Hello Everyone,

Today, the health insurance marketplaces, or exchanges — the centerpieces of the Patient Protection and Affordable Care Act – are open for business. As we all know all too well, opponents continue to try to torpedo this law and all that goes with it.  The law went into effect in March 2010, over 3 ½ years ago.

In trying to make sense of this relentless and vehement effort to oppose change, I thought it worthwhile to remember that human nature seems resistant to change.

In Obamagram #45, sent over four years ago, I wrote:

This debate [over the Act] also reminds me of a favorite quote from Niccolò Machiavelli’s The Prince (published in 1513) about the difficulty of achieving change:

And one should bear in mind that there is nothing more difficult to execute, nor more dubious of success, nor more dangerous to administer than to introduce a new order of things; for he who introduces it has all those who profit from the old order as his enemies, and he has only lukewarm allies in all those who might profit from the new. This lukewarmness partly stems from fear of their adversaries…and partly from the skepticism of men, who do not truly believe in new things unless they have actually had personal experience of them. Therefore, it happens that whenever those who are enemies have the chance to attack, they do so enthusiastically, whereas those others defend hesitantly…

It will be interesting to see what we think of this law four years from now after we “have actually had personal experience of them.”

Please, as always, pass it on.  And, remember that previous Obamagrams are stored on www.obamagrams.com  




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