would erect data access barriers, hinder research activities, and shield Medicare and Medicaid programs from public scrutiny. What prompted CMS to change course?published opinion pieces by academics Rachel Werner , Joshua Gottlieb , Kevin Rinz , and myself . Michael Cannon from the CATO Institute also wroteto lend support. Meanwhile, the research community ran a grassroots campaign through both public discourse and engagements with the agency and lawmakers behind the scenes.
Second, the self-interest of individuals making agency decisions is often not well aligned with the interests of stakeholders affected by those decisions, such as in the case ofThird, where there’s political will, there’s a political way, even without lobbying dollars. Political will without orchestrated financial support can still overpower deep-pocketed special interest groups. Washington, D.C. operates around not only money, but also public sentiment.
Government agencies are run by human beings with flaws, just like all of us. They are not run by perfect but non-existent individuals with superior knowledge and incentives perfectly aligned with the public interest. The curiosity and desire to seek truth are as formidable among researchers as the aspiration to innovate and improve humanity among all Americans. This force is the ultimate driver of our economy and prosperity. It also fosters the political will not to be conquered.
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