It doesn't take an RN to know that 2013 will be a worse year than last, and that things in the health care field are going to get much worse. In 2010, over 1000 business were given a "reprieve" by Obama, in that all the laws would be "set back" until later. These businesses, like McDonalds, are heavy contributors to the Democrats! Doctor's, according to the AMA, are already preparing for money losses to them personally. The tax on Medical instruments were "set back" by Obama recently, cause of the loss of money and layoffs in that industry. We haven't even seen the worst of it yet! Even those who wrote it don't know what it contains!