Chapter 7 describes five reasons why health care reform is hard to pass; describe these five reasons, and elaborate on which one you think is the most critical and why.

The five major reasons why healthcare reform is hard to pass are 1) path dependency (sticking to the past); 2) institutional structure and too many gatekeepers in congress; 3) the status quo is extremely valuable to many powerful interest groups; 4) healthcare is an ideal partisan issue; and 5) there is a budget.