwise restrict workers’ rights?

teejk on March 4, 2013 at 3:51 PM

The insurance companies are stupid and gullible to have any part in this lobbying effort. Don’t they get it yet?? They are going to be the FIRST ones under the bus once Obamacare becomes an Epic Fail. That has been the plan since Day One from Barry!!

cdog0613 on March 4, 2013 at 4:05 PM

Y’all had enough yet? Or this just another excuse for the standard bellyaching on a narrowly niched web site?

beatcanvas on March 4, 2013 at 4:06 PM

I saw a story last week about making it a crime to enact “Right to Work” legislation or otherwise restrict workers’ rights?

teejk on March 4, 2013 at 3:51 PM

Oh don’t worry, that’ll never go anywhere. Our state legislators file thousands of bills each year and enact maybe a hundred or fewer. Plus a Democrat filed that bill and the legislature really couldn’t care less what Democrats think.

alwaysfiredup on March 4, 2013 at 4:07 PM

The cancer of Big Government-Big Business alliance must be destroyed… Why do big businesses think that the Big government and the socialists will not totally destroy them at the end? They are really delusional…

mnjg on March 4, 2013 at 3:46 PM

The people at the top right now will have made their big money by then, leaving the low-level shareholders and policyholders holding the bag when Obamacare fails and we end up with completely socialized healthcare – making all stock in HMO’s, Insurance Carriers, etc. worthless and making those policies worthless.

They know what they are doing – short term gain and get out. they don’t care about the long-term damage it will do.

This is the problem with gov’t involvement in markets – it distorts and destroys the market and instead of working efficiently (the best quality for the best price) we end up with the opposite (the worst quality for the worst price).

the left (and many, many republicans) don’t understand this and believe they can continue to tweak laws, regulations, etc. to somehow come up with a perfect answer that provides great and abundant product (health care) at a low cost. It will never happen. gov’t involvement guarantees that it become ever more inefficient both in quality and price.

Despite the fact that not one gov’t program can be identified that does better than the private sector in terms of quality and price, the left continues to believe it can be done.

Monkeytoe on March 4, 2013 at 4:08 PM

It is strong on the hospitals folks – your standing pillar of help in your town is stabbing you in the back. Ask how much money your non-profit hospital has sitting in its foundation.

Zomcon JEM on March 4, 2013 at 4:10 PM

Oh don’t worry, that’ll never go anywhere. Our state legislators file thousands of bills each year and enact maybe a hundred or fewer. Plus a Democrat filed that bill and the legislature really couldn’t care less what Democrats think.

alwaysfiredup on March 4, 2013 at 4:07 PM

Plus, such a law violates the 1st amendment. No non-idiot can believe otherwise. Else why don’t we just pass laws in every state where the GOP holds sway making it illegal to propose any liberal idea whatsoever?

the fact that an elected official proposed this should make people sick. Of course, idiot republicans have proposed similar stupid laws. Being elected does not mean being bright or having any grasp of the constitution – in fact the reverse is almost always true.

Monkeytoe on March 4, 2013 at 4:11 PM

Monkeytoe on March 4, 2013 at 4:11 PM

As I said, our legislators file thousands of bills every year, and most violate some kind of law or constitutional provision. That is the reason they never get out of committee.

alwaysfiredup on March 4, 2013 at 4:13 PM

Honestly, lawmakers wasting time proposing, discussing and shelving bad ideas is fine with me. Makes them too busy to pass laws.

alwaysfiredup on March 4, 2013 at 4:14 PM

Ask how much money your non-profit hospital has sitting in its foundation.

Zomcon JEM on March 4, 2013 at 4:10 PM

That’s true. Being non-profit does not mean you don’t make money. The organization may still have much more revenue than costs. Being “non-profit” just means that the excess money is not “distributed” to shareholders/owners as a profit/dividend. the money can still be paid out to officers, staff etc. and used to grow the institution.

Frankly, I think we should get rid of the concept of “non-profit” and “tax exempt” organizations. Instead, lower taxes overall and streamline the tax code (I would actually say get rid of all credits, deductions, etc. and simply have a flat tax).

The Internal Revenue Code is one of the worst market distorters out there.

Monkeytoe on March 4, 2013 at 4:17 PM

So the GOP at the state level are selling us out for a few years of “free” federal money. And when that runs out, we’re all screwed. I hope Rick Perry resists the temptation down here in Texas.

Doughboy on March 4, 2013 at 2:43 PM

The fight in Texas was going on in the GOP caucus today. It looks like we’ve beaten in back ‘in its current form’ was the words of the advocates who were terrified away from their support (primarily by Tea Party calls, along with the Governor).

michaelo on March 4, 2013 at 3:25 PM

Gov. Perry is under enormous pressure to cave.

I hope he continues to stand strong against the insanity of Obamacare.

Other states have money problems that Texas doesn’t…And that is one thing Gov. Perry has in his favor.

workingclass artist on March 4, 2013 at 4:25 PM

More here at the market-ticker

tom daschle concerned on March 4, 2013 at 2:53 PM

Thank you – More people need to wrap their head around Karl’s math and theory on this. Start here:

Health Reform Section
Read as much as you can before hurling…

Look at who are all the vultures on this corpse (BCBS, hospitals, etc) and you tell me that it’s not a fraud top to bottom. Rome *will* burn on this one, it’s just a matter of time unless the plug gets pulled (but it won’t).

SkinnerVic on March 4, 2013 at 4:26 PM

It does not really matter anymore.

The feds didn’t have the money to give the states anyway.

They borrowed money for votes today.

The whole system will collapse on itself anyway.

redguy on March 4, 2013 at 3:29 PM

That is exactly Gov. Perry’s argument.

And hopefully…The Texas legislature will stand with that, if not he will veto and delay until the session is over.

Buys Texas a couple of years as this fiasco unfolds.

workingclass artist on March 4, 2013 at 4:29 PM

What is so stupid about this is the fact that insurers and pharmaceutical companies are lobbying so hard for it. Obamacare is going to put insurers out of business and has already stopped medical research in its tracks in some of the country’s leading institutions. For example, the Mayo Clinic recently announced that it was shutting down research and specifically cited Obamacare as the cause. It also made cuts to its programmes involving Medicare and Medicaid patients.

There is a reason that the UK doesn’t lead the world in medical breakthroughs…

Resist We Much on March 4, 2013 at 3:09 PM

“Obamacare is like adding more deckchairs to the Titanic” – Gov. Rick Perry

workingclass artist on March 4, 2013 at 4:35 PM

“What has destroyed liberty and the rights of man in every government which has ever existed under the sun? The generalizing and concentrating all cares and powers into one body, no matter whether of the autocrats of Russia or of France, or of the aristocrats of a Venetian Senate.”

- Thomas Jefferson

Own Our Failures to Uphold the Constitution

Resist We Much on March 4, 2013 at 4:52 PM

Figure out a way to cripple the government’s authority to do this and you have the Holy Grail of conservatism and probably rescue us from bankruptcy to boot.

Doomberg on March 4, 2013 at 3:21 PM

The problem is that nobody cares about the Constitution any more… not the President, not Congress, not the Supreme Court.

For example, what would halt nearly all of the corruption going on… is the understanding that while Congress has the power to tax and raise money, the Constitution still controls how that money is allowed to be spent. Politicians will point to the power of Congress to tax without any consideration of whether or not it is authorized to SPEND that money as they desire.

For example, while it is perfectly legal for Congress to pass a Social Security tax… it is illegal to spend that money to support our elderly since the provision simply doesn’t exist in the Constitution.

When that realization sinks in, you’ll suddenly realize that easily 90% of what the Feral government is doing is un-Constitutional.

dominigan on March 4, 2013 at 5:11 PM

beatcanvas on March 4, 2013 at 4:06 PM

So what if we have had enough? What are the options? Not voting for anyone?

Cindy Munford on March 4, 2013 at 5:20 PM

That might explain why the insurance commissioner in Mississippi suddenly started setting up an insurance exchange, even though neither the governor nor the legislature wanted one.

The president has real limits to his power under the Constitution. But the presidency and the government are big enough to pressure corporations behind the scenes to do what they want, anyway.

The Obama administration made a big deal of announcing 19 executive actions on gun control, then beat a sudden retreat of a slightly larger number of mostly toothless reforms like “asking” Congress for certain laws or changes. But suddenly, we have multiple state governments trying to pass legislation that looks suspiciously like what the Obama administration would want, we have banks refusing to do business with firearms companies, and we have major retirement funds refusing to hold any stock in firearms companies. All of these are things the executive can do without having to issue politically difficult executive orders and getting slapped down by the courts and/or the voters.

tom on March 4, 2013 at 5:38 PM

Do these idiot insurance companies not realize that Obamacare will put them out of business?? Do they not know what the term “single payer” means.

scgas on March 4, 2013 at 6:23 PM

it seems a bit like a NFL team playing against Pop Warner teams.

a capella on March 4, 2013 at 3:03 PM

lol, and us schlubs are the Pop Warner.

arnold ziffel on March 4, 2013 at 7:38 PM

What do you expect these Governors to do? If states like Virginia, Ohio, and Florida voted for Obama twice, then obviously a majority of it’s citizens are okay with Obamacare. A Governor can’t just ignore the will of the people on Federal issues just because they personally oppose them.

The American people had a chance to get rid of Obamacare. They chose not too. The proper thing for these Governors to do is to make a strong speech about how much they are against Obamacare and what kind of pitfalls their state will face if they go along with implementing it, and then say “but the people of my state have spoken, and for better or for worse, I won’t stand in the way of what they voted for”.

We’re at the point where it’s like there’s a minute left in the game and we’re down by 12 points, and we keep fouling the other team with the hope that they’ll miss some free throws. At a certain point, there’s just not enough time left to catch up.

So let the people have Obamacare and let them choke on it.

ardenenoch on March 4, 2013 at 8:19 PM

McDonnell ENDED his entire career with this massive tax increasing, socialized medicine bill.

Freddy on March 4, 2013 at 9:55 PM