How the 900-pound federal gorilla becomes the King Kong that clobbers small businesses?
There’s an argument to make that businesses in Los Alamos would not be here without the government, the “900 pound Federal Gorilla.” Indeed, my 17-year-old small business and optometry practice would not have existed or grown without it. However, many times the government becomes a sort of King Kong that pounds on small businesses with over-regulation, excessive taxation and wage control.
Over-regulation. One example is the CMS required International Classification of Diseases, 10th revision (ICD-10) codes for medical insurance billing. Currently, there are 14,000 diagnosis codes and 4,000 procedure codes. ICD-10 will replace these, with 70,000 diagnosis codes and 87,000 procedure codes. For every medical practice, this means outrageously expensive software and computer upgrades, more IT support and staff training, and more work for the doctors, with no improvement on patient care. No wonder policy experts predict a decline in the number of medical private practices over the next decade.
Excessive taxation. There should be reasonable taxation to pay for the infrastructure necessary for success. However, excessive taxation blocks small businesses from renovation and improvement. It also creates a disincentive to expand and create new jobs.