Increasing health care costs are forcing business owners to make tough decisions. What are these decisions, and what can we be doing to make it easier for American entrepreneurs to thrive? Small business owner and entrepreneur Jim Garland gives his perspective on the challenges his company faces because of current uncertainly regarding health care regulations.

“When you talk about healthcare and you talk to small business owners, heath care is one of our most expensive costs when it comes to doing business… There’s going to an obvious point in this where you can’t continue to hire people, you can’t continue to give raises, you might need to make cuts in your employees.” — Jim Garland