• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia

Is Obamacare killing medical device startups?

By
Dan Primack
Dan Primack
Down Arrow Button Icon
By
Dan Primack
Dan Primack
Down Arrow Button Icon
December 6, 2012, 9:49 PM ET

FORTUNE — Venture capitalists pumped less money into U.S. medical device companies last quarter than in any similar period since 2004. And Elizabeth MacDonald of Fox Business has identified the culprit: President Obama.

The issue, MacDonald argues, is a new 2.3% excise tax to be paid by medical device companies on gross sales. It’s part of the Affordable Care Act (a.k.a. Obamacare), and is expected to generate around $29 billion in revenue over its first decade (beginning on January 1).

Without doubt, this new tax is problematic for medical device companies. And that goes double for startups that want to conserve or reinvest every available dollar, as they strive for profitability. But MacDonald’s contention that the excise tax is  destroying VC investment in the medical device sector is absurd.

For starters, let’s look at the numbers MacDonald cites. Yes, just U.S.-based medical device companies raised just $434 million in Q3 2012, the lowest level since $337 million was disbursed to such companies in Q1 2004. And, yes, it is a major decrease from the $687 million invested in Q2 2012…

Hey, wait a minute: There was $687 million invested in Q2 2012? Were the venture capitalists unaware of the coming excise tax? You know, the one that became law two years earlier? Don’t VCs expect to be invested in their companies for up to ten years? Or how about the $705 million invested in Q1 2012, which was significantly higher than the $518 million invested in Q4 2011? In fact, medical device companies raised more VC funding in 2011 than in either 2009 or 2010.

MacDonald provides a link to some of this data, but doesn’t bother to mention it in her own column. Instead, she quotes Allison Giles, who is identified as “a top executive at Cook Medical, the world’s largest privately owned medical-device company.” Giles, conveniently, claims that the excise tax is the “biggest” reason for the Q3 investment drop.

A few things readers might want to know about Ms. Giles. First, she is Cook Medical’s VP of federal affairs. Second, she used to work on Capitol Hill as lobbyist and, before that, as a Republican staffer. Third, Cook Group has never actually received venture capital funding, nor does it appear to have invested in any startups.

So I called Giles, to ask why she thinks the excise tax is primarily to blame for the Q3 investment drop. First she said she’d be happy to speak with me. Then she said that she’d have to check with what her PR people told MacDonald, while simultaneously acknowledging that she also spoke to McDonald herself. Finally, she said she was distracted by an email and would get right back to me. Then I got a call back from Cook Group communications rep, who said Giles isn’t available until next week.

For what it’s worth, I also rang up some actual venture capitalists about the state of medical device investing. They all told me the same thing: The excise tax is clearly an unwelcome burden, but hardly a driving factor in investment decisions. Instead, more salient issues are an increasingly-treacherous FDA approval requirement for medical devices and a relatively lackluster exit environment.

“Devices have become hard to make money in,” says Terry McGuire, a co-founder of Polaris Venture Partners and former chairman of the National Venture Capital Association. “Not only because they cost more due to the FDA process, but also because you can’t get as much money when you sell them as you can get for a pharma company.”

Medical device startups are facing a number of headwinds when it comes to securing venture capital. There’s no need to exaggerate the weaker ones to score political points.

Sign up for Dan’s daily email newsletter on deals and deal-makers: GetTermSheet.com

About the Author
By Dan Primack
See full bioRight Arrow Button Icon

Latest in

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • Future 50
  • World’s Most Admired Companies
  • See All Rankings
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Editorial Calendar
  • Press Center
  • Work At Fortune
  • Diversity And Inclusion
  • Terms And Conditions
  • Site Map
  • About Us
  • Editorial Calendar
  • Press Center
  • Work At Fortune
  • Diversity And Inclusion
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in

The 5 Best Biotin Supplements of 2026: Personally Tested
HealthDietary Supplements
The 5 Best Biotin Supplements of 2026: Personally Tested
By Emily PharesApril 17, 2026
19 minutes ago
hormuz
CommentaryIran
With Hormuz under strain, a trade corridor built for resilience faces a real-world test
By Angela Chitkara and Samantha SuttonApril 17, 2026
43 minutes ago
A stack of gold bars.
Personal Financegold prices
Current price of gold as of April 17, 2026
By Danny BakstApril 17, 2026
2 hours ago
Meet the crypto guru to the Fortune 500
NewslettersCFO Daily
Meet the crypto guru to the Fortune 500
By Sheryl EstradaApril 17, 2026
2 hours ago
Top CD rates from major banks on April 17, 2026: Chase CDs, Bank of America CDs, Citibank CDs, and more
Personal FinanceCertificates of Deposit (CDs)
Top CD rates from major banks on April 17, 2026: Chase CDs, Bank of America CDs, Citibank CDs, and more
By Joseph HostetlerApril 17, 2026
2 hours ago
Current price of Ethereum for April 17, 2026
Personal FinanceEthereum
Current price of Ethereum for April 17, 2026
By Joseph HostetlerApril 17, 2026
2 hours ago

Most Popular

Jeff Bezos pledged $10 billion for climate change. With the 2030 clock ticking, his wife, Lauren Sánchez Bezos, is leading the charge to spend it
Environment
Jeff Bezos pledged $10 billion for climate change. With the 2030 clock ticking, his wife, Lauren Sánchez Bezos, is leading the charge to spend it
By Sydney LakeApril 15, 2026
2 days ago
A world going broke: IMF says America's $39 trillion national debt is actually a global problem—and AI may be the only rescue
Economy
A world going broke: IMF says America's $39 trillion national debt is actually a global problem—and AI may be the only rescue
By Nick LichtenbergApril 16, 2026
19 hours ago
Germany already told its workers to ditch four-day weeks and work-life balance. Now the government wants to cut their pay for calling in sick, too
Success
Germany already told its workers to ditch four-day weeks and work-life balance. Now the government wants to cut their pay for calling in sick, too
By Orianna Rosa RoyleApril 16, 2026
1 day ago
MacKenzie Scott is bypassing the Ivy League and rewriting the $79 billion higher ed playbook by giving to HBCUs and community colleges
Politics
MacKenzie Scott is bypassing the Ivy League and rewriting the $79 billion higher ed playbook by giving to HBCUs and community colleges
By Sydney LakeApril 16, 2026
23 hours ago
Current price of oil as of April 16, 2026
Personal Finance
Current price of oil as of April 16, 2026
By Joseph HostetlerApril 16, 2026
1 day ago
Pope Leo warned the world is in ‘big trouble’ if Elon Musk becomes the first trillionaire
Success
Pope Leo warned the world is in ‘big trouble’ if Elon Musk becomes the first trillionaire
By Preston ForeApril 17, 2026
5 hours ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.