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Path Dependency in Medicare Reform
By: John R. Graham
6.17.2011
I first learned about path dependency when studying physics — but it surely applies to public policy, too. Despite the scholarly disputations about health reform, what drives most voters are not questions about the solvency of Medicare or beneficiaries’ access to care, but fear of change. Arguments will not change this fact: People change when the pain of not changing becomes greater than the pain of changing, but not before. This can be the only explanation for the majority of respondents to polls (described here) which ask the foolish question whether “Medicare should remain as it is today” versus Paul Ryan’s proposed reform. Surely the majority, which prefers that Medicare not change, are waxing nostalgic for Medicare as it existed prior to the slashing and burning of the March 2009 Patient Protection and Affordable Care Act (ObamaCare), the consequences of which they have not yet experienced. Read the entire article here.
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