"Real reforms attempt to change how health care is financed and how it is rationed"

http://www.ncbi.nlm.nih.gov/pubmed/22466049

J Health Polit Policy Law. 2012 Mar 30. [Epub ahead of print]

A Democratic Responsiveness * Approach to Real Reform: An Exploration ofHealth Care Systems' Resilience.

Grignon M.

Source

1 McMaster University.

Abstract

Real reforms attempt to change how health care is financed and how it is rationed. Three main explanations have been offered for why such reforms are so difficult: institutional gridlock, path dependency, and societal preferences. The latter posits that choices made regarding the health care system in a given country reflect the broader societal set of values in that country and that as a result public resistance to real reform may more accurately reflect citizens' personal convictions, self-interest, or even active social choices. "Conscientious objectors" may do more to derail reform than previously recognized