Question

Assume a brilliant health economist has developed a plan that will greatly improve the efficiency of the U.S. health care system. Explain why this, or anything close to it, would be unlikely to be adopted in the United States. (Hint: Think about who would be interested in preserving the status quo and why).

Answer 1

ans...
Suppose the economist has developed a brilliant plan that will greatly improve the efficiency of the U.S health care system, but implementing that plan will require a great number of efforts and considerable amount of time. The plan need to be drafted as a policy and needs to be presented in the House of representative for it's approval. Now the policy drafting process considers a lot of constrainsts before drafting it the upcoming budget. The constarints usually considerd are:
1) What benefit will the programm bring
2) What are the existing program that are similar to it
3) Cost implication of the project
4) Cost Benefit Analysis
5) Effect of implementing the plan on other existing plans
6) Acceptance rate of the plan
Once the plan is drafted as a policy, it is presented in the House of Representative for it's approval and budget allocation in the upcoming budget. It may happen that the ruling government had already plan all it's budget for the policies that were promised during their election manifesto. Hence this plan may or may not make it to the national implementation.