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March 28, 2004



This is just the tip of the iceberg. An enterprising person could connect many more dots. There are numerous other sizeable (regional) hospital associations that lobby and most of the large hospitals / hospital systems have both government affairs staff and paid contract lobbyists.

The totals are at least double and probably greater than the total of the groups in the top ten.

They have a single-purpose mantra from early January through the end of the budget process -- status quo in Medicaid; or in good times, get more!

It is overpowering, especially considering that the groups they fight -- the counties, those with an economic voice and those in agriculture -- have a much more diverse agenda that includes things like workers' comp., environmental issues, energy costs, etc.

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