Karen Ignagni and the health insurance lobby wanted the final health care reform bill to require everyone to buy health insurance and not include a public option. What does Karen Ignagni role indicate about powerful lobbyists?

Powerful lobbyists can have a say in legislation using money influence.

Explanation: Powerful lobbyists can have a say in legislation because they have the money to alter legislative process by convincing the general public, which in turn benefits their own companies rather than having United States populace interest.

Karen Ignagni is one of the most powerful lobbyists in the United States over time, when putting healthcare into consideration. She is involved in health care reform in the United States, which benefit health insurance companies largely.

Powerful lobbyists hurt the legislative process because the special interests and those groups (lobbyists) getting what they want is their ultimate goal.