American history is made of success and reform. Improving an aspect of an American institution is seen as rewarding to the reformer in and of itself. Intrinsic pride and satisfaction in accomplishing for the Greater Good fits a need in a component of happiness. Paying a dollar bonus to the people who risk designing the change or promoting those coming up with the new plans may be needed to get big things done with the small, like health care reform currently. Recognizing the Patriotic trait to improve and then internalizing the result with tangible reward is fair leadership held accountable.