will take care of itself.
As an astute business man - I would think buying the four additional machines was a no brainer - expanding a business is the whole goal of a business.
Of course, with all the regulations and rules, the machine probably costs a small fortune, I would need "specialists" to run it, a team of lawyers to defend me(in the form of malpractice insurance), I would have to take everyone - even those who fail to take any proactive approach to getting better and on and on.
So the short answer is - 4 are dying since they voted to die - they just didn't realize it.
In my world - I could ABSOLUTELY refuse service to anyone with an Obama sticker on their car.