Bill Hewlett and David Packard, tinkering in a California garage, began what became Hewlett-Packard. Steve Jobs and a friend built a computer in the California garage that became Apple’s birthplace. Bill Cook had no garage, so he launched Cook Medical in a spare bedroom in an apartment in this university town. Half a century ago, in flight from Chicago’s winters, he settled here and began making cardiovascular catheters and other medical instruments. One thing led to another, as things have a way of doing when the government stays out of the way, and although Cook died last year, Cook Medical, with its subsidiaries, is the world’s largest family-owned medical devices company.
In 2010, however, Congress, ravenous for revenues to fund Obamacare, included in the legislation a 2.3 percent tax on gross revenues — which generally amounts to about a 15 percent tax on most manufacturers’ profits — from U.S. sales of medical devices beginning in 2013. This will be piled on top of the 35 percent federal corporate tax and state and local taxes. The 2.3 percent tax will be a $20 billion blow to an industry that employs more than 400,000, and $20 billion is almost double the industry’s annual investment in research and development.
An axiom of scarcity is understood by people not warped by working for the federal government, which can print money when it wearies of borrowing it. The axiom is: A unit of something — time, energy, money — spent on this cannot be spent on that. So the 2.3 percent tax, unless repealed, will mean not only fewer jobs but also fewer pain-reducing and life-extending inventions — stents, implantable defibrillators, etc. — which have reduced health care costs.
The tax might, however, be repealed. The medical device industry is widely dispersed across the country, so numerous members of Congress have constituencies affected by developments such as these:
Cook Medical is no longer planning to open a U.S. factory a year. Boston Scientific, planning for a more than $100 million charge against earnings in 2013, recently built a $35 million research and development facility in Ireland and is building a $150 million factory in China — capital goes where it is welcome and stays where it is well treated. Stryker Corp., based in Michigan, blames the tax for 1,000 layoffs. Zimmer, based in Indiana, is laying off 450 and taking a $50 million charge against earnings. Medtronic expects an annual charge against earnings of $175 million. Covidien, now based in Ireland, has cited the tax in explaining 200 layoffs and a decision to move some production to Costa Rica and Mexico.
Already 235 members of the House of Representatives — 227 Republicans and eight Democrats — are co-sponsors of a bill to repeal the tax. Twenty-three Republican senators but no Democratic senators favor repeal. The Democrats who imposed this tax on a single manufacturing sector justified this discrimination by saying Obamacare would be a boon to the medical devices industry because, by expanding insurance coverage, it would stimulate demand for devices. But those insured because of Obamacare will be disproportionately young and not needing, say, artificial knees. And well before Obamacare, the law had long required hospitals to provide devices to the needy who are uninsured.
Unsurprisingly, Sen. Scott Brown, R-Mass., supports repeal of the tax. Surprisingly, so does his opponent, Elizabeth Warren, an impeccably liberal Obamacare enthusiast who notes that in Massachusetts the medical devices industry has 24,000 employees and accounts for 13 percent of the state’s exports. Warren is experiencing another episode of New England remorse: “When Congress taxes the sale of a specific product through an excise tax … it too often disproportionately impacts the small companies with the narrowest financial margins and the broadest innovative potential.”
Well, yes. In 1990, when President George H.W. Bush’s recanted his “no new taxes” pledge, he enabled the Democratic-controlled Congress, with a legion of New England liberals in the lead, to impose a 10 percent tax on yachts costing more than $100,000. Yacht sales plunged 70 percent in six months, a third of all yacht building companies — many in New England — stopped production and more than 20,000 workers lost their jobs. In 1993, the tax, although not the damage, was repealed.
Given humanity’s fallen condition, almost everyone’s tax policy is: “Don’t tax you, don’t tax me, tax that fellow behind the tree.” There are, however, vulnerable wealth- and job-creating businesses behind most trees.
George Will is a columnist for The Washington Post Writers Group. He may be contacted at georgewill@washpost.com.



bs, we have been cutting taxes for the wealthy and business for years so where is all the investment and jobs. will seems to think that every business that fails is the result of taxes.
Taxes play a role in virtually every business decision. Make the incorrect one and taxes can take you out. The IRS is unforgiving.
Yes, the IRS is unforgiving but at the request of Congress.
Maine Revenue Enforcement makes the IRS look like they don’t care about collecting taxes. If you should happen to try and die while you owe the state of Maine money, they will get a court order to have your body exhumed so they can pry the fillings out of your teeth. If the IRS was as vicious as Maine Revenue Enforcement, there would have been a revolt in this country years ago.
To cut taxes you have to create a tax so yes, we have been creating new taxes for years and doing a little cutting here and there, kind of like throwing the dog a bone. The jobs are overseas because Americans demand goods on the cheap and we can no longer make goods on the cheap here at home. Want to know why? Because government cannot keep its fingers out of the private sector – government and in particular democrats, want to totally control everything.
bs. the jobs go overseas because of corporate greed, nothing else . perhaps you think americans should have jobs paying coolie wages with no benefits so they can pay the management more millions per year
how did them bush tax cuts work out for you?
and you’re one of those anti regulation people, so tell me where you live so when i have my septic tank pumped i can dump it right near by
the bigger government gets the worse off we are. all us “little people” who try to support ourselves are being fed a load of crap by the dems who claim to be on our side. it appears that you have bought into the load of crap in spades.sorry to burst your bubble but all you have is the crap. tell me, which piece of the logic you just read is in accurate? is the new tax going to create jobs? do these new taxes provide any incentive for companies to produce here in the us? you can claim the corporate greed is responsible but the truth is people invest in companies to make money, andwhen the government takes all the money people stop investing. and corporations are made of people.
You are one angry person – I feel bad for you. You have a right to believe that taxing the heck out of corporations is good for America and I have the same right to disagree. Your government taking money from corporations will never ever benefit you but so long as you think it will, they will get your vote. Open your eyes and let go of your anger.
Corporations don’t seem to have any problem accepting the protection our military affords them. They don’t seem to mind that our young men and women are spilling their blood and being maimed for life to make the world a safer place for them to move their factories to. I hope I live long enough to see the day they try to packup their factories and move them out of China the way they did here. They will probably pull some strings in Congress and have China called a pariah like they did in Cuba.
George Will, is your favorite store the Disney store? You know, where you can buy all your favorite Disney memorabelia made by people who work like elves 12 to 16 hrs a day and live in tin roofed mud floored shacks earning less than $2 a day. That it seems is your vision for the world. And you want to blame it on the people in this country that are scraping by trying to meet their obligations on an ever shrinking pay.
When the working men and women of America have had enough and the revolution starts, no one will be more miffed as to the cause of it than George Will. He is like a lot of other conservatives that get success and greed confused.
Please spare me the hyperbolic misinformation. I understand that you make your money, Mr Will, by shilling for corporate America but have you no shame. Corporations are doing quite well thank you very much. They are seeing record profits and have record cash accumulated. Meanwhile, working people are on their second or third decade of wage stagnation and consumption is suffering.
America has become an experiment in defying sound economic principles in pursuit of siphoning as much wealth as possible upward. It has worked just like it did in the 1890s and again in the 1920s. Each time this happens, corporations, especially banks, reap the benefits and use their power to control government and promote even more redistributive policies.
Until we get real about taxes and corporate control of congress and the media, the prospects for working people grow dimmer each day. This article exemplifies the voice of the plutocrat. If you do not keep feeding us more, we will fail and take all of you with us. It is just not true. The tax code is a vehicle for wealth redistribution, upwards. Wages will not increase and our consumer economy will languish until we get real tax reform and reduce corruption of our congress by the monied interests.
You can try to peddle your fear tactics and that will make people angry. Angry people make bad decisions. You are counting on the people to fall right into that trap.
Don’t believe the hype. Corporations have never had it better. They pay less and less (from nearly 7% GDP in in 1950s to under 2% over the last decade) and complain more and more because they own the media that gives their voice power.
Mr Will would like you to vote for a republican who will make the problem worse. We wants you to vote based on fear. He wants you to help him give his friends even more pie. All the while these despicable leaches on our society blame the poor to create an enemy you can see around you. Republican has become synonymous with angry, low information voters yet their policies are precisely what has created the nightmare most Americans now live in.
Awesome post. Cuts to the rotten core of Will’s philoposhy. Cosmo Kramer was right.
Please, this has to do more with greed than anything. Compensation levels for high ranking employees hasn’t been so high ever in history. There is nothing wrong with being successful, but having tax havens and sending jobs over seas all so there can be a bigger bonus at the end of the year? Doesn’t seem like these people and companies are incredibly proud to be American. They seem to forget they’d be nothing without the systems that America has in place.
Does anyone really believe that this, or almost any, corporation pays the full amount of taxes they owe, they don’t cheat they just use the loopholes Congress has provided them (for I’m sure generous campaign donations).
Timely article, especially with two torpedoes headed at the good ship USA economy; possible expiration of Bush taxe cuts, and first major tax increases due to Obamacare in Jan 2013.
George Will being a bleeding heart liberal media hack and explaining to the average American how Obamacare will continue to wreck the economy only says one thing. Obamacare is a fiasco that will increase unemployment, reduce R& D expenditures for improved med devices and does nothing about true culprits in high health care costs, the insurance companies. I doubt the President knows that for every Medtronic and Boston Sci, there are hundreds if not thousands of small outfits working on the next breakthrough device. That is American ingenuity. You will not see that continue unless something is altered in the bill. But to address the Rexicans comments, the corporations now have more leverage than ever to continue to pay low wages and stifle hiring by using Obamacare as their trump card.