“The Senate health care reform bill, released last month, is over 2,000 pages long.  It would generate nearly $850 billion in new federal spending over 10 years, cut over $400 billion from currently scheduled Medicare spending and levy $372 billion in new taxes.  Washington is abuzz, dissecting the bill, analyzing and demagoguing it, trying to figure out what it all means .  Meanwhile, in certain parts of Beverly Hills and Manhattan, a much smaller provision will be generating much debate and discussion: a 5% excise tax on cosmetic surgery and related procedures, colloquially known as the ‘Botox Tax.'”