One of the first casualties of regulation is Rule by Law–which is replaced with Rule by Men. The second casualty is usually Equality Before the Law–which is replaced with Rule by Special Favor. This is the nature of central planning, and of the regulatory behemoth which it spawns.
Go here for more on the growing number of special wavers granted by the Secretary of Health and Human Services to allow some (but not all) to escape the onerous requirements of Obamacare.
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