The Affordable Care Act is looking less and less so as 2013 approaches. The adage that "Nothing is sure except death and taxes" is certainly applicable as the New Year gets closer. To pay for the PPACA, the government is requiring everyone to give up some of that revenue that came from some effort that "you didn't build."

In light of who pays more, it appears that all stakeholders involved with health care—including families, businesses, and medical providers—are going to have to tighten their belts come January.

According to Fox News, while the individual mandate tax gets most of the attention, the PPACA, also not so affectionately known as ObamaCare, actually contains 20 new or higher taxes on the American people.