http://www.scientificamerican.com/article.... When President Barack Obama promised change, he put two kinds on the agenda. The first was substantive change: reforms to key sectors of the economy, such as health care, climate change, financial markets and arms procurement.
The second was process change: improvements to how public policies are shaped and how decisions over public funding are made. Against the odds, the Obama administration is making some progress on the first—but at the sacrifice of the second.