Government Logic

Who's on First?

Who’s on First?

Email “Understanding unemployment” Author Unknown

COSTELLO: I  want to talk about the unemployment rate in America

ABBOTT: Good Subject.  Terrible Times. It’s 7.8%.

COSTELLO:  That many people are out of work?

ABBOTT: No,  that’s 14.7%.

COSTELLO: You just said 7.8%.

ABBOTT:  7.8% Unemployed.

COSTELLO:  Right 7.8% out of work.

ABBOTT: No, that’s 14.7%.

COSTELLO:  Okay, so it’s 14.7% unemployed.

ABBOTT: No, that’s 7.8%.

COSTELLO:  WAIT A MINUTE.  Is it 7.8% or 14.7%?

ABBOTT: 7.8%  are unemployed. 14.7% are out of work.

COSTELLO: If  you are out of work you are unemployed.

ABBOTT: No,  Congress said you can’t count the “Out of  Work” as the unemployed.  You have to look for work to be unemployed.

COSTELLO: BUT THEY ARE OUT OF WORK!!!

ABBOTT: No, you miss his point.

COSTELLO:   What point?

ABBOTT:  Someone who doesn’t look for work can’t be counted with those who look for work. It wouldn’t be fair.

COSTELLO: To whom?

ABBOTT: The unemployed.

COSTELLO: But ALL of them are out of work.

ABBOTT: No, the unemployed are actively looking for work. Those who are out of work gave up looking and if you give up, you are no longer in the ranks of the unemployed.

COSTELLO: So if you’re off the unemployment roles that would count as less unemployment?

ABBOTT:  Unemployment would go down. Absolutely!

COSTELLO: The unemployment  just goes down because you don’t look for work?

ABBOTT:   Absolutely it goes down. That’s how it gets to 7.8%. Otherwise it would be 14.7%.

COSTELLO:  Wait, I got a question for you. That means there are two ways to bring down the unemployment number?

ABBOTT: Two ways is correct.

COSTELLO:   Unemployment can go down if someone gets a job?

ABBOTT:   Correct.

COSTELLO: And unemployment can also go down if  you stop looking for a job?

ABBOTT:  Bingo.

COSTELLO: So there are two ways to bring unemployment down, and the easier of the two is to have people stop looking for  work.

ABBOTT: Now you’re thinking like an economist.

COSTELLO: I  don’t even know what the hell I just said!

ABBOTT: Now you’re thinking like a politician.

Climate Disruption? Let Cooler Heads Prevail!

 

Lessons in climate changeGlobal warming a.k.a., climate change will now be proclaimed “climate disruption?!” with extreme prejudice from a global warming zealot and White House Science advisor John Holdren .

Apparently there are more than a few scientists who strongly disagree with Holdren as published in a NCA rebuttal –  Scientists Respond to the Obama Administration’s National Climate Assessment –  2014.

I can acknowledge there are two sides to the issue of CO2 emissions but in any case I cannot defend the tremendous government waste of taxpayer money, the billions in taxpayer dollars wasted on greentech failures.  Nor the political rhetoric, the ignorance or the hateful talk and actions from either side.

Take CO2 emissions out of the equation we should be proud we, as a society, have done a tremendous job reducing pollution and carbon emissions.  On the flip side, we all know we can do a better job to reduce emissions and pollution.

On the one hand, you’re not going to want to suck on the tailpipe of a full-sized SUV, so you know carbon emissions contribute to pollution,6 of whom are cities in CA, like the smog in L.A. and other cities, but so does their location.  Certainly, I would rather run 5 miles in the Tampa Bay area vs. South L.A. where your lungs will burn.  So reducing carbon emissions is necessary in highly populated areas.

Cooler heads will not prevail without greater awareness, more education and a willingness to listen to both sides of the debate, all which is sorely needed.  It is difficult to have that debate on climate change when the POTUS says the debate on climate change is over, the Senate majority, the mainstream media and Hollywood go to great lengths to castrate anyone who they perceive to be a climate change denier.

The poorest 30% of  the US population spend 17% of their after tax income on gasoline while politicians and climate change proponents continue to point to perceived success stories of wind farms and solar, that fly in the face of sound economic reason.  The EPA and their regulations are systematically and progressively hurting the people and the economy which depend on fossil fuels and related jobs.  Case in point, the Keystone Pipeline and the War on Coal .  Working middle class Americans depend on cheap energy to commute to work and heat their homes during the winter months.

You can look to polar opposites on climate change for highly controversial opinions from both Dr. Tim Ball in his book, A History of the Disastrous Global Warming Hoax and to  Greenpeace activist Paul Gilding in his book The Great Disruption, which is a rambling read that addresses his theories on global warming and overpopulation.  The idea that the “earth is full” is and will be largely debunked.  Think Smaller, Faster, Lighter, Denser, Cheaper.  Calmer heads may prevail if you were to read and follow Bjorn Lomberg, in his book Cool It and his blog lomborg.com.

Lomborg, who’s position on climate change is not without controversy from the left, takes a more middle of the road, practical approach to reducing carbon emissions and pollution through innovation like driverless cars or this 19-Year-Old Develops Ocean Cleanup Array That Could Remove 7,250,000 Tons Of Plastic From the World’s Oceans.

Lomborg has more recently defended his position, which is to say radical climate change policies hurt the poor, in his book How Much Have Global Problems Cost the World serves as more of a source or reference on pollution and the economic impact on civilization over time.

There are many things everyday people can do to reduce pollution and carbon emissions although I personally prefer long lasting LED lighting over compact fluorescents.  It’s really too bad most people will simply form an opinion based on their politics, inundated by sensational news stories from the mainstream “if it bleeds it leads” media and Hollywood celebrities who have little to sacrifice when it comes to policies that affect them in their daily lives. It does affect the rest of us.  I recommend looking at all sides of the climate change debate. Let cooler heads prevail.

NOTE:  Many global warming advocates say there are no credible scientists who debate the existence of global warming.  Here is the list from the NCA Rebuttal referenced earlier in this blog:

Obama Administration’s National Climate Assessment – NCA REBUTTAL AUTHORS/REVIEWERS

Joseph S. D’Aleo Certified Consultant Meteorologist, American Meteorological Society FellowM.S., Meteorology, University of WisconsinB.S., Meteorology (cum laude), University of WisconsinDr. Harold H. DoironRetired VP, Engineering Analysis and Test Division, InDyne, Inc.Ex-NASA JSC, Aerospace ConsultantB.S. Physics, University of Louisiana – LafayetteM.S., PhD. Mechanical Engineering, University of HoustonDr. Don J. Easterbrook Emeritus Professor of Geology, Western Washington UniversityPh.D., Geology, University of Washington, SeattleM.S., Geology, University of Washington, SeattleB.S., Geology, University of Washington, SeattleDr. Theodore R. EckPh.D., Economics, Mich. State U.; M.A, Economics, U. of MichiganFulbright Professor of International EconomicsFormer Chief Economist of Amoco Corp. and Exxon Venezuela Advisory Board of the Gas Technology Institute and Energy Intelligence GroupDr. Neil FrankB.S., Chemistry, Southwestern CollegeM.S., Ph.D. Meteorology, Florida StateFormer Director of the National Hurricane CenterDr. Gordon J. FulksPh.D., Physics, University of ChicagoM.S., Physics, University of ChicagoB.S., Physics, University of ChicagoDr. William M. GrayEmeritus Professor of Atmospheric Science, Colorado State UniversityPh.D., Geophysical Sciences, University of ChicagoM.S., Meteorology, University of ChicagoB.S., Geography, George Washington University Art HornB.Sc. Meteorology Lyndon State CollegeTeaches Meteorology/Climatology at Tunxis Community CollegeTV Meteorologist 25 years, lecturer, expert witness, radio broadcaster

Some interesting ideas for innovation to reduce pollution:

19-Year-Old Student Develops Ocean Cleanup Array That Could Remove 7,250,000 Tons Of Plastic From the World’s Oceans | Inhabitat – Sustainable Design Innovation, Eco Architecture, Green Building

A fuel cell for the home

Architecture Innovation Would Turn Air Pollution Into Biofuel

James Dyson’s Barge Concept Will Vacuum Trash Out of Rivers

China Tests Autonomous Smog-Busting Drone

One Artist Plans to Suck Pollution Out of Beijing’s Skies

Hand Tree Personal Air Purifier Helps You Breathe Easier

You Cannot Govern Leadership

individualism

While small business owners are putting up their houses and their life savings to survive, to cash flow their business, to hire employees, President Obama was and still is, greasing the palms of his political donors in the name of greentech failures, spending billions of our taxpayer dollars.

The alarming failure of big government was never more evident than when President Obama publicly and carelessly joked about a trillion dollars (stimulus (taxpayer) money) wasted on “Shovel-Ready Was Not As Shovel-Ready As We Expected.”  Where was the red flag then?  Where is the red flag now?

The only hope I see for this country is individual responsibility, and leadership that creates prosperity, not big government. You cannot govern leadership.   Today individual responsibility, leadership, and American exceptionalism are too often political talking points and empty words. When individual leadership fails, or fails to materialize, it creates dependency.

Leonardo da Vinci said it 480 years ago and he said it in Italian. Here is the clearest translation:  “People of accomplishment rarely sit back and let things happen to them. They go out and happen to things.”

I don’t do what you’re passionate about, but be passionate about what you do.  Don’t follow your passion.  Let your passion follow you.  That’s leadership.

As a small business owner after 25 years it has been my experience, the most important life decisions you make, have to be made on your own.  I built my business and leadership is key.

Others will pontificate as to what a leader is, what a leader must do and how a leader must act.  I don’t have time for all that and neither do you.  The best way to find out if you are a leader is to deal with life’s biggest challenges when it comes to crunch time.

Decide on your own and act accordingly.  You’ll no doubt get plenty of advice, but no one is going to know better than you, what to do.  You are better qualified than anyone or anything to make the decisions that affect you personally and those who depend on you.

There’s a disturbing trend in our day-to-day lives towards dependency on others, big institutions, big labor and big government.  Sweat equity has been replaced by entitlement equity.  People measure success based on what they can get, not what they can give.  

A major new study by Harvard economist Raj Chetty, however, shows things haven’t changed all that much. “Children entering the labor market today have the same chances of moving up in the income distribution relative to their parents as children born in the 1970s,” it finds.  “That doesn’t mean politicians can’t improve people’s chances of rising. It’s just that the best way they can do so is by getting out of the way.”  The Foundry

The problem is the more you lean on the government, the more your life depends on government.  You are governed by more  laws, more regulations and more public policy today than ever before.  Who you become, what you do, and how you do it, is shaped by public opinion and the mainstream media.

In this new era influenced by mass media and public opinion, big government is their divined solution to all your problems.  American exceptionalism, entrepreneurship and the multitude of small business success stories that built a thriving post WWII economy, are too often ignored, discounted and discouraged with crippling regulation and  laws that are the new normal.

What if a typical family spent like government?

What if a typical family spent like government?

Individualism and leadership are sorely needed.  People, not big government, can make a difference.  You and I need to step up to the plate.  Our country’s in peril as is our next generation.  Take on the career politicians who have created roadblocks to personal responsibility and leadership.  Our country is on the line. Vote them out in 2014 and 2016.

Career politicians passing laws that control our lives severely curtail the entrepreneurial spirit and small business startups, the little engine that could, that should and does grow the economy.   Consider the cost of healthcare has virtually doubled for small businesses in the past 5 years.  

Entrepreneurs are the lifeblood of free enterprise. Their heart is beating for their next customer, for their fellow employees and their families.  Their soul is intact.  They epitomize what comprises the backbone of our country, small business.  In their shadows are the real leaders, the chief cooks and bottle washers; the real risk takers that stand behind their champions, small business owners.  Small business owners are essential to the future success of the US economy.

Entrepreneurs are not the only leaders.  Leaders are people I see when I come to work before dawn.  I see them after dusk, when darkness settles.  They are resourceful.  They don’t think twice.  If you say something to them about the long hours they keep, they will readily commiserate with you, complain if you will, but there is a sense of pride in their voice.  There is a smile on their face.  These hard working people who are the heart and soul of the US economy.

In an atmosphere where people lean more on government, blame others and institutions for their circumstance, we need more leaders. Whether you are a parent, employee, small business owner or CEO of a multi-billion dollar corporation; people depend on you for guidance.  You are accountable for the success or failure of others.  You have to make decisions that affect other people for better or for worse. 

In business or in your personal life, when the time comes, no one will make the important decisions for you.  Don’t get me wrong.  You will get plenty of advice.  “If I were you…” “You should…”  “You could…” “You might…” Later on, after the decision has been made, you will summarily receive the same words, only in a different context.  “If it were me…” “I would have…”  I could have…”  “I would have… Draw on your own experience.  Make your own decisions.

The most important decisions you can make, are made by you alone.  That’s leadership.  You can change the world, change you can believe in.

Small Businesses in Florida Are HIT by Another Tax

Who's affected?

Who’s affected?

Fellow Floridians.  Here’s some info on the Health Insurance Tax (HIT) and how it will affect “taxpayers.”   When I say taxpayers, I mean middle income people, earning a decent wage, including small businesses, to boot.  

Someone has to pay for Obamacare, the future king of entitlements.  Big business and insurers aren’t going to suffer.  They’re going to pass through.  Any tax burden is going to be on to us, the consumer.  So who’s going to pay for Obamacare?  One way or another, there’s going to getcha….getcha, getcha, getcha… I feel a song coming on!

How does the impact of the Health Insurance Tax (HIT) as part of the Affordable Care Act, affect small businesses and consumers?  HIT will be applied to almost all health insurance policies in Florida beginning in January 2014.

According to the NFIB, a  provision in the Affordable Care Act (ACA) creates a premium tax on all health insurance policies beginning in 2014 called the Health Insurance Tax, or HIT Tax.  This tax will exceed $130 billion nationally in assessments in the first 10 years. It is collected by health insurance companies, but paid entirely by consumers in the fully insured marketplace, where nearly all small-business owners, employees and their families purchase their coverage. This will result in higher insurance costs for nearly all Floridians.

The tax rate is not yet set for 2014 – it is expected to be announced by HHS on or near October 1st. It will be adjusted annually to meet a specific revenue schedule.  Experts predict the actual tax rate will be between 2% and 2.5% of the premium. NFIB estimates that the HIT Tax will collect $114-157 million in Florida in 2014.

This HIT Tax is in addition to the tax that the state of Florida already assesses on health insurance premiums, the state premium tax, which is set at of 1.75% and has been in place in Florida for decades.

The HIT Tax will impact all health insurance policies, except large group self-insured policies.  The HIT Tax will also be levied on Medicare Advantage and Medicaid Managed Care policies.  It is a 100% pass through from insurers to consumers.  Most group health insurance premiums in Florida are paid by both the employer and the employee.

This tax will hit both families and small businesses directly.

Obamacare Tax on the So-called Affluent

obamataxI’m coming to you from a small business owner’s perspective.  Small business owners are looking for every manner to save money and still grow their businesses.  The last thing they need is to pay more taxes.

If you are a small business owner who has worked really hard to get to a point you are earning a decent salary, approaching retirement,  saving some money, investing it in financial instruments, that earn dividends and interest, it is disappointing to learn you are going to be paying more in income taxes.

Now you’re paying for Obamacare with taxes on income you have already earned on investments you have already made with hard earned dollars.

“Affluent investors who ignore this tax will be in for a total shock next April 15,” says David Lifson, a certified public accountant specializing in tax at Crowe Horwath in New York.  Not so affluent investors that pay individual income taxes on business income are going to feel the shock, too.

According to the Wall Street Journal such income is typically not subject to withholding, and people won’t be factoring it into their estimated taxes.  The tax, which took effect Jan. 1, applies to the “net investment income” of married joint filers who have more than $250,000 of income (or $200,000 for singles). Only investment income—such as dividends, interest and capital gains—above the thresholds is taxed. The rate is a flat 3.8% in addition to other taxes owed.

I know many of the so called  “affluent” are not inclined to be politically active, but read Laura Saunders: Are You Ready for the New Investment Tax?.  This should be a reason for you to pick up the phone and call your congressmen and senators to repeal this tax.  If this is pocket change for you, if so, maybe you should think about your kids?

I won’t argue the one benefit to Obamacare that makes sense, is forcing insurance companies to cover pre-existing conditions, regardless of the cost (to them).

Insurance companies need to start policing the costs they can control in their own backyard, for example, Big Pharma and not pile those costs on the backs of their customers.

I say that, because insurance companies have been skating on this issue for far too long.  If the insurance companies won’t step up to the plate, this could still could get done without ACA, a.k.a. Obamacare.  We don’t need Obamacare to care for people with pre-existing conditions.

To pay for healthcare coverage for people with pre-existing condition, you reduce costs.  To reduce costs you increase competition.  To increase competition, you deregulate and allow competition between insurers across state lines.

You also increase the incentive for the consumer (patient) to shop for the very best healthcare at the very best price.arrow thru the head

I pay for my employee’s health and dental benefits up to the monthly H.S.A premium. If they select a more expensive plan they pay the difference.  I have physicians who have discounted procedures 25% because they know I’m paying for their services out of my own pocket (at least until I reach the out of pocket maximum).

The emphasis at our company is to be healthy.  We have our own gym.  We have a cycling team we formed to fight MS.

If an individual is making decisions on their own behalf with regard to their health and their health care costs, the cost of healthcare will truly become more affordable.

The answer to rising prices and declining benefits is to increase competition in the health insurance market.  Encourage, not put limits on Health Savings Accounts H.S.A.’s as the new Affordable Care Act does.  You don’t decrease costs through big government and more regulation.

Here’s what the Democrats are saying about Obamacare.  Montana Sen. Max Baucus, a Democrat, called it a “train wreck.” A Democratic colleague, West Virginia’s Sen. Jay Rockefeller, described the massive Affordable Care Act as “beyond comprehension.”  Henry Chao, the government’s chief technical officer in charge of putting in place the insurance exchanges mandated by the law, was quoted in the Congressional Quarterly as saying, “I’m pretty nervous . . . Let’s just make sure it’s not a third-world experience.”

Obamacare is an unmitigated disaster.   To add insult to injury, we are now on the hook to pay for what will go down in history as the next great entitlement program, the Affordable Care Act!

Romney Was Right! Small Business Owners Are Getting Screwed!

Help WantedI have been shouting from the roof tops about small business owners getting screwed by the Obama Administration’s “drum beating” campaign of class warfare to tax the rich.  Small businesses without a capital infusion from Venture Capitalists (VC) or angel investors, take many years to grow and become profitable.

Our investment capital comes from our own savings accounts, 2nd mortgages and personal loans.  We work immeasurable hours and spend our own money to build our businesses, while our famous “You Didn’t Build That” president, Obama, is trying to take all that away.

Small business owners are not “rich.”  They are getting screwed by Big Government and Big Business because they pay their taxes as individuals if they file as a Sub Chapter S or LLC corporations that pass all income down to the individual small business owner.

Now, as part of the fiscal cliff deal, higher taxes have become a reality for many small business owners.  Obama has done a great job of pitting the poor against the rich at the expense of the middle class, of which, include most small business owners.

The election’s over. Romney was right! Small Business Owners Are STILL Getting Screwed by Obama and his cronies!

Romney in the first 2012 presidential debate was absolutely right when he said,  “The gap between the rich and the poor has gotten larger. The rich will probably do fine if he (Obama) is reelected,” Romney said. “It is the middle class that is in real trouble. And the poor. I want the poor to get into the middle class. So many have fallen into poverty by virtue of his (Obama’s) policies. So this for me is all about the 100 percent.”

The Business Roundtable comprised of 150 of its corporate titans, in return for various forms of “pork”  threw small business under the bus.  As reported by the Wall Street Journal, Big Business Sells Out Small Business“One million small American business owners who pay individual income taxes shoulder a big rate hike (up to 39.6%, from 35%) while radically lightening the tax load for the Roundtable’s own corporate behemoths (to 28% from 35%).”

Additionally, when a separate bill is passed to lower corporate tax rates, by which any corporate tax reform will hinge upon on closing “loopholes” to pay for a lower corporate rate. Small business owners would lose tax perks along with everyone else—meaning they would pay even more—but they would not benefit from lower corporate rates.

As reported by the Blaze, Who’s Really Selling Out Small Business, “The $625 billion tax increase passed. Big business didn’t get their corporate tax cut…yet. But boy did they get goodies $40 billion in crony capitalism payoffs. The new tax bill gives away $78 million in tax breaks to benefit NASCAR; $62 million in tax credits for companies operating in American Samoa; $222 million of tax rebates to rum companies; $430 million in tax rebates for Hollywood film producers; $12 billion (with a “b”) in tax credits for wind power phonies like GE; $2.2 billion to renewable diesel companies; and $222 million in accelerated tax depreciation for businesses located on Indian reservations. Many of these companies will pay no taxes at all because of these rebates and credits.”

Much of the money small businesses earn, gets taxed as individual income, and would be reinvested in their businesses.  The naysayers would say, the money that is reinvested in the business is tax deductible because it can be expensed and therefore is not taxable.  The problem with that theory is a little thing called cash flow.  Cash flow is the Holy Grail of small business, money held in reserve, money not yet spent, which is essential for a small business, money that fuels business growth.  That money is is taxed as individual income for a small business owner.

Finally, there will be so called experts, that will say change your filing to a “C” Corp.  Without getting into all the details, every small business looks at the pluses and minuses of S Corp. vs. C Corp, vs. LLC etc… and a properly run small business will know best how to file their taxes.  Only they would know, based on their situation, what’s best when it comes to filing their taxes.  If you think you know better, start your own damned business and see how that goes.  I’ll still be shouting from the rooftops, that small business owners are getting screwed!

Here’s a small business owner’s take on how small businesses are being sold down the river by this administration and he voted for Obama.  Gia Pronto owner Marco Lentini on how government policies’ are impacting small business growth.  Is Government Getting in the Way of Small Business?

The “Physical” Cliff, Writing Checks My Ass Can’t Cash

fiscal-cliff

The “Physical Cliff”

I kid around about reaching the “physical cliff”, where my body reaches the point whereby I can no longer sustain my anatomy.   If I don’t start getting back on the bike it could be I’m heading for a period of hyper-inflation (around my middle) and resulting in my declaring my own “ass warfare.”

Getting serious about the next time I get a “physical” what is it going to cost me and other taxpayers?  While everyone is paying close attention to the “Fiscal Cliff” what is happening to taxpayers right now and has been happening to us since the Affordable Care Act (ACA) passed?

What we had shoved down our throats, we’re now going to being paying for with taxpayer money.  Money our proverbial asses can’t cash.

Talk about subsidizing “Big Oil”, what about “Big Medicine?”  Now my Doctor’s fingers spend more time on the keyboard than they do with an exam.  My prostrate is getting jealous!

CMS – Centers for Medicare & Medicaid Services, in case you haven’t heard, has bragging rights to all of 8 Billion and more, so far, and rising rapidly, they are giving to hospitals and professional service providers for EHR – Electronic Health Records expenditures.

Supposedly the Obama Administration’s theory is that Hospitals and Professional Service Providers are too stupid to invest in technology, so they decided to give them a push.  Right over the Fiscal Cliff with the rest of us.  Well apparently Big Medicine isn’t as stupid as they think, because CMS is writing big checks and proud of it!

You can’t make this stuff up (Source :CMS).

  • More than $4.4 billion in Medicare EHR Incentive Program payments have been made between May 2011 and October 31, 2012.
  • More than $3.7 billion in Medicaid EHR Incentive Program payments have been made between January 2011 (when the first set of states launched their programs) and October 31, 2012.
  • More than 326,000 eligible professionals, eligible hospitals, and critical access hospitals are actively registered in the Medicare and Medicaid EHR Incentive Programs

Here’s your road map: (Source: HealthIT.gov)

Map of payments to providers by state.

Let’s not for get the EHR Vendors.  The government again’s picking winners and losers.

Unfortunately, the legislation was funded in a way that benefits large companies instead of promoting competition to improve software quality and lower overall cost.

Once the 2009 American Recovery and Reinvestment Act (ARRA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) were signed into law, the “gold rush” was on (as described by one of our competitors²), or as The Onion News reported it: Recession Plagued Nation Demands New Bubble to Invest In.

Whether or not you are in favor of giving taxpayer money to executives to fly around the country in private jets, the stimulus money is starting to flow – and many providers are eligible (and a lot more deserving).

Source: AmazingCharts

²“I literally rent [an] airplane every Tuesday morning, and I hit five cities by Thursday night, every week. I’m cold calling . . . that’s my life now. It’s like any government fiscal stimulus thing — it’s a gold rush.’’

Jonathan Bush, CEO, Athenahealth Inc. (from Boston Globe 8/5/2010)

Maybe we need the Mainstream Media (MSM) to pick up on this story.  They could report on on all the hospitals and doctors that needed to upgrade their IT infrastructure or close their doors.  Heaven forbid, we would have to outsource our patient care to foreign soil.

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