Constituency For Change
To leave the comfort of the status quo, most individuals need to believe that the change is truly imperative and that there is a more attractive alternative (Silversin/Kornacki, Leading Physicians Through Change ISBN:0924674814 )
Nicolo Machiavelli: It should be borne in mind that there is nothing more difficult to arrange, more doubtful of success, and more dangerous to carry through than initiating changes in a state's constitution. The innovator (Innovation) makes enemies of all those who prospered under the old order, and only lukewarm support is forthcoming from those who would prosper under the new... This indifference arises in part from fear of their adversaries who were favored by the existing laws, and partly from the incredulity of men who have no faith in anything new that is not the result of well-established experience. Hence, it is that, whenever the opponents of the new order of things have the opportunity to attack it, they will do it with the zeal of partisans, while the others defend it but feebly, so that it is dangerous to rely upon the latter.