It worries me about our unwillingness to really address reforms and modernization in Medicare. This thing was designed 37 years ago. It has not evolved to keep pace with current medical technology.

"Politicians also have a love affair with the 'small business exemption.' Too much paperwork? Too heavy a burden? Not enough time? Just exempt small businesses from the rule. It sounds so pro-growth. Instead it's an admission that the costs of a regulation just can't be justified."

John Sununu