Everyone at school thought it was hilarious. I gave it to one of my friends who teaches math and she read it to her class of 7th graders and they were rolling in the aisles. We decided that it was a sad state of affairs when 7th graders understand the concept of the "evil" HMOs. Even my atheist friend thought it was funny with the added comment of, "That is if you believe in God and Satan." lol I also passed it out in team plan and we all got our Wednesday before Thanksgiving laugh.