Max Pappas speaks on CSE’s behalf against the Medicare bill at a coalition press conference on Capitol Hill. CSE opposed the expansion of Medicare for a number of reasons, including concerns about the program's financial sustainability and questions about the effectiveness of the massive new drug subsidies.

In the background on the left is Thomas A. Schatz, President of Citizens Against Government Waste and on the right Richard Lessner, Ph. D Executive Director of American Conservative Union.

The photographer is Annie Patnaude of the National Taxpayer's Union (NTU).