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Thursday, January 8, 2026

Grok teaches policy analysis

 Bardach’s Eightfold Path (policy analysis framework):

1.  Define the problem

2.  Assemble evidence

3.  Construct alternatives

4.  Select criteria

5.  Project outcomes

6.  Confront trade-offs

7.  Decide

8.  Tell your story

Addendum:

Giving credit: https://gspp.berkeley.edu/research-and-impact/faculty/eugene-bardach

Grok:

1.  Define problem: Medicare denies coverage, classifying as non-medical; limits independence, worsens comorbidities (spasticity, bone loss, pressure injuries) in non-ambulatory users.

2.  Assemble evidence: Peer-reviewed studies show benefits: ROM maintenance, spasticity reduction, bone density preservation, better bladder/bowel function, pressure relief, MRADLs independence (e.g., reaching, hygiene).

3.  Construct alternatives: No change; legislative (separate CRT category); NCD reconsideration (reclassify as medical DME).

4.  Select criteria: Beneficiary health/QoL/ethics (high weight); cost/admin feasibility.

5.  Project outcomes: NCD change: medium-high benefit, potential cost-neutral via reduced hospitalizations; legislative: highest benefit but slow.

6.  Confront trade-offs: NCD fastest/realistic; balances access vs. admin burden.

7.  Decide: Pursue NCD reconsideration (2020 ITEM request pending/waitlisted as of 2026).

8.  Tell story: Evidence supports primarily medical nature; coverage promotes independence, prevents complications.


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