Health care costs and the economy are the top factors affecting both employers' business decisions and their vote in the upcoming presidential election, according to a survey released today by the Principal Financial Group.

More than half of employers (57%) say health care costs are top of mind in regards to their business decisions, while slightly less (54%) cite economic growth. Other top issues include uncertainty of taxes (45%), gas prices (43%), unemployment (37%) and inflation (36%). The Principal group surveyed 604 business owners in companies of 10-500 employees.

American business owners say both the economy and health care reform will impact their votes in the presidential election, but the economics matter slightly more.

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