Spending on medical programs such as medicare and medicaid has proven difficult to control because -recipients of these programs frequently abuse them. -spending on social security has declined so significantly. -these programs are indexed to grow at two times the rate of inflation. -state and local governments have refused to contribute to the costs of administering these programs. -of the growing number of people eligible and because of rising health care costs.

Janette goes into an electronics superstore to buy a new computer. the salesperson works with her to find the right model, and she agrees to buy a new computer for $500 and a floor-model 18-inch monitor for $100. just when she is ready to pay, the salesperson walks away for a minute and then comes back to inform her that the monitor she was ready to purchase can't be sold for < $125. she agrees to the extra $25 even though they had initially agreed on the $100 selling price. janette has fallen for the technique of gaining compliance.