Sorry Andrew, but Mitt and Breitbart are full of shit (big surprise, that) about the 37 pages to change an address. Did you actually read the PDFs, beyond verifying that the document has a total of 38 pages? It took me about 15 seconds to find the instructions for changing current business location. Said instructions point to several sections relevant to whether I'm changing my business address, the address of my billing service, or the address of my record-keeping service.

The change-of-address form is two pages, one of which consists entirely of a single checkbox in which one indicates the states from which most of one's claims arise. The other two (change of biller and change of record location) are one page each. Then there's a signature page. This took me about two minutes to figure out; presumably someone in the health care business who does this for a living would have no trouble at all with this procedure. The remaining pages are instructions and forms for other transactions such as initial enrollment, reporting legal action, and so on. So the total to change one's business address is two pages, including a checkbox that's a full page only because it lists every state. Were one also changing billing service and records management service, two more pages would be needed. Then a final page to sign the thing. I'll be generous and assume I'm doing all three changes together, so call it five pages which by my count is a lot less than 37.

Some further points: