National Journal compiled the stunning graph below from the lobbying expenditures for the fourth quarter of 2009, which were submitted last week. The groups that traditionally devote the most money to lobbying on health care spent roughly the same as they did in 2008. But there was one major exception: the US Chamber of Commerce.

The Chamber dropped a total of $123.3 million on lobbying in 2009, compared to $62.3 million in 2008. Of course, it's important to note that the Chamber wasn't just lobbying on health care. They've been actively campaigning against a number of key issues on the Democratic agenda this year, including climate change legislation, financial reform, and the Employee Free Choice Act. But still, the image is impressive:

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