Vasectomy choices

A man goes into the hospital for a vasectomy. Before the procedure a very attractive nurse comes in and takes his vitals, then tells him to take all of his clothes off.
 
When he is fully undressed she instructs him to lie down on the table. The man obeys. The nurse then takes all of her clothes off and climbs on top and has her way with him.
 
Upon the completion of the act the man catches his breath and asks what that was all about. The nurse informs the patient that studies have shown that before a vasectomy if the man has an ejaculation, he will be more relaxed and that the cord is easier for the surgeon to locate and sever, thereby making the surgery safer, more efficient and quicker.
 
The nurse then wheels the patient to the operating room.
 
While they are going down the hall the patient looks through a window to the right and sees six men in a room masturbating.
 
Curious, the man asks," What are they doing in there"?
 
The nurse responds, " They're preparing for vasectomies too, but you have Blue Cross, and they have Obama Care."