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Although many believe that, once it is proved safe, its introduction will be inevitable, they fret that it will introduce yet another layer of expense to cash-strapped transfusion services.
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In addition, a number of states impose an annuity premium tax, which adds another layer of expenses to the cost of owning a variable annuity.
"Town planning rules create layers of expense, so everything has to be well planned and thought out," Mudgway said.
The SEC in September expressed concern that funds-of-hedge-funds vendors fail to explain the impact of multiple layers of expenses or properly gauge suitability; expose investors to unacceptable risk; wrongly value assets; and hide conflicts of interest.
That's because annuities have expenses, layers of expenses.
Lots of audits and inspections of all this add another layer of frustration and expense.
"We see little benefit in constructing a new layer of bureaucracy, with its incumbent expense," he said, adding that the self-regulatory model "typified by Finra is replete with conflicts of interest".
It was a lot of expense.
"The blunt truth is that the expenses debacle was a particularly embarrassing layer of icing on an especially unappetising cake," he added.
Layer upon layer of lobbying.
It is layer upon layer of ambiguity".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com