A nurse practitioner prepares for work at Community Action Inc. in Janesville

 
A nurse practitioner prepares  for work at Community Action Inc. in Janesville
Donna Hays, nurse practitioner and program director at First Choice Woman's Health Center, prepares for work at Community Action Inc., a center for families in need, in Janesville, Wisconsin March 21, 2012. Republican U.S. Representative Paul Ryan's budget-cutting vision has made him a hero to conservatives across the country, but it is less popular in his hometown of Janesville. As Ryan's proposal to slash taxes and spending started to move through Congress last week, local officials in this humble Rust Belt city scrambled to recover from last year's cutbacks. Picture taken March 21, 2012. REUTERS/Darren Hauck (UNITED STATES - Tags: POLITICS ELECTIONS BUSINESS HEALTH)