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dobbspic I write articles on science, medicine, nature, culture and other matters for the New York Times Magazine, The Atlantic, Slate, National Geographic, Scientific American Mind, and other publications, and am working on my fourth book, The Orchid and the Dandelion, which expands on my recent December 2009 Atlantic article. In August 2010, I'll be moving to London for a year to work on the book. I'll also serve as a senior fellow at City University London's MA science journalism program.

You're encouraged to check out my third book Reef Madness: Charles Darwin, Alexander Agassiz, and the Meaning of Coral, which traces the strangest but most forgotten controversy in Darwin's career; subscribe to Neuron Culture by email; see more of my work at my main website; or track Twitter feed, my Google Reader shared items, or my Tumblr log, which gets it all.

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    « Quick dip: Free firefight; digital dumbness; scijourno conference; doctors that don't talk | Main | Swine flu digs in »

    Loss aversion and the rough road for health care reform

    Posted on: July 2, 2009 11:14 PM, by David Dobbs

    An article from the Standard ponders why, despite widespread recognition that the country needs health care reform, we may not get it.

    The relatively new field of behavioral economics--a blending of psychology and economics--helps makes sense of these clashing views. One major tenets of this sub-discipline is that people value a "loss" about twice as much as they value a "gain." And as a result, people are more risk averse than might be suggested by traditional, rational economic theory. In other words, instead of "rationally" weighing risks and rewards equally and then forming a judgment, behavioral economics has found risk and pain count more than benefits and rewards.

    People might see some gains in reforming the overall system, but fear of changing what they have counts more. And while open to promises of health reform, they're concerned the government might mess things up.

    Blumenthal quotes the Kaiser Foundation's pollster, Mollyann Brody, who argues, "it is really easy to scare people into thinking that reform will make their own situations worse off." But at the same time, as Blumenthal noted in a Pollster.com post last week, "people are also very anxious about their costs and future coverage under the status quo. It is that latter anxiety--much less than any altruistic desire to help out Americans without health care coverage--that drives the huge general desire for change and reform."

    from Fear and Loathing in Health Care Reform - CBS News


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    Maybe, but maybe not. Depends on whether staying on the current trajectory is sustainable. If not, then no change = loss. More thoughts on this at our blog.

    Posted by: Bob Nease | July 3, 2009 11:01 PM

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