The document discusses the financial problems facing a medical supply company called MTC due to the implementation of the ACA's 2.3% excise tax. This tax translates to a 10% reduction in MTC's profits. The market is competitive and raising prices is not an option. Data shows MTC's stagnant earnings, rising expenses, and high inventory levels. The solution proposes spending less and selling more through logistics optimization, production planning, sourcing reforms, and helping sales representatives. Short-term fixes include optimizing delivery routes and producing only what is needed. Mid-term focuses on non-partisan hospitals, while long-term plans diversification and investing in 3D printing.