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As health-care reform comes closer to passing, businesses and their lobbies are increasing their efforts to fight it. Opponents like the Chamber of Commerce have spent some $24 million on TV ads campaigning against the bill, versus $12 million from labor unions and other pro-reform groups—a turnaround from the advantage in spending once held by the overhaul's backers. Business coalitions like the Start Over Coalition and Employers for a Healthy Economy are broadcasting ads arguing that the Democrats' plan would further hurt the economy and raise unemployment.